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The clinician-patient interaction
Published in Paul M.W. Hackett, Christopher M. Hayre, Handbook of Ethnography in Healthcare Research, 2020
The more patients are under the impression that the clinician is not listening to them, their frustration grows, and aiming at getting the attention of the clinician, they attempt to impress the clinician by exaggerating and dramatizing the symptoms. The more drama the patient produces, the more the clinician holds on to facts. The more the clinician listens and develops a dialogue with the patient, the more patients will feel responsible to speak calmly and accurately, believing that the clinician will attend to her needs and meet them (Gabay, 2020). The patient will act knowing that the clinician will act by the best medical procedures and avoid exaggeration. Active listening will improve the quality of care because the clinician will receive refined information from the patient. Active listening will help build trust.
Evidence-Based Communication in the Palliative Conversation
Published in Kathleen Benton, Renzo Pegoraro, Finding Dignity at the End of Life, 2020
Kimberson Tanco, Eduardo Bruera
Nonverbal aspects of communication can also play a role in the patient’s perception of their communication with the physician. Demonstrating active listening skills can convey empathy and involve demonstrating interest through actions such as head nodding, eye contact, timely responses, and summarizing what the patient discussed. A physician’s posture can also affect a patient’s perception of the physician’s compassion. Patients preferred, and felt to be more compassionate, physicians who were sitting as compared to standing (Bruera et al., 2007; Strasser et al., 2005). Furthermore, physicians who were sitting were also felt to spend more time with the patient (Strasser et al., 2005). On the other hand, other factors, such as time spent on visit, warmth, patience, respect, and a caring attitude, were rated higher by patients as compared to physician posture (Bruera et al., 2007).
Doctor-Patient Communication
Published in Shamit Kadosh, Asaf Rolef Ben-Shahar, Incorporating Psychotherapeutic Concepts and Interventions Within Medicine, 2019
Shamit Kadosh, Asaf Rolef Ben-Shahar
Active listening is an important communication skill for gaining relevant information regarding our patients’ medical condition, understanding their experience, giving them permission to speak, and acknowledging their suffering (Fassaert et al., 2007). In the course of the medical encounter, worthy information is being articulated via verbal and nonverbal channels. Attentive listening to both channels of communication would assist doctors to understand patients’ experience of illness, help recognise hidden agendas, enable patients to disclose related specific concerns and emotional content, reduce stress, increase shared decision, reinforce the healing process, and improve clinical outcomes (Jagosh et al., 2011; Wissow et al., 1994).
Person-centred health plans for physical activity in persons with chronic widespread pain (CWP) – a retrospective descriptive review
Published in Disability and Rehabilitation, 2023
Anette Larsson, Emmelie Barenfeld, Andreas Fors, Inger Gjertsson, Anna Bergenheim, Kaisa Mannerkorpi
The person-centred health plan was jointly developed between the participants and physiotherapists aiming to support the participants to overcome barriers to physical activity, enhance self-efficacy, and strengthen their ability to manage symptoms and be physically active over time. Each health plan was individually adjusted regarding levels of physical activity and, if needed, stress management. Participants were invited to attend an individual meeting during which they were encouraged to share their narrative with the physiotherapist. During the meeting, the physiotherapist used active listening including open-ended questions, with suggestions for areas to be addressed (see Box 1), to identify the patient’s goals, resources, obstacles and needs. Based on the narrative, a tailored health plan was co-created, reflecting both the participant’s and the physiotherapist’s perspectives and expertise. The aim was that the health plan should be designed in such a way that the participant, based on their situation and prerequisites, would overcome barriers to physical activity and manage to be physically active. Stress management was also included if the patient felt the need for it. The health plan contained items concerning the participant’s goals, activities/interventions (when, what and how), resources (personal or other), fears and obstacles, and their need for support, Figure 1.
Instructional Content in Undergraduate Art Therapy Education
Published in Art Therapy, 2023
Jennifer B. Schwartz, Patricia A. St. John, Carol Greiff Lagstein, Michelle C. Pate, Heather J. Denning
Learning to communicate effectively is an essential aspect of art therapy education and vital to the helping professions. The AATAUETF (2016) required that students “demonstrate the ability to effectively and professionally communicate and interact with peers, supervisors, and participants in a variety of academic and community art therapy settings” (p. 17). Communication skills can be broadly defined as the “capacity to speak intelligibly and with clarity, to write and read well, and, just as important, to be a good listener” (Porta & Last, 2018, p. 46). Langins and Borgermans (2015) outlined the importance of communication skills for health-care workers in a variety of disciplines by providing competencies that include developing rapport, active listening, communicating clearly, and showing sensitivity to the individual’s perceptions and “declared culture” (p. 5). These skills foster person-centered care and extend to other professional relationships.
Connectedness, Self-Esteem, and Prosocial Behaviors Protect Adolescent Mental Health Following Social Isolation: A Systematic Review
Published in Issues in Mental Health Nursing, 2022
In light of the COVID-19 pandemic and post-pandemic era, teaching essential social skills that foster self-esteem and prosocial behaviors should be a priority among healthcare and nursing staff (Loades et al., 2020). Mental health nurses in the acute care and community setting should proactively assess for symptoms such as loneliness, depression, anxiety, and suicidal ideation, plans, and attempts among adolescents due to their heightened risk in this post-pandemic era. Additionally, nurses in all settings should empower families and caregivers through educating about the value of building self-esteem and role modeling prosocial behavior in young adolescents. Lastly, active listening is a vital skill and hallmark of safe patient care (Kacperek, 1997; Lyndon et al., 2011). Active listening and motivational interviewing may be utilized to help adolescents identify their cultural values, which may serve as a mode of coping and finding personal meaning through social isolation and suffering (Ahmadi et al., 2019).