The Need for Nurse Training to Promote Improved Patient-Provider Communication for Patients With Complex Communication Needs

2013 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Debora Downey ◽  
Mary Beth Happ
Keyword(s):  
Health Care Providers ◽  
Communication Disorders ◽  
Provider Communication ◽  
Nurse Training ◽  
Care Providers ◽  
Speech Language Pathologists ◽  
Complex Communication Needs ◽  
Team Members ◽  
Patient Provider Communication ◽  
Communication Needs

Abstract Hospitalized patients across the age continuum often present with complex communication needs (CCN) due to motor, sensory, cognitive, and linguistic barriers they may experience during their admission. Although hospitals recognize the need to enhance communication to improve quality and safety for all patients, the emphasis has been primarily on improving ”care coordination” amongst the health care providers the patient encounters across all points of admission. Most hospitals have yet to focus on improving the patient-provider communication experience, especially for patients with CCN. However, this population no longer can be ignored, as new standards mandate efforts to improve communication for patients with CCN. Nurses, as the team members responsible for continuous care during hospital stays, and speech-language pathologists, as communication disorders specialists, are positioned distinctively to facilitate patient communication and prevent miscommunications between patients and care providers. This article highlights the need to enhance the patient-provider communication experience for patients with CCN. We review the state of nurse training for patients with CCN, discuss the role speech-language pathologists can play in developing and implementing nurse training protocols, and outline basic elements nurse training modules should include.

Patient-Provider Communication Training for Dysarthria: Lessons Learned from Student Trainees

2017 ◽  
Vol 38 (03) ◽  
pp. 229-238 ◽  
Author(s):  
Carolyn Baylor ◽  
Kathryn Yorkston ◽  
Michael Burns
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Communication Disorders ◽  
Skills Training ◽  
Lessons Learned ◽  
Provider Communication ◽  
Care Providers ◽  
Quality Health Care ◽  
Patient Provider Communication

AbstractPatient-provider communication skills training programs rarely include content addressing how health care providers can improve communication with patients exhibiting dysarthria and other communication disorders. Consequently, these patients often struggle to access quality health care services. This article describes a training program focused on giving health care students the opportunity to interact with standardized patients portraying dysarthria and aphasia. A summary of the program's outcome is then provided from the perspective of the students involved as well as lessons students taught us about how to continue improving this type of program and to make it a more universal part of health care education.

scholarly journals ‘He should feel your pain’: Patient insights on patient–provider communication in Rwanda

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Vincent K. Cubaka ◽  
Michael Schriver ◽  
Janvier B. Kayitare ◽  
Phil Cotton ◽  
Helle T. Maindal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pain Patient ◽  
Provider Communication ◽  
Care Providers ◽  
Structured Interviews ◽  
Communication Preferences ◽  
Limited Literacy ◽  
Patient Provider Communication ◽  
Sub Saharan

Background: Patient–provider communication is an interpersonal interaction between a patient and a health care provider.Objective: This study explored patients’ communication preferences and perceptions on what factors influence the patient–provider communication in primary health care settings in Rwanda.Methods: In-depth semi-structured interviews with 15 individuals including 8 with limited literacy. A thematic inductive analysis was used.Results: Patients valued communication with providers and expressed the need for interacting with caring, empathic providers who can share all the information they want and involve them in their own care. Health literacy and power issues were factors that may influence patient–provider communication. Patients with limited literacy appeared to rely highly on health care providers for making decisions about and managing their health care.Conclusion: The expressed preferences, including those of patients with limited literacy, aligned well with the patient-centred care model. There were indications of a power imbalance weighing on the provider’s side. Although patients with limited literacy were reliant on providers for decision-making, they were ready to be more involved in the care, suggesting a potential for improved patient involvement even for patients with paternalistic care preferences. These patients’ insights can impact policies and curricula to optimise clinical practice. Generated knowledge will contribute to the indispensable yet underdeveloped field of health communication in sub-Saharan Africa.Practice implications: Findings call for more inclusion of patient perspectives in the patient–provider encounter. This could require more training of professionals and research on the topic, both in Rwanda and in other regions.

Patient Provider Communication: Preparation of Speech-Language Pathology Externship Students

2016 ◽  
Vol 1 (11) ◽  
pp. 35-40 ◽  
Author(s):  
David R. Beukelman ◽  
Susan Fager ◽  
Suzanne Seberg
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Provider Communication ◽  
Care Providers ◽  
Speech Language Pathology ◽  
Communication Support ◽  
Support Materials ◽  
Vulnerable Patients ◽  
Language Pathology ◽  
Patient Provider Communication

This article reviews pertinent policies, information, and materials that assist speech-language pathologists (SLPs) to support effective communication between health care providers and communication vulnerable patients across health care settings. Five types of communication vulnerable patients and the roles of communication support personnel are discussed. Several types of medical referrals to initiate patient provider communication (PPC) support are introduced. Access to a variety of communication support materials and tools is provided. Instructional strategies to integrate PPC instruction into preprofessional programs and externship experiences are described.

Patient-provider communication and decision making regarding adjuvant endocrine therapy-related symptom management: Provider perspectives.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 156-156
Author(s):  
Kea Turner ◽  
Cleo A. Samuel ◽  
Heidi AS Donovan ◽  
G J. Van Londen
Keyword(s):  
Decision Making ◽  
Endocrine Therapy ◽  
Health Care Providers ◽  
Symptom Management ◽  
Adjuvant Endocrine Therapy ◽  
Provider Communication ◽  
Care Providers ◽  
Provider Perspectives ◽  
Related Symptom ◽  
Patient Provider Communication

156 Background: Adjuvant endocrine therapy (AET)-related symptom management (SM) among breast cancer survivors (BCS) is greatly influenced by the quality of patient-provider communication; yet, few studies have examined provider perspectives on patient-provider communication and decision-making for AET-related SM. We assessed provider perspectives on AET-related SM to identify challenges and opportunities for improvement in patient-provider communication and decision-making. Methods: We conducted 3 focus groups (FGs) with a multidisciplinary group of health care providers (n = [6] physician; n = [7] non-physician) experienced in caring for BCS undergoing AET. We utilized semi-structured discussion guides to elicit provider perspectives on patient-provider communication and decision-making for AET-related SM as well as recommendations for improvement. All FGs were held at the University of Pittsburgh, audiotaped, and transcribed. We analyzed FG transcripts using qualitative software to identify key themes. Results: Providers described multiple challenges to patient-provider communication and decision-making for AET-related SM. Providers reported that BCS are often uncertain whether their symptoms are related to AET and unsure of whom to speak with about their symptoms. Providers also felt that patients are reluctant to bring up symptoms for fear that bringing up symptoms would detract from their care. Providers agreed that patient-provider communication influences BCS’ awareness and beliefs about SM. Providers indicated that provider communication strategies such as probing for symptoms, setting realistic treatment expectations, and assessing patient satisfaction with their SM plan enhances patient decision-making about AET-related SM. Conclusions: Although providers identified several challenges related to patient-provider communication and decision-making, many of these challenges are amenable to change through provider-level interventions. Future efforts aimed at improving AET-related SM should include strategies that address patient-provider communication and decision-making.

scholarly journals Developing Infographics to Facilitate HIV-Related Patient–Provider Communication in a Limited-Resource Setting

2019 ◽  
Vol 10 (04) ◽  
pp. 597-609 ◽  
Author(s):  
Samantha Stonbraker ◽  
Mina Halpern ◽  
Suzanne Bakken ◽  
Rebecca Schnall
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Limited Resource ◽  
Provider Communication ◽  
Care Providers ◽  
Domain Experts ◽  
Limited Resource Setting ◽  
Resource Setting ◽  
Persons Living With Hiv ◽  
Patient Provider Communication

Background Productive patient–provider communication is a recognized component of high-quality health care that leads to better health outcomes. Well-designed infographics can facilitate effective communication, especially when culture, language, or literacy differences are present. Objectives This study aimed to rigorously develop infographics to improve human immunodeficiency virus (HIV)-related patient–provider communication in a limited-resource setting. A secondary purpose was to establish through participant feedback that infographics convey intended meaning in this clinical and cultural context. Methods We adapted a participatory design methodology, developed in a high-resource setting, for use in the Dominican Republic. Initially, content to include was established using a data-triangulation method. Then, infographics were iteratively generated and refined during five phases of design sessions with three stakeholder groups: (1) 25 persons living with HIV, (2) 8 health care providers, and (3) 5 domain experts. Suggestions for improvement were incorporated between design sessions and questions to confirm interpretability of infographics were included at the end of each session. Results Each participant group focused on different aspects of infographic designs. Providers drew on past experiences with patients and offered clinically and contextually relevant recommendations of symbols and images to include. Domain experts focused on technical design considerations and interpretations of infographics. While it was difficult for patient participants to provide concrete suggestions, they provided feedback on the meaning of infographics and responded clearly to direct questions regarding possible changes. Fifteen final infographics were developed and all participant groups qualitatively confirmed that they displayed the intended content in a culturally appropriate and clinically meaningful way. Conclusion Incorporating perspectives from various stakeholders led to the evolution of designs over time and generated design recommendations that will be useful to others creating infographics for use in similar populations. Next steps are to assess the feasibility of using infographics to improve clinical communication and patient outcomes.

scholarly journals Multi-level considerations for optimal implementation of long-acting injectable antiretroviral therapy to treat people living with HIV: perspectives of health care providers participating in phase 3 trials

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea Mantsios ◽  
Miranda Murray ◽  
Tahilin S. Karver ◽  
Wendy Davis ◽  
Noya Galai ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health System ◽  
Health Care Providers ◽  
The United States ◽  
Provider Communication ◽  
Care Providers ◽  
Patient Provider Communication ◽  
Multi Level ◽  
Long Acting

Abstract Background Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has recently been approved for use in the United States and Europe. This study examined the perspectives of health care providers participating in LA ART clinical trials on potential barriers and solutions to LA ART roll-out into real world settings. Methods This analysis draws on two data sources: (1) open-ended questions embedded in a structured online survey of 329 health care providers participating in the ATLAS-2 M trial across 13 countries; and (2) in-depth interviews with 14 providers participating in FLAIR/ ATLAS/ATLAS-2 M trials in the United States and Spain. Both assessments explored provider views and clinic dynamics related to the introduction of LA ART and were analyzed using thematic content analysis. The Consolidated Framework for Implementation Research (CFIR) was drawn on as the conceptual framework underpinning development of a model depicting study findings. Results Barriers and proposed solutions to LA ART implementation were identified at the individual, clinic and health system levels. Provider perceptions of patient level barriers included challenges with adhering to frequent injection appointments and injection tolerability. Proposed solutions included patient education, having designated staff for clinic visit retention, and clinic flexibility with appointment scheduling. The main provider concern was identifying appropriate candidates for LA ART; proposed solutions focused on patient provider communication and decision making. Clinic level barriers included the need for additional skilled individuals to administer injections, shifts in workflow as demand increases and the logistics of cold-chain storage. Proposed solutions included staff hiring and training, strategic planning around workflow and logistics, and the possibility of offering injections in other settings, including the home. Health system level barriers included cost and approvals from national regulatory bodies. Potential solutions included governments subsidizing treatment, ensuring cost is competitive with oral ART, and offering co-pay assistance. Conclusions Results suggest the importance of multi-level support systems to optimize patient-provider communication and treatment decision-making; clinic staffing, workflow, logistics protocols and infrastructure; and cost-related factors within a given health system.

scholarly journals Variation in patient–provider communication by patient’s race and ethnicity, provider type, and continuity in and site of care: An analysis of data from the Connecticut Health Care Survey

2016 ◽  
Vol 4 ◽  
pp. 205031211562516 ◽  
Author(s):  
Robert H Aseltine ◽  
Alyse Sabina ◽  
Gillian Barclay ◽  
Garth Graham
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Race And Ethnicity ◽  
Provider Communication ◽  
Care Providers ◽  
Health Care Survey ◽  
Hispanic Patients ◽  
Patient Provider Communication ◽  
Care Survey

Objectives: The purpose of this study is to examine the quality of patient-reported communication with their health care providers using data from a large, statewide survey of patients. We examine the relationship between patient’s race and ethnicity, type of health care provider, site of and continuity in care, and the quality of patient–provider communication. Methods: We analyze data from the Connecticut Health Care Survey, a representative telephone survey of 4608 Connecticut residents conducted between June 2012 and February 2013. Eight measures of patient–provider communication were analyzed using weighted general linear and logistic regression models. Results: Patients’ assessments of the quality of communication with their health care providers were generally positive. Hispanic patients, those who received care in a clinic or hospital setting, and those who did not consistently see the same provider reported significantly poorer communication with their providers. Conclusion: Our data suggest that improving patient–provider communication for Hispanic patients may be a critical step in achieving health equity. However, increased access to health care delivered outside of physician offices where there may not be consistency in providers across encounters may pose challenges to effective health communication.

scholarly journals Growth Dynamics of Patient-Provider Internet Communication: Trend Analysis Using the Health Information National Trends Survey (2003 to 2013) (Preprint)

2017 ◽  
Author(s):  
Will L Tarver ◽  
Terri Menser ◽  
Bradford W Hesse ◽  
Tyler J Johnson ◽  
Ellen Beckjord ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Providers ◽  
Provider Communication ◽  
Care Providers ◽  
Internet Users ◽  
Patient Provider Communication ◽  
Trends Over Time ◽  
National Trends ◽  
Over Time

BACKGROUND Communication is key in chronic disease management, and the internet has altered the manner in which patients and providers can exchange information. Adoption of secure messaging differs among patients due to the digital divide that keeps some populations from having effective access to online resources. OBJECTIVE This study aimed to examine the current state of online patient-provider communication, exploring trends over time in the use of online patient-provider communication tools. METHODS A 3-part analytic process was used to study the following: (1) reanalysis, (2) close replication across years, and (3) trend analysis extension. During the reanalysis stage, the publicly available Health Information National Trends Survey (HINTS) 1 and 2 data were used with the goal of identifying the precise analytic methodology used in a prior study, published in 2007. The original analysis was extended to add 3 additional data years (ie, 2008, 2011, and 2013) using the original analytical approach with the purpose of identifying trends over time. Multivariate logistic regression was used to analyze pooled data across all years, with year as an added predictor, in addition to a model for each individual data year. RESULTS The odds of internet users to communicate online with health care providers was significantly and increasingly higher year-over-year, starting in 2003 (2005: odds ratio [OR] 1.31, 95% CI 1.03-1.68; 2008: OR 2.14, 95% CI 1.76-2.59; 2011: OR 2.92, 95% CI 2.33-3.66; and 2013: OR 5.77; 95% CI 4.62-7.20). Statistically significant socio-economic factors found to be associated with internet users communicating online with providers included age, having health insurance, having a history of cancer, and living in an urban area of residence. CONCLUSIONS The proportion of internet users communicating online with their health care providers has significantly increased since 2003. Although these trends are encouraging, access challenges still exist for some groups, potentially giving rise to a new set of health disparities related to communication.

scholarly journals Plain language communication as a priority competency for medical professionals in a globalized world

2018 ◽  
Vol 9 (2) ◽  
pp. e52-59 ◽  
Author(s):  
Fiona Warde ◽  
Janet Papadakos ◽  
Tina Papadakos ◽  
Danielle Rodin ◽  
Mohammad Salhia ◽  
...  
Keyword(s):  
Medical Education ◽  
Health Care Providers ◽  
Medical Training ◽  
Core Competency ◽  
Provider Communication ◽  
Care Providers ◽  
Plain Language ◽  
Language Communication ◽  
Patient Provider Communication ◽  
The Impact

This brief report aims to highlight the impact of globalization – the international movement of goods, people, and ideas – on patient-provider communication in medical training and practice, and how the implementation of plain language communication training as a core competency for care providers can mitigate this impact. Globalization influences both patient and provider population diversity, which presents challenges with regard to patient-provider communication, particularly in cases of limited health literacy. Plain language communication - the delivery of information in a simple, succinct, and accurate manner - can help address these challenges. Training in plain language communication, however, is not a part of standard education for health care providers. Based on a synthesis of relevant literature pertaining to globalization, plain language communication, and medical education curricula, it is hoped that the information presented establishes the need for plain language communication as a core competency in medical education to enable providers to better meet the needs of an increasingly globalized health system.

scholarly journals The Influence of Patient–Provider Communication on Cancer Screening

2020 ◽  
Vol 7 (6) ◽  
pp. 1648-1657
Author(s):  
Tiffany B Kindratt ◽  
Folefac Atem ◽  
Florence J Dallo ◽  
Marlyn Allicock ◽  
Bijal A Balasubramanian
Keyword(s):  
Cancer Screening ◽  
Health Care Providers ◽  
Odds Ratio ◽  
Provider Communication ◽  
Care Providers ◽  
Face To Face ◽  
Cancer Screenings ◽  
Patient Provider Communication ◽  
National Trends ◽  
E Mail

Few studies have examined how different qualities and modes (face-to-face vs electronic) of patient–provider communication (PPC) influence cancer screening uptake. Our objective was to determine whether receiving a breast, cervical, and colorectal cancer screening is influenced by (1) qualities of face-to-face and (2) the use of e-mail PPC. We analyzed Health Information National Trends Survey 4, cycles 1 to 4 data. To assess qualities of face-to-face PPC, adults reported how often physicians spent enough time with them, explained so they understood, gave them a chance to ask questions, addressed feelings and emotions, involved them in decisions, confirmed understanding, and helped them with uncertainty. Adults reported whether they used e-mail PPC. We used multivariable logistic regression to evaluate the odds of receiving cancer screenings based on face-to-face and e-mail PPC. Adults whose health-care providers involved them in decision-making had highest odds of receiving breast (odds ratio [OR] = 1.38; 95% confidence interval [CI] = 1.11-1.71), cervical (OR = 1.30; 95% CI = 1.06-1.60), and colorectal (OR = 1.25; 95% CI = 1.03-1.51) cancer screenings. No significant associations were observed between e-mail PPC and cancer screenings. More research is needed to explore this association.

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