Personal and Interdisciplinary Communication

What is your definition of communication?

Communication

• Interactive process that occurs when a person (the sender) sends a verbal or nonverbal message to another person (the receiver) and receives feedback•Kelly, 2012

Communication Process

Communication skills

• Attending• Responding• Clarifying• Confronting • Supporting• Focusing• Open-ended questioning• Providing information• Using silence• Reassuring

HIPPA

Health Insurance Portability and Accountability Act• Protects all individually identifiable health

information held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral.• Kelly, 2012• Secondary goal is to permit the flow of

information needed to provide quality health care

Elements considered patient identifiers under HIPPA• Names • St. Address, city, zip code• All elements of dates: DOB, Admission date, D/C

date, date of death• Telephone/fax numbers• E-mail addresses• SSN/ MRN• Full-face photographic images• Account numbers• Certificate/ license numbers

HIPPA HAPPENS• https://www.youtube.com/watch?v=MWK9DmmenIQ

Tips for protecting patient privacy1. when using an electronic documentation system

-Close results on computer screens when not working on the screen-Have screens point away from visitor traffic areas-Change passwords often-Do not share passwords with others

2. Refrain from removing copies of (PHI) from the hospital3. Dispose of PHI properly—Shred-It4. Discuss patients and their care in appropriate settings5. Place hard copies of patients charts and HCP handwritten notes facedown

Tips for protecting patient privacy (cont.)

6. Be aware of who is around you when discussing patient information over the phone with other HCP7. When discussing PHI with the patient

-politely ask visitors to leave-offer to move patient to a private are if

in a semiprivate room8. Refrain from taking pictures of patients without their written consent

Modes of communication

• VERBAL VS NONVERBAL• Verbal: a conscious process, sender has ability to

control what is said• Nonverbal: unconscious and more difficult to

control.• ex. Body language, facial expressions

Electronic Communication

Tips for electronic communication• Reply in a timely manner• Be accurate in spelling, grammar• Spell out your message clearly• Always proofread e-mails/texts before sending• Both parties have an understanding about the

circumstances under which different modes of communication will be used• Remember, issues of confidentiality is of utmost

importance, maintain privacy

Levels of communication

• PUBLIC: a group of people with a common interest. Usually at a seminar/workshop, the presenter acts as a sender of information• INTRAPERSONAL: what individuals do within

themselves, and it can present as doubts or affirmations • INTERPERSONAL: involves communication

between individuals, person-to-person or small groups

Interdisciplinary Communication• Defined as health care professionals

assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care

• O’Daniel & Rosenstein, 2009

Ten characteristics of a good team• Leadership and management• Communication• Personal rewards, training and development• Appropriate resources and procedures• Appropriate skill mix• Climate• Individual characteristics• Clarity of vision• Quality and outcomes of care• Respecting and understanding roles

Advantages of interdisciplinary care• For the patients…..• Improves care by increasing coordination of

services, especially for complex problems• Integrates health care for a wide range of

problems and needs• Empower patients as active partners in care• Can serve patients of diverse cultural

backgrounds• Uses time more efficiently

Advantages of interdisciplinary care• For heath care professionals….• Increases professional satisfaction• Facilitates shift in emphasis from acute,

episodic care to long-term preventative care• Enables the practitioner to learn new skills and

approaches• Encourages innovation• Allows providers to focus on individual areas of

expertise

Advantages of interdisciplinary care• For the health care delivery system….• Holds potential for more efficient delivery of

care• Maximizes resources and facilities• Decreased burden on acute care facilities as a

result of increases preventive care• Facilities continuous quality improvement

efforts

Limitation of interdisciplinary team care• Process of team formation is time consuming

and requires matching of schedules of the different team members• Collaboration requires communication among

team members• Increased use of limited services and resources• On-going conflict resolution and goal re-

assessment• Organizational barriers may limit reimbursement

for collaborative teams

Evidence-Based Research

• Purpose: University of Pittsburgh Medical Center, established an “ICU Rounds Task Force” to improve interdisciplinary communication, partnership, and patient care delivery• Structured communication using a

systems-based framework

Evidence based research

• Description: nurses have most current information available, such as patients therapeutic response to therapies• Group of nurses and physicians convened to

develop a structured format for nurse-led rounds• Requires the assertiveness of the nurse to speak

up during rounds

Evidence based research

• Evaluations/Outcomes: • Preimplementation: 57% “strongly agreed” or

“agreed”• Postimplementation: 79.8% “strongly agreed”

or “agreed”

• 76.6% of nurses believed that ICU nurse-led rounds have improved interdisciplinary communication

Barriers to communication

Common barriers to communication

Use of Language-Limited English Proficiency (LEP)

CultureHealth LiteracyGenerational DifferencesIntimidation

-new nurses

SBARR to help communicate

• Situation: Identify self, unit, patient, room number, admitting diagnosis. STATE THE PROBLEM• Background: Background information r/t the

situation• Assessment: State the current condition of the

patient• Recommendation: State what is needed from the

physician • Response: Document response of practitioner and

all actions taken to assure patient needs and safety

Overcoming Communication Barriers

Overcoming barriers

• Understand the receiver• Communicate assertively• Use two-way communication• Unite with a common vocabulary• Elicit verbal and nonverbal feedback• Enhance listening skills• Be sensitive to cultural difference

Summaryhttps://www.youtube.com/watch?v=hZZ3cKu8XHA