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Related Concept Videos

Therapeutic Communication01:30

Therapeutic Communication

11.0K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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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...
2.9K
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...
5.6K
Drug Therapy01:28

Drug Therapy

411
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
411
Communication01:28

Communication

14.0K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
14.0K

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Understanding the Role of Communication in Deprescribing Behavior Change.

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  • 1Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

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Applying behavior change models like COM-B to deprescribing communication can overcome barriers. Addressing capability, opportunity, and motivation is key to successful medication deprescribing interventions.

Keywords:
communicationconceptual framework developmentdeprescribingpolypharmacy

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Area of Science:

  • Geriatric pharmacotherapy
  • Behavioral science in medicine
  • Health communication

Background:

  • Deprescribing is essential for optimizing medication use in older adults.
  • Behavior change models offer a framework to understand and improve deprescribing communication.
  • Barriers to deprescribing can be addressed through targeted communication strategies.

Purpose of the Study:

  • To develop a communication framework for deprescribing in ambulatory settings.
  • To utilize the COM-B (Capability, Opportunity, Motivation-Behavior) model to guide deprescribing communication.
  • To foster shared decision-making between patients, care partners, and clinicians regarding medication appropriateness.

Main Methods:

  • A consensus development working group with diverse stakeholders (geriatrics, nursing, pharmacology, communication, care partners) was convened.
  • The COM-B model was used to characterize the necessary communication components for deprescribing.
  • The framework focused on communication among patients, care partners, and clinicians.

Main Results:

  • Capability requires clinicians to elicit concerns and patients to have self-efficacy in raising issues.
  • Opportunity necessitates dedicated time or specific visits for deprescribing discussions.
  • Motivation involves clinician feedback and patient testimonials to encourage medication review and overcome inertia.

Conclusions:

  • Behavioral models like COM-B are valuable for conceptualizing deprescribing communication.
  • Addressing capability, opportunity, and motivation is crucial for effective deprescribing.
  • Targeted communication strategies based on these components can enhance deprescribing interventions.