Communication and Clinical Effectiveness in Rehabilitation

Frances Reynolds

Description

Incorporating a patient-focused perspective on communication and health care, this new title for physical and occupational therapists and students provides practical strategies for effective communication with both colleagues and patients. Written in a straightforward, easy-to-understand style, it offers a multidisciplinary, evidence-based approach and an emphasis on reflective practice, making it a timely and useful resource for today's readers.

• Discusses strategies for communicating with both colleagues and patients
• Examines the evidence for the importance of effective communication in enhancing clinical effectiveness
• Contains reflective exercises for self-awareness of personal communication skills and difficulties
• Provides case studies that allow the reader to analyze a range of realistic communication problems
• Includes research-based evidence throughout

Sujets

• Physical Therapy
• Allied Health Services
• Medical
• Médecine

Informations

• Publié par: Butterworth-Heinemann
• Date de parution: 11 novembre 2004
• Nombre de lectures: 0
• EAN13: 9780702038532
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Communication and Clinical Effectiveness in Rehabilitation

Frances Reynolds, BSc DipPsychCouns PhD

Senior Lecturer in Psychology, Department of Health and Social Care, Brunel University, Isleworth, UK

Table of Contents

Cover image

Title page

Dedication

Copyright

Acknowledgements

Chapter 1: Introduction: taking a research-guided approach to communication

USE OF THE TERM ‘PATIENT’ IN THIS BOOK

WHAT IS ‘COMMUNICATION’?

COMMUNICATION SKILLS: WHY ARE THEY VITAL TOOLS FOR PHYSIOTHERAPISTS AND OCCUPATIONAL THERAPISTS?

WHY DO HEALTH PROFESSIONALS SOMETIMES COMMUNICATE POORLY WITH PATIENTS?

HOW MAY SKILFUL COMMUNICATION INFLUENCE PATIENTS?

COMMUNICATION AND CLINICAL EFFECTIVENESS

EVIDENCE-BASED PRACTICE AND CLINICAL EFFECTIVENESS

RESEARCH-GUIDED PRACTICE

FINDING RELEVANT RESEARCH EVIDENCE ABOUT PATIENTS’ NEEDS AND EFFECTIVE COMMUNICATION

REVIEWING THE EVIDENCE

OTHER SOURCES OF EVIDENCE AND INFORMATION RELEVANT TO COMMUNICATION

OBSERVING AND PRACTISING INTERPERSONAL SKILLS

COMMUNICATING WITH COLLEAGUES

CONCLUSION

Chapter 2: Models of health, illness and rehabilitation

THE BIOMEDICAL MODEL OF HEALTH CARE

WHAT ARE HEALTH, DISEASE, ILLNESS AND DISABILITY?

THE BIOPSYCHOSOCIAL PERSPECTIVE

WHICH SOCIAL AND CULTURAL FACTORS HAVE CONTRIBUTED TO THE DEVELOPMENT OF A BIOPSYCHOSOCIAL MODEL OF HEALTH, ILLNESS AND HEALTH CARE?

THE SOCIAL MODEL OF DISABILITY

THE NEW ICF

PUTTING THE PATIENT FIRST: AN HOLISTIC. INTERPROFESSIONAL TEAM APPROACH

CONCLUSION

Chapter 3: Understanding patients’ experiences of ill-health and health care

UNDERSTANDING THE EXPERIENCE OF CHRONIC ILLNESS: SOME GENERAL ISSUES

UNDERSTANDING THE ILLNESS EXPERIENCE: ANALYSING A SPECIFIC CASE

UNDERSTANDING ILLNESS FROM A STRESS-COPING PERSPECTIVE

UNDERSTANDING ILLNESS AS A BIOGRAPHICAL DISRUPTION

TREATMENT AND HOSPITALISATION FROM THE PATIENT’S PERSPECTIVE

SOME PERSONAL AND CONTEXTUAL FACTORS WHICH INFLUENCE PEOPLE’S RESPONSES TO ILLNESS

PERSON VARIABLES

ILLNESS SYMPTOMATOLOGY

TREATMENT AVAILABILITY AND PERCEIVED EFFECTIVENESS

SOCIAL CONTEXT

CULTURAL FACTORS

ENVIRONMENTAL AND STRUCTURAL RESOURCES AND BARRIERS

THE ILLNESS EXPERIENCE: POSITIVE ASPECTS AMIDST ADVERSITY

CONCLUSION

Chapter 4: Patients’ communication needs in healthcare settings

RESEARCH INTO PATIENTS’ EXPRESSED NEEDS AND DISSATISFACTION DURING ENCOUNTERS WITH HEALTH PROFESSIONALS

AUTOBIOGRAPHIES OF INDIVIDUALS RECOUNTING ILLNESS AND TREATMENT EXPERIENCES

OBSERVATIONS OF HEALTH PROFESSIONALS DURING MORE AND LESS SUCCESSFUL CONSULTATIONS WITH PATIENTS

CONCLUSION

Chapter 5: Skilful communication and clinical effectiveness

ASSESSING BENEFICIAL HEALTH OUTCOMES OF PATIENT-CENTRED COMMUNICATION – WHY IS THIS A DIFFICULT TASK?

EXPLORING THE EFFECTS OF PATIENT-FOCUSED COMMUNICATION ON FUNCTIONING AND WELL-BEING: A CASE STUDY

WHAT DIFFERENCE DOES PATIENT-CENTRED COMMUNICATION MAKE TO PATIENTS’ HEALTH AND WELL-BEING?

FOCUS ON RESEARCH

HOW MAY PATIENT-CENTRED COMMUNICATIONS INFLUENCE HEALTH OUTCOMES?

Adherence to treatment/advice

CONCLUSION

Chapter 6: Working in partnership with patients

PARTNERSHIP APPROACHES

HOW CAN THERAPISTS ESTABLISH BETTER PARTNERSHIPS WITH CLIENTS?

PATIENT INFLUENCES ON PARTNERSHIP WORKING

COMMUNICATION BARRIERS: EFFECTS OF LANGUAGE, CULTURE AND HEARING IMPAIRMENT ON PARTNERSHIP WORKING

ADJUNCTIVE INFLUENCES ON PARTNERSHIP WORKING

CONCLUSION

Chapter 7: Providing support

RECOGNISING EMOTIONAL DISTRESS IN PATIENTS

FORMS OF SUPPORT

WHAT DOES SUPPORT OFFER PATIENTS? WHAT DIFFERENCE DOES IT

MAKE?

SUPPORTIVE COMMUNICATIONS: ADDRESSING THE PERSON RATHER THAN ‘A PATIENT’

SUPPORTIVE COMMUNICATIONS: THE PRACTICE OF EMPATHY

SUPPORTIVE COMMUNICATIONS: CONTAINMENT

CAN EMPATHY BE TAUGHT?

COGNITIVE BEHAVIOURAL APPROACHES

OTHER FORMS OF SUPPORT

BARRIERS TO OFFERING PATIENT-CENTRED SUPPORT

SUPPORT AND SELF-CARE FOR THERAPISTS

CONCLUSION

Chapter 8: Patient education and empowerment

WHAT FORMS OF INFORMATION AND EDUCATION DO PATIENTS VALUE?

WHAT FACTORS PREVENT PATIENTS FROM GAINING THE INFORMATION THAT WOULD EMPOWER GREATER CHOICE AND COPING STRATEGIES?

THE COMMUNICATION MATRIX

HELPING PATIENTS LEARN THROUGH MAXIMISING ATTENTION, COMPREHENSION, ACCEPTANCE AND RECALL

ENCOURAGING PATIENTS TO BECOME MORE PROACTIVE IN THEIR LEARNING AND SELF-MANAGEMENT

BEHAVIOURAL CHANGE AND SELF-EFFICACY ISSUES

ADDRESSING THE CONTEXT OF PATIENT EDUCATION

EVALUATING THE OUTCOMES OF PATIENT EDUCATION AND EMPOWERMENT PROGRAMMES

CONCLUSION

Chapter 9: Teamwork in the rehabilitation setting

DIFFERENCES BETWEEN ‘MULTIPROFESSIONAL’ AND ‘INTERPROFESSIONAL’ TEAMS

TASK AND MAINTENANCE PROCESSES IN GROUPS

GROUP NORMS

COMMUNICATION NETWORKS

DEFENSIVE COMMUNICATIONS IN GROUPS

LIMITED UNDERSTANDING OF EACH PROFESSION’S ROLES AND STEREOTYPING/PREJUDICE

GEOGRAPHICAL DISPERSAL AND OTHER ‘MUNDANE’ BARRIERS TO COMMUNICATION

LEADERSHIP STYLES

HIERARCHY

CLASH OF REHABILITATION OR TEAMWORK PHILOSOPHIES

FINANCIAL BARRIERS TO TEAMWORKING

SEPARATE ASSESSMENTS, TREATMENT PLANS AND WRITTEN RECORDS

EFFECTIVE TEAM-WORKING: POSSIBLE BENEFITS FOR PATIENTS

SOME STRATEGIES FOR ENHANCING INTERPROFESSIONAL TEAMWORK

CONCLUSION

Chapter 10: Conclusion

RETROSPECTIVE

FINAL COMMENTS

References

Index

Dedication

To Dad

For Elsevier:

Senior Commissioning Editor: Heidi Harrison

Development Editor: Robert Edwards

Project Manager: Gail Wright

Design Direction: George Ajayi

Copyright

© 2005, Elsevier Limited. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, USA: phone: [phone], fax: [phone], e-mail: [e-mail]. You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining Permissions’. First published 2005 Reprinted 2006

ISBN 0 7506 5665 4

British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library

Library of Congress Cataloguing in Publication Data A catalogue record for this book is available from the Library of Congress

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest

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