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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Related Experiment Video

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Serious Illness Communication Tool for Palliative Care Fellows: Development, Implementation, and Lessons Learned.

Shannon Rose Bell1, Daniel M Karlin2, Peter G Phung3

  • 1Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA.

The American Journal of Hospice & Palliative Care
|June 13, 2024
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A new tool helps palliative care fellows improve serious illness communication skills. It standardizes language and enhances feedback, though some aspects may increase anxiety.

Keywords:
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Area of Science:

  • Medical Education
  • Palliative Care
  • Communication Skills Training

Background:

  • Effective communication is crucial in palliative care, but specialized educational tools for fellows are scarce.
  • Palliative care training emphasizes communication expertise, yet resources for developing these skills are limited.
  • There is a need for targeted educational interventions to enhance serious illness communication among palliative care specialists.

Purpose of the Study:

  • To develop and implement a novel formative assessment tool for hospice and palliative medicine fellows.
  • To facilitate the learning of serious illness communication skills within a fellowship program.
  • To evaluate the effectiveness and user experience of a new communication training tool.

Main Methods:

  • A formative assessment tool was created and used weekly in the UCLA Palliative Care Fellowship.
  • Focus groups with fellows and faculty were conducted for qualitative feedback.
  • Thematic analysis was applied to focus group transcripts to identify key insights.

Main Results:

  • The tool helped identify learning goals, improve feedback quality, and standardize communication terminology.
  • Most benefits were observed in the first half of the fellowship year.
  • Certain features, like competency scoring and frequent use, increased feedback anxiety.

Conclusions:

  • The novel tool aids specialist palliative care providers in serious illness communication training.
  • It establishes a shared framework for skills and generates specific learning objectives and feedback.
  • Pilot feedback suggests refinements to mitigate feedback anxiety and optimize tool effectiveness.