A few reflections on doctor-patient communication essay, I recommend the following doctor-patient conflicts and its mechanism for resolving the deep thinking, I hope to help you!
Abstract: doctor-patient communication is an important part of the medical process, improve the comprehensive quality of health care personnel, skillful use of communication skills, to build up a harmonious doctor-patient relationship, to prevent medical disputes, and strive to make the hospital become the masses of people? Health protection god? The first step in the process is to make sure that you have a good understanding of the situation, and that you have a good understanding of what is happening.
Keywords: doctor-patient relationship; doctor-patient communication; nurse-patient communication
Doctor-patient communication is an important part of the entire medical process. With the development of society and the progress of mankind, people's attention to health is increasingly close, the pursuit of quality of life and the desire to seek health knowledge is increasing. In the process of seeking medical treatment, people consider not only the hospital environment, equipment, medical level, but also pay more attention to the quality of service and attitude of the medical institutions, the doctor-patient relationship is a large part of it.
Being sick and hospitalized itself puts patients and their families under tremendous pressure, and is sometimes even seen as a scary experience. Healthcare professionals need to help patients get through this difficult journey, both to relieve physical pain and to ease the mental burden, and good, clear, supportive communication is an essential part of the treatment process. Some healthcare professionals have a poor sense of communication, a lack of positive attitudes, and unskilled skills, leading to a lack of trust and understanding between doctors and patients. Healthcare workers should use more civilized standardized and easy to understand public language in communication, through effective communication, in order to let the patient actively cooperate, to achieve the purpose of treatment, in order to reduce the improper language communication skills caused by the patient's dissatisfaction caused by medical disputes.
1 obstacles to doctor-patient communication reasons
In doctor-patient communication, the patient's psychological characteristics are often easy to lead to the words and deeds of health care personnel sensitive, suspicious, due to their respective positions and feelings about the disease are different, even if it is an ordinary sentence, an insignificant action, in different venues and scenarios feel, it is easy to be in the mental Vilification of patients, causing complaints.
Therefore, in the actual work, we should find hidden dangers in a timely manner, such as: a detail of the communication process did not achieve the desired effect, resulting in poor communication; there is no good communication prerequisites, the information cognition is prone to error, in the health care professionals think it is the reason for common sense, the patient's cognition and understanding of the patient is sometimes too far away from the health care personnel; the information transfer error, often the details of the communication did not explain, or the use of improper communication skills, etc., resulting in the communication of the patient's cognition and understanding of the patient's cognition. Or the use of improper communication skills, etc., resulting in a misunderstanding; the patient's personality, hobbies, habits, etc. do not have a comprehensive understanding of the patient's attention to the matter of delivery is not clear; did not stand in the patient's point of view to consider the reasons for the lack of the necessary care and understanding; did not explain the real situation to the patient or intentionally conceal the condition, the patient did not participate in the exchange and make choices, resulting in the patient's non-cooperation and so on.
Analyzing the reasons for the patients' distrust of health care professionals are threefold: first, half-knowledge of medical knowledge; second, in the process of seeking medical treatment for the sick, the psychological more or less than usual become sensitive and easily agitated, and therefore a little bit of wrong that is to take the attitude of antagonism; third, the money to pay for the results are not necessarily satisfactory.
2 measures and strategies to promote doctor-patient communication
2.1 Improve the quality of health care personnel
The current medical model has evolved from a purely biomedical model. biomedical model? to? Biomedical social model? The change. Medical personnel in the work of continuous learning, adding new knowledge, not only to have professional knowledge, but also to master psychology, sociology, ethics, interpersonal communication, education and other comprehensive knowledge, to improve their own comprehensive quality, so that they are full of self-confidence in doctor-patient communication, persuasive, and to gain the trust of the patient, in order to solve the health reasons put forward by the patient, to eliminate the factors that affect the recovery.
To give a sense of trust and cordiality of the external image, with a sincere, neutral, sympathetic, empathetic attitude, with a keen sense of observation and responsiveness. Also take advantage of various opportunities to exercise their `language expression ability, to be able to naturally use civilized standardized language, clever use of standardized language. To pay attention to the construction of medical ethics and medical style, with? Pioneering and innovative, service first, love hospitals, love work, unity and cooperation. The spirit of work, bearing in mind that? Patient-centered, quality-centered, management-focused? business philosophy, so that the hospital up and down the formation of focus on social benefits, standing everywhere in the patient's point of view, and strive to serve the patient's style of work, and really make the hospital become the general public's? The company's mission is to provide the best possible service to the public and the public at large.
2.2 Make good use of communication skills
Healthcare workers in dealing with the doctor-patient relationship, to be clear about their own position in the doctor-patient relationship, responsibility and role, to do? Not a loved one is better than a loved one? , ? Think of the patient's thoughts, anxious patient's urgency? , with a proactive mindset, effective communication.
(1) import the concept of active service, on the basis of humanized service, integrity, respect, compassion, patience, and patients to establish a friend-like doctor-patient relationship, eliminate patient insecurity, and establish a sense of trust. Medical staff should be warm, active and generous in their attitude, and in their communication with patients, they should understand the physical and mental needs of the patients, and use simple and popular language to carry out targeted communication.
(2) Make good use of the non-verbal symbol system, such as facial expressions, eyes, gestures, touch, clothing, gait, etc., such as: touching the forehead of a feverish patient when necessary, helping the patient to put down the sleeves, helping the patient to tuck in the corner of the quilt in the cold winter. A subtle action, can be reflected as a kindred spirit of care, and then establish a harmonious relationship with the patient.
(3) the first communication can be the first to do self-introduction, the use of polite language, make good use of comfort words, more encouragement words, clever use of authoritative words, careful use of negative words, prohibit the use of hurtful words, to leave a good impression on the patient, so that the patient feels comfortable, willing to communicate again.
(4) Pay attention to the external image. A good first impression of the establishment of a good doctor-patient relationship plays a multiplier effect, grooming, instrumentation, clothing, mental state and other external image is crucial.
(5) to be pleasant, positive emotions infected patients, reduce the patient's fear of disease. Your smile, caring and always ready to help others will affect their hospitalization experience. People often say that the smile is the best language, to smile at people, is the first element of interpersonal communication to solve the rusty tension.
(6) master the skills of listening, listening is not only to hear each other speak such a purely physical process, but includes the emotional process of psychological awareness. To listen patiently, do not arbitrarily interrupt the patient, if necessary, to give the appropriate response, such as saying? Uh-huh? and? Yes? Yes? Yes? or nodding to show that you accept what the person is saying and want them to continue. Healthcare professionals should utilize? active listening? to figure out what the patient's reason for concern is, and to encourage the patient to actively disclose information.
(7) Respond to or restate what the other person has said (both verbally and nonverbally) so that the other person can reassess what he has said. This can be done with ? What do you mean, ? statements such as you look good. This can help the healthcare professional to build a bond with the patient and create a sense of trust and security in the patient.
(8) Silence is an important therapeutic modality, and expressing silence in a kind manner will give the patient a sense of comfort and an opportunity for deeper reflection and debugging.
(9) the conversation should be targeted, and the patient conversation is not idle chat, but should be a theme, purposeful conversation. To the patient's age, personality, occupation and choose a different way of talking and content, to closely around the patient's condition, emotional talk. Do not sea, rambling, to be good at restricting the content of the conversation, the conversation will be limited to their own needs within the scope of the information.
(10) choose the appropriate strategy, such as the discovery of possible reasons for the first signs of the patient, should be immediately as the focus of communication, targeted communication, but also according to the specific circumstances of the change of communicators, such as: the nurse in charge of the communication with the patient or family members have difficulties or obstacles, should be changed to another other nursing staff or the head of the nurse and their communication; on the diagnosis of the unknown or deterioration of the condition of the patient, in the communication of the former. Medical? The nurse in charge should communicate with the patient or his family. The doctor and nurse should discuss with each other and unify their understanding. Nursing to discuss with each other to unify the understanding and then choose a person to explain to the family, avoiding medical inconsistencies leading to the patient and the family to produce distrust and suspicion of the psychology.
Communication is an art, is an important part of health care work, as a good health care workers, to know how to with the development of society and the needs of the people, and constantly improve themselves, and strive to improve their own qualities, skilled in the mastery and use of modern health care concepts for the patient service, the establishment of good doctor-patient relationship, so that the patient in the physical and mental get the greatest satisfaction. Health care workers play a leading role in the doctor-patient relationship, positive, healthy, upward health care behavior is to create a harmonious doctor-patient relationship based on the establishment of an ideal doctor-patient relationship, the need to improve the quality of the majority of health care workers, but also the need for the whole society **** with efforts!
References:
[1] Chen Yongyi. Nurse-patient communication skills [M]. Changsha: Hunan Science and Technology Press, 2004.
[2] Shang Haitao. The communication skills of doctors and patients [J]. Chinese Journal of Modern Hospital Management,2006,4(9):83.
[3] Zhang Tao. Exploration of the causes of medical disputes[J]. Chinese Journal of Hospital Management, 2005,21(8):537-539.
[4] Jiang Xinbao. The main factors and strategies constraining doctor-patient communication[J]. Jiangsu Health Care Management, 2006,17(2): 27-29.
[5] Zhou Guiqin. The importance of strengthening doctor-patient communication and improving doctor-patient relationship [J]. Public *** Health and Preventive Medicine, 2006,17(6):101-102.
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