The Patient/Provider Relationship in Emergency Medicine

2018 ◽  
pp. 74-105
Author(s):  
Julita Soczywko ◽  
Dorota Rutkowska
Keyword(s):  
Emergency Medicine ◽  
Interpersonal Communication ◽  
Communication Skills ◽  
Emergency Care ◽  
Work Experience ◽  
Critical Role ◽  
Diagnostic Process ◽  
Emergency Nurses ◽  
Emergency Medical ◽  
Decisive Action

Emergency medicine is a rapidly developing medical specialty which focuses on the diagnostic process, initial stabilization, and the treatment of patients suffering from acute illnesses or injuries. Emergency care can be provided in prehospital settings by emergency medical services, as well as in emergency departments. The primary providers of emergency care are: emergency medicine physicians, emergency nurses, and paramedics. Emergency medical personnel are required to be prepared to take decisive action at any time of day or night. It is essential for them to possess basic knowledge relating to psychology and an ability to utilize interpersonal communication skills. A critical role of medical workers in emergency settings is to provide a patient with emotional support coupled with medical assistance. Interpersonal communication skills depend on the personal abilities of an individual, however, these skills can be also enhanced through training and work experience.

scholarly journals Errors in Differential Diagnosis of Burn Injury at the Prehospital Stage

2021 ◽  
Vol 9 (4) ◽  
pp. 659-665
Author(s):  
O. S. Pankrateva ◽  
Yu. V. Yurova ◽  
P. K. Krylov ◽  
E. V. Zinoviev ◽  
D. O. Vagner ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Emergency Care ◽  
Burn Injury ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Differential Diagnostics ◽  
Diagnostic Process ◽  
Medical Department ◽  
Emergency Medical ◽  
Inpatient Department

Relevance. An important component of the diagnostic process in combustiology is the collection of anamnesis. At the same time, verification of the very fact of a burn injury of the skin, as a rule, does not seem to be a difficult task even for a novice doctor. However, specialists from the I.I. Dzhanelidze Institute regularly encounter errors in the differential diagnosis of burn injuries at the prehospital stage on the part of both ambulance teams (EMS) and surgeons (traumatologists) of non-specialized medical institutions. Each such case attracts attention and takes up a significant part of the time resource of the entire staff of the inpatient department of the emergency medical service for the process of clarifying and verifying the correct diagnosis, as well as determining the further routing of such a patient.Aim of study. To study the structure of diagnostic errors at the prehospital stage of the EMS to optimize patient routing by improving the existing organizational and methodological standards.Material and methods. A retrospective analysis of the case histories of all victims who were admitted to the inpatient department of the Emergency Medical Department of the I.I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine during the period from January 2018 to December 2019.Results. 4,951 patients were admitted with a leading diagnosis of the referring institution, suggesting a history of burn injury. The incidence of diagnostic errors at the prehospital stage of emergency care was 410 cases (8.3%), while burn injury was completely excluded in 178 cases (3.6%).Conclusions. 1. The results of the analysis revealed a high incidence of diagnostic errors at the prehospital stage of emergency care (8.3%), the main reason for which is the lack of awareness of differential diagnostics within the narrow specialty (combustiology) of primary contact physicians. 2. Shown is the introduction of training practice for doctors and paramedics of emergency medical services, surgeons and traumatologists of primary care in combustiology cycles in specialized burn departments. 3.In order to ensure continuity in the process of providing medical care to patients with burns, it is necessary to create a unified database of convalescents to form a feedback channel with the outpatient clinic during the implementation of the rehabilitation complex.

scholarly journals The Relationship Between Communication Skills and Early Maladaptive Schemas in Pediatric Nurses

2020 ◽  
Vol 30 (4) ◽  
pp. 240-246
Author(s):  
Golnaz Mohammadi ◽  
Farzaneh Sheikholeslami ◽  
MinooMitra Chehrzad ◽  
Ehsan Kazemnezhad Leili
Keyword(s):  
Child Care ◽  
Interpersonal Communication ◽  
Communication Skills ◽  
Work Experience ◽  
Urban Areas ◽  
Short Form ◽  
Early Maladaptive Schemas ◽  
Maladaptive Schemas ◽  
Spearman Correlation Test ◽  
And Performance

Abstract Introduction: In nursing, the communication between the nurse and the child is the core of child care. Some barriers can affect the nurse-patient relationship to have proper communication skills for child care. Objective: This study aimed to examine the correlation between communication skills and early maladaptive schemas in nurses working in pediatric wards. Materials and Methods: This is an analytical and correlational study. The participants were 178 nurses working in a children’s hospital in Rasht City, Iran in 2016. The data collection tool was a three-part questionnaire: A demographic form, the interpersonal communication skills scale (ASMA), and the Young Schema Questionnaire-Short Form (YSQ-SF). The collected data were analyzed using descriptive statistics and the Friedman and Spearman tests. Results: The majority of nurses were younger than 30 years (80.8%), had a bachelor’s degree in nursing (89.0%), were married (65.1%), had children (54.8%), were living in urban areas (95.2%), had employment status (63.3%) and less than 15 years of work experience (46.5%). The highest mean scores of ASMA (44.12±0.53) and YSQ-SF tools (2.65±1.04) were related to general communication skills and then disconnection and rejection, respectively. The results of the Spearman correlation test showed that the overall ASMA score had significant negative correlations with early maladaptive schemas of impaired autonomy and performance (r= -0.283), impaired limits (r= -0.421), other-directedness (r= -0.303), and disconnection and rejection (r= -0.302) (P=0.0001). Conclusion: Nurses who have a higher level of early maladaptive schemas showed poorer communication skills. Examining maladaptive schemas in nurses may provide appropriate strategies to improve their communication skills.

scholarly journals Communication skills and its related factors in Ardabil Alavi Hospital nurses and staff

2020 ◽  
Vol 7 (2) ◽  
pp. 416
Author(s):  
Somayeh Zeynizadeh ◽  
Akbar Pirzadeh ◽  
Shervin Tabrizian
Keyword(s):  
Interpersonal Communication ◽  
Communication Skills ◽  
Work Experience ◽  
Demographic Data ◽  
Teaching Hospitals ◽  
Hospital Nurses ◽  
Related Factors ◽  
Listening Skill ◽  
Total Communication ◽  
The Mean

Background: Communication skills (CS) is an important topic which help the nurses and staff to maintain effective relationships and have professional standards in all legal, ethical and clinical areas. So low level of CS between nurses could be led to more medical mistakes and reduce the patient’s quality of care. The aim of this study was to determine the level of CS among Ardabil teaching hospitals nurses and staff and its related factors.Methods: This descriptive-analytical study was conducted on 145 Ardabil Alavi hospitals’ nurses and staff from May 2019 to November 2019. The data collection tool was communication skills questionnaire of Burton G (1990) which included demographic data and interpersonal communication skills test (18 items) with a range of 18-90. Data analyzed in SPSS version 21 by using descriptive and analytical statistics tests such as; Spearman, Mann-Whitney U, and Kruskal Wallis at significant level of p<0.05.Results: Of all students, 72.4% were women and the rest were men. The average age of participants, was 36.9±8.4 years. The mean score of total communication skills was calculated 59.2±7.3. The mean score of verbal skill, listening skill, and feedback skill were calculated in order to 20.8±3.43, 17.6±4, and 20.7±3.2, respectively. Total Communication skills was significantly related with past work experience but other demographic variables hadn’t significant relation with CS.Conclusions: The results indicated that the CS of Ardabil hospital nurses and staff were in moderate levels. So, providing training programs for raising their CS in future is essential.

scholarly journals The influence of successfully completed triage courses and work experience of advanced emergency medical technicians on their perception of patient disposition

2020 ◽  
Vol 17 ◽  
Author(s):  
Javad Mozafari ◽  
Mohammad Afzalimoghaddam ◽  
Mohammad Taghi Talebian ◽  
Maryam Bahreini ◽  
Esmaeil Mohammadnejad
Keyword(s):  
Emergency Medicine ◽  
Predictive Value ◽  
Work Experience ◽  
Emergency Medical Technicians ◽  
Lead Author ◽  
Patient Disposition ◽  
Emergency Medical ◽  
Sensitivity Specificity ◽  
A Prospective Study ◽  
The Impact

Introduction This study assessed the impact of various one-day workshops and the work experience of advanced emergency medical technicians (AEMTs) on their prediction of patient disposition. Methods We conducted a prospective study on 267 patient transport missions to the emergency department. During the study, convenience sampling was used in all the clinical shifts of the lead author. The AEMTs completed the questionnaires, which comprised of the number of successfully completed workshops; other training courses; work experience and their perception of the patient’s disposition. The latter was compared to the ultimate disposition of patients determined by emergency medicine specialists. Results The respective figures for sensitivity, specificity, positive predictive value and negative predictive value were 86%, 80%, 33% and 66% on predicting patient disposition for AEMTs who passed fewer workshops; and 79%, 76%, 34% and 96% for the participants with less than 4 years’ work experience. The Kappa coefficient for the agreement between AEMTs’ prediction and ultimate patient disposition was 0.387. Conclusion The number of triage courses was not positively effective in the prediction of patient disposition by AEMTs; the number of years of work experience did not make a difference either. The AEMTs were fair in their prediction of patient disposition in comparison with the emergency medicine specialists.

Prototype Curriculum for a Fellowship in Emergency Medical Services

1994 ◽  
Vol 9 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Jon R. Krohmer ◽  
Robert A. Swor ◽  
Nicholas Benson ◽  
Steven A. Meador ◽  
Steven J. Davidson
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Medical Services ◽  
Emergency Care ◽  
Medical Services ◽  
Emergency Department Care ◽  
Emergency Medical

The developments of emergency medicine and emergency medical services (EMS) have occurred simultaneously although at times on parallel paths. The recognition of EMS providers as physician surrogates and emergency care resources as an extension of emergency department care has mandated close physician involvement. This intimate physician involvement in EMS activities is now well accepted. It has, however, pointed out the need for in-depth training of physicians in the subspecialty of EMS.

scholarly journals Comparison of the Standardized Video Interview and Interview Assessments of Professionalism and Interpersonal Communication Skills in Emergency Medicine

2019 ◽  
Vol 3 (3) ◽  
pp. 259-268 ◽  
Author(s):  
Laura R. Hopson ◽  
Michele L. Dorfsman ◽  
Jeremy Branzetti ◽  
Michael A. Gisondi ◽  
Danielle Hart ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Interpersonal Communication ◽  
Communication Skills ◽  
Video Interview
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