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A New Perspective Into Affordable, Quality Healthcare: The Case of Pronto Care
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Adel Eldin, Frederick J. DeMicco
Empathy is defined as identifying with and understanding of another person’s situation, feelings, and motives. In Medicine, patients seek empathy from their doctors. Thus, the whole point of empathy is to focus on the patient, build trust, which will help patients to manage or deal with (bad news) and improve outcomes. Listening more attentively and showing genuine concern to what the patient is saying and expressing what they are going through will certainly help successful diagnosis, treatment, and outcome and cut health care costs.
Empowering Patients Toward Motivation and Maintenance to Change
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
The five core communication skills of motivational interviewing are: Asking open-ended questions to help understand the patient’s internal frame of reference, strengthen a collaborative relationship, and find a clear direction.Affirmation to acknowledge understanding of what the patient is expressing and focusing on the patient’s strengths and abilities.Reflective listening, which emphasizes the importance of listening carefully to the patient to hear the patient’s story.Summarizing during each communication session to promote understanding and reinforce progression toward readiness to set and evaluate goals.Informing, educating, and advising, which is useful to help patients reach their own conclusions about the relevance of information (Purath et al., 2014).
Exploring ambivalence, reasons for living and reasons for dying
Published in Lorraine Bell, Helping People Overcome Suicidal Thoughts, Urges and Behaviour, 2021
Reflective listening, a fundamental component of MI, is a skill in which you demonstrate that you have accurately heard and understood a client’s communication by restating its meaning. “Reflective listening is a way of checking rather than assuming that you know what is meant” (Miller & Rollnick 1991, p. 75). It strengthens the empathic relationship between the clinician and the client and encourages further exploration of problems and solutions. It is particularly helpful in early sessions. Reflective listening helps the client by providing a synthesis of content and process. It reduces the likelihood of resistance, encourages the client to keep talking, communicates respect, cements the therapeutic alliance, clarifies exactly what the client means and reinforces motivation (Miller et al 1992).
Patient-centered quality measurement for opioid use disorder: Development of a taxonomy to address gaps in research and practice
Published in Substance Abuse, 2022
A. Taylor Kelley, Michael A. Incze, Jacob D. Baylis, Spencer G. Calder, Saul J. Weiner, Susan L. Zickmund, Audrey L. Jones, Megan E. Vanneman, Molly B. Conroy, Adam J. Gordon, John F.P. Bridges
A prevailing concern reported by patients with OUD is a need for more active listening, validation, and communication from their healthcare providers. In one national study, nearly 25% of primary care patients with histories of OUD reported negative experiences with provider communication.40 Whether patients feel their providers listen when discussing treatment options for OUD affects the patient-provider relationship and perceived satisfaction.43 Conversely, providers who engage in reflective listening are likely to increase their therapeutic commitment to their patients.44 Scales to evaluate quality of listening, validation, and communication have been developed for verbal and non-verbal communication using patient self-report and direct assessment techniques.45–47 However, current OUD quality measures do not track or aim to improve these practices.
Central yet overlooked: engaged and person-centred listening in rehabilitation and healthcare conversations
Published in Disability and Rehabilitation, 2022
Based on these perspectives, along with defining attributes of listening gleaned from analysis of various types of listening discussed in the literature, a conceptual framework of effective listening in healthcare was proposed that considers listening as an intentional, relational stance adopted by the HCP. According to this framework, listening takes place in a relational space in which relational outcomes emerge for both the client and HCP, including mutual understanding, mutual engagement, relationship building, and collaboration. In turn, these co-created outcomes lead to client outcomes (i.e., a sense of trust, affirmation, validation, engagement with the intervention process, and satisfaction with the healthcare interaction). In rehabilitation and healthcare, listening is essential to the engagement of both parties, and is the basis for important client experiences of trust and affirmation that mobilize clients towards pursuing goals [51]. This framework provides a novel perspective by situating previous work into a coherent framework showing the complexity of listening in rehabilitation and healthcare conversations.
From expert to coach: health coaching to support behavior change within physical therapist practice
Published in Physiotherapy Theory and Practice, 2022
Zachary D. Rethorn, Janet R. Bezner, Cherie D. Pettitt
MI has four key skills that can be summarized by the acronym OARS: open-ended questions, affirmations, reflections, and summaries (Table 3). Open-ended questions should be utilized to create sufficient space for patients to relate what is important to them. Questions that begin with “what” and “how” are used to convey a positive, non-judgmental tone (Rollnick et al., 2010). Affirmations are carefully designed statements used to anchor patients to their strengths and resources as they address behavior change (Miller and Rollnick, 2012). Reflections are valuable because they allow patients to truly hear what they are saying and allow for hypothesis testing on behalf of the clinician that creates connections with the patient. Reflections also allow more space for provocative and transformative change than simple inquiry. Reflective listening is not a passive process; it is thoughtful, intentional listening including directive responses to emphasize or de-emphasize aspects of what the patient says (Miller and Rollnick, 2012). For example, a clinician purposefully chooses to reflect change talk so patients will hear their own arguments for change, thus increasing the likelihood of change. Summary statements help patients organize their experiences. They are succinct, usually no more than 2–3 sentences, can include ambivalence, and reinforce change talk. As with reflections, summaries are intentionally selective and designed to help patients move toward behavior change.