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Communication

Core Interpersonal Skills for Healthcare Professionals

4TH EDITION

Senior Lecturer Occupational Therapy, School of Health Sciences, The University of Newcastle, Newcastle, New South Wales, Australia

Table of Contents

Cover image

Title page

Copyright

How to use this book

Reviewers

Preface

Acknowledgements

Section 1. The significance of effective interpersonal communication for the healthcare professional

1. Effective communication for healthcare professionals: A model to guide communication

Why learn how to communicate? Everyone can communicate!

Factors to consider when defining effective communication

Possible factors that can impact on effective communication

Chapter summary

References

2. The overarching goal of communication for healthcare professionals: Person-centred care

An international WHO classification demonstrating the importance of effective communication

A model to guide the overall purpose of communication for healthcare professions

Mutual understanding

Family/Person-centred care and goals

Chapter summary

Useful websites

References

3. The specific goals of communication for healthcare professionals: 1 Introductions and providing information

Making verbal introductions

Providing information: A two-way process

Providing constructive feedback

Chapter summary

References

4. The specific goals of communication for healthcare professionals: 2 Questioning, comforting and confronting

Interviewing and questioning to gather information

Comforting: Encouraging versus discouraging

Confronting unhelpful attitudes or beliefs

Chapter summary

References

5. The specific goals of communication for healthcare professionals: 3 Effective conclusions of interactions and services: Negotiating closure

The importance of effective conclusions

Features of effective conclusions or finalising

Preparing to conclude or finalise

Concluding initial meetings, single face-to-face or telephone interactions

Concluding individual treatment sessions

Concluding provision of healthcare services after a period of care

Concluding services due to a life-limiting illness

Chapter summary

References

Section 2. Achieving effective communication by developing awareness within the healthcare professional

6. Awareness of and the need for reflective practice in healthcare

The ‘what’ of reflection: A definition

The ‘why’ of reflection: Reasons for reflecting

Reflection upon barriers to experiencing, accepting and resolving negative emotions

The ‘how’ of reflection: Models of reflection

The result of reflection: Achieving self-awareness

Chapter summary

References

7. Awareness of self to enhance healthcare communication

Self-awareness: An essential requirement

The benefits of achieving self-awareness

Beginning the journey of self-awareness

Individual values

Is a healthcare profession an appropriate choice?

Values of a healthcare professional

Characteristics and abilities that enhance the practice of a healthcare professional

Conflict

between values and needs

Perfectionism as a value

Self-awareness of personal communication skills

Self-awareness of skills for effective listening

Self-awareness of skills for effective speaking

Personality and resultant communicative behaviours

Chapter summary

References

8. Awareness of how personal assumptions affect healthcare communication

Reasons to avoid stereotypical judgement when communicating

Stereotypical judgement relating to roles

Expectations of a healthcare professional

Developing attitudes to avoid stereotypical judgement

Overcoming the power imbalance: Ways to demonstrate equality in a relationship

Chapter summary

References

9. Awareness of the ‘Person/s’ for healthcare communication

Who is the Person/s?

Relevant information about the Person/s

Defining the whole ‘Person’

Cognitive aspects of the Person

Chapter summary

References

10. Awareness of the effects of non-verbal communication for the healthcare professional

The significance of non-verbal communication

The benefits of non-verbal communication

The effects of non-verbal communication

The components of non-verbal communication

Communicating with the Person/s who has limited verbal communication skills

Chapter summary

References

11. Awareness of listening to facilitate Person/s-centred communication in healthcare

Defining effective listening

Requirements of effective listening

Results of effective listening

Benefits of effective listening

Barriers to effective listening

Preparing to listen

Characteristics of effective listening

Disengagement

Chapter summary

References

12. Awareness of different environments affecting communication in healthcare

The physical environment

The emotional environment

The cultural environment

Environments affecting sexuality

The social environment

The spiritual environment

Chapter summary

References

Section 3. Managing realities of communication as a healthcare professional

13. Holistic communication resulting in holistic healthcare

Holistic communication

An essential criterion in holistic communication: Respect

Another essential criterion in holistic communication: Empathy

Holistic care

Chapter summary

References

14. Conflict and communication for the healthcare professional

Conflict during communication

Resolving negative attitudes and emotions towards another

Patterns of relating during conflict

Bullying

Communicating assertively

Chapter summary

References

15. Culturally effective communication in healthcare

Introduction

Defining culture

Cultural identity affecting culturally effective communication

Defining culturally effective communication

Why consider cultural differences?

A model of culturally effective communication

Managing personal cultural assumptions and expectations

Strategies for achieving culturally effective communication

Using an interpreter

The culture of each healthcare profession

The culture of disease or ill-health

Chapter summary

References

16. Communicating with indigenous peoples as a healthcare professional

Correct use of terms

The 4 Rs for reconciliation: Remember, reflect, recognise, respond

The complexity of cultural identity

Principles of care for healthcare professionals when working with indigenous peoples

Factors contributing to culturally effective communication with indigenous peoples

Barriers to culturally responsive or effective communication

Chapter summary

Websites and organisations

Further reading

References

17. Misunderstandings and communication for the healthcare professional

Communication that produces misunderstandings

Factors affecting mutual understanding

Causes of misunderstandings

Strategies to avoid misunderstandings

Resolving misunderstandings

Chapter summary

References

18. Ethical communication in healthcare

Respect regardless of differences

Honesty

Clarification of expectations

Consent

Confidentiality

Boundaries

Ethical codes of behaviour and conduct

Chapter summary

Further reading

Useful websites

References

19. Remote or long-distance healthcare communication: 1 The unseen healthcare professional

Characteristics of remote forms of communication for the healthcare professional

Principles governing professional remote communication

Electronic records

Telephones

Using video/teleconferencing or Skype or Zoom for professional development and meetings

The internet

Chapter summary

References

20. Remote or long-distance healthcare communication: 2 The seen, but not-in-theroom healthcare professional

Positive outcomes from using telecommunication

Challenges relating to using telecommunication

Devices, trained personnel and secure internet connection

Requirements for effective communication

Websites for guidelines and/or policies

References

21. Documentation: ‘one-way’ professional healthcare communication

Documentation: Information recording and provision

Quality, understandable documentation

Documentation requirements in healthcare

Characteristics of a professional writing style

Report or letter writing: Formatting and content

Points to remember

Chapter summary

Useful websites

References

22. Social media or ‘not present in person’ communication and the healthcare professional

Social networking sites

Cyberbullying

Other factors relating to the use of social media

Netiquette: A mnemonic to guide personal electronic communication

Professional communication using social media

Chapter summary

Useful websites

References

Section 4. Scenarios to guide communication: Opportunities for healthcare professionals to practise communicating effectively with ‘the Person/s’

Introduction

Introduction

One possible session outline – role-plays

23. Person/s experiencing strong negative emotions

1. Person/s behaving aggressively

2. Person/s experiencing extreme distress

3. Person/s experiencing neurogenic or psychological shock

4. Person/s experiencing depression

5. Person/s reluctant to engage or be involved in communication or intervention

24. Person/s in particular stages of the lifespan

A child

An adolescent

An adult

A Person/s who is older

25. Person/s fulfilling particular life roles

1. Person/s fulfilling the role of carer

2. Person/s fulfilling the role of a colleague

3. Person/s fulfilling the role of parent to a child requiring assistance

4. Person/s fulfilling the role of single parent to a child requiring assistance

5. A Person/s fulfilling the role of a grandparent

6. Person/s fulfilling the role of a student

7. Groups in the healthcare professions

References

26. Person/s experiencing particular conditions

1. Person/s experiencing post-traumatic stress disorder (PTSD) and complex PTSD

2. Person/s with a spinal injury

3. Person/s with decreased cognitive function

4. Person/s experiencing a life-limiting illness and their family

5. Person/s experiencing a mental illness

6. Person/s experiencing long-term (chronic) and/or multiple physical conditions

7. Person/s experiencing a hearing impairment

8. Person/s experiencing a visual impairment

Useful websites References

27. Person/s in particular contexts

1. A Person/s who experiences an emergency

2. A Person/s living in a residential aged care facility

4. A Person/s who speaks a different language to the healthcare professional

Glossary

Index

Copyright

Elsevier Australia. ACN 001 002 357 (a division of Reed International Books Australia Pty Ltd) Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067

Copyright © 2020 Elsevier Australia. 1st edition © 2008; 2nd edition © 2012; 3rd edition © 2016 Elsevier Australia.

All rights reserved. No part of this publication may be reproduced or transmied in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher ’ s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

ISBN: 978-0-7295-4325-5

Notice

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verifi cation of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a maer of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

National Library of Australia Cataloguing-in-Publication Data

Content Strategist: Melinda McEvoy

Content Project Manager: Fariha Nadeem

Copy edited by Margaret Trudgeon

Proofread by Sarah Newton-John

Cover by Georgee Hall

Index by Innodata Indexing

Typeset by GW Tech India

Printed in China by RR Donnelley

Last digit is the print number: 9 8 7 6 5 4 3 2 1

How to use this book

Each section includes opportunities to explore elements of communication as individuals, in groups and from the perspective of a particular scenario. Various types of activities encourage reflection to promote deeper understanding of the requirements of communication. They also encourage increased awareness of personal tendencies during communicative events and skills development in preparation for communicating as a healthcare professional. The following icons indicate the type of activity:

Group work or activity for a group

Individual activity or opportunity for individual reflection

Scenario

or case study

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