![The Mumbo Jumbo Fix](https://img.perlego.com/book-covers/3259035/9781627343671_300_450.webp)
eBook - ePub
The Mumbo Jumbo Fix
A Survival Guide for Effective Doctor-Patient-Nurse Communication
Michael J. Grace
This is a test
- 230 pages
- English
- ePUB (adapté aux mobiles)
- Disponible sur iOS et Android
eBook - ePub
The Mumbo Jumbo Fix
A Survival Guide for Effective Doctor-Patient-Nurse Communication
Michael J. Grace
DĂ©tails du livre
Aperçu du livre
Table des matiĂšres
Citations
Ă propos de ce livre
The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication tackles the vital subject of healthcare miscommunication which is a leading cause of patient harm. It is the first book of its kind geared to all three essential
Foire aux questions
Comment puis-je résilier mon abonnement ?
Il vous suffit de vous rendre dans la section compte dans paramĂštres et de cliquer sur « RĂ©silier lâabonnement ». Câest aussi simple que cela ! Une fois que vous aurez rĂ©siliĂ© votre abonnement, il restera actif pour le reste de la pĂ©riode pour laquelle vous avez payĂ©. DĂ©couvrez-en plus ici.
Puis-je / comment puis-je télécharger des livres ?
Pour le moment, tous nos livres en format ePub adaptĂ©s aux mobiles peuvent ĂȘtre tĂ©lĂ©chargĂ©s via lâapplication. La plupart de nos PDF sont Ă©galement disponibles en tĂ©lĂ©chargement et les autres seront tĂ©lĂ©chargeables trĂšs prochainement. DĂ©couvrez-en plus ici.
Quelle est la différence entre les formules tarifaires ?
Les deux abonnements vous donnent un accĂšs complet Ă la bibliothĂšque et Ă toutes les fonctionnalitĂ©s de Perlego. Les seules diffĂ©rences sont les tarifs ainsi que la pĂ©riode dâabonnement : avec lâabonnement annuel, vous Ă©conomiserez environ 30 % par rapport Ă 12 mois dâabonnement mensuel.
Quâest-ce que Perlego ?
Nous sommes un service dâabonnement Ă des ouvrages universitaires en ligne, oĂč vous pouvez accĂ©der Ă toute une bibliothĂšque pour un prix infĂ©rieur Ă celui dâun seul livre par mois. Avec plus dâun million de livres sur plus de 1 000 sujets, nous avons ce quâil vous faut ! DĂ©couvrez-en plus ici.
Prenez-vous en charge la synthÚse vocale ?
Recherchez le symbole Ăcouter sur votre prochain livre pour voir si vous pouvez lâĂ©couter. Lâoutil Ăcouter lit le texte Ă haute voix pour vous, en surlignant le passage qui est en cours de lecture. Vous pouvez le mettre sur pause, lâaccĂ©lĂ©rer ou le ralentir. DĂ©couvrez-en plus ici.
Est-ce que The Mumbo Jumbo Fix est un PDF/ePUB en ligne ?
Oui, vous pouvez accĂ©der Ă The Mumbo Jumbo Fix par Michael J. Grace en format PDF et/ou ePUB ainsi quâĂ dâautres livres populaires dans Languages & Linguistics et Communication Studies. Nous disposons de plus dâun million dâouvrages Ă dĂ©couvrir dans notre catalogue.
Informations
Sous-sujet
Communication Studies![image](https://book-extracts.perlego.com/3259035/images/pg-xiv-plgo-compressed.webp)
1
Where We Are
IN THIS CHAPTER
Patients learn miscommunication among healthcare participantsâdoctors, patients, and nursesâis the cause of most medical errors but they have usually been excluded as a target audience from books on the subject.
Nurses familiar with hospital education initiatives will recognize a continuing need for improved communication among all healthcare participants.
Doctorsâ ability to communicate effectively remains elusive despite the best of intentions, formal training, and clinical experience.
âHe doesnât listen.â âShe didnât tell me.â âI thought I understood.ââHow many times do I have to say it?ââHalf the time I donât know what heâs talking about.ââWhy doesnât she just get to the point?â
As a hospital Risk Manager and Patient Safety Officer, every day I encountered the effects of linguistic mumbo jumbo within the healthcare systemâmeaningless, confusing, and ineffective communication among doctors, patients, and nurses. As a trial attorney defending healthcare providers, I regularly saw firsthand the legal consequences and harm of poor communication among healthcare participants. And as a speech communication major in undergraduate and graduate school and as a healthcare educator, I discovered there are evidence-based best practices which add value and clarity to any professional interpersonal exchange.
How did we get here? We talk at, over, and past one another when there are easily adopted and effective strategies for these essential interactions.
The Joint Commission, the accrediting organization for most American hospitals and healthcare organizations, has long focused on the link between effective communication and patient safety. Its sentinel event data identified communication as a root cause for almost two-thirds of the reported serious harm events between 2004 and 2016.1 Ineffective communication continues to be among the top three root causes for serious adverse events along with leadership and human factors.2
Itâs not that medical and nursing schools ignore communication. On the contrary, all clinical programs teach the centrality of the effective exchange of information. Both for optimal patient outcomes and provider job satisfaction. Yet despite mandatory coursework and the best of intentions, healthcare providers graduate with improved but only average communication competence. Apparently, communication skills are getting lost in the press of mastering the growing mountain of required clinical skills. Nor does clinical experience improve communication; bad habits become ingrained and excellent interpersonal skills remain elusive.3
Hospitals and other large healthcare delivery systems know communication is vitally important. An alphabet soup of âeasily rememberedâ mnemonic tools are regularly rolled out in an effort to boost patient satisfaction scores. But posters plastered on institutional walls touting âpatient centeredâ communication become wallpaper. Consciously or subconsciously harried healthcare workers muddle on as theyâve always done trying to gather and relate critical healthcare information as rapidly as possible in a time pressurized environment.
Nor has self interest improved effective doctor-patient-nurse communication. Medical malpractice claims data show the failure of a physician to communicate with the patient or other providers is one of the most common and costly reasons for the initiation of litigation. A major study released in 2016 representing one-third of the total insurance market estimated communication failures in U.S. hospitals and medical practices were responsible for 1,774 deaths and $1.7 billion in malpractice costs over the prior five years.4
Often the patient who sues is merely looking for understanding of an unexpected outcome. Unfortunately, many doctors shy away from addressing such problems out of ignorance, inertia or fear even when there may be a straight forward and medically sound explanation. So, patients pursue answers through the court system. Or as frequently happens, the physician did relate the proposed treatmentâs risks and benefits in an appropriate and timely fashion, but the message was not fully understood in the moment. And often the physician fails adequately to document the conversation. Again, the result is a lawsuit.
There is already much written on this vital subject of healthcare communication, usually in the form of academic studies and scholarly treatises. Hardly an approachable format for time-strapped professionals and busy lay people already overwhelmed with other concerns. The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication is based on the authorâs extensive real-world experience as a medical malpractice trial lawyer, hospital administrative officer, and healthcare educator. It is intended as an accessible treatment of easily digestible bites of important informationâpractical strategies which can be read in any order as suits the readerâs appetite.
Most books in the field take a siloed approach to fixing miscommunication within the healthcare industry. They typically focus on either doctors or nurses and largely ignore patient education. Yet all three groupsâdoctors, nurses, and patientsâare its essential participants. Emphasizing only one group to the exclusion of the others is similar to family counseling where the therapist never brings the individual family members together as a group. Is it any surprise that miscommunication remains a major cause of medical errors? The Mumbo Jumbo Fix is literally the first healthcare communication book to get everyone on the same page!
1The Joint Commission, âJC sentinel event data, root causes by event type 2004â2013,â 2014 Oct 1, https://www.jointcommission.org/assets
2Cooke, M., âTeamSTEPPS for health care risk managers: Improving teamwork and communication,â ASHRM Journal of Healthcare Risk Management, 2016; 36(3): 35,36
3Gilligan, C., Brubacher, S., Powell, M., âAssessing the training needs of medical students in patient information gathering,â BMC Medical Education, 2020; 20:61
4CRICO Strategies, âMalpractice risk in communication failures,â 2015 Annual Benchmarking Report, Boston, MA: The Risk Management Foundation of the Harvard Medical Institutions, Inc., 2015
![image](https://book-extracts.perlego.com/3259035/images/pg4-plgo-compressed.webp)
![image](https://book-extracts.perlego.com/3259035/images/pg6-plgo-compressed.webp)
2
We Once Knew It All
IN THIS CHAPTER
Patients discover the key to effective communication is a skill taught when they were young, the same early education received by healthcare professionals.
Nurses and other healthcare providers learn they can reshape their professional lives through enhanced communication skills.
Doctors recognize they can improve patient outcomes by adopting evidence-based best communication practices.
The essence of excellent and effective communication is not mysterious, and itâs easily attainable. You already know it. You learned it in the first grade.5
- Show respect
- Listen carefully
- Speak clearly
- Make eye contact
- Talk one at a time
- Avoid shouting
- Tell the truth
- Try to see the other side
But what happened? We grew up. We became important. We got busy. We grew impatient. We got tiredâof the demands, the expectations, the rules, the disrespect, and the stupidity. And we became fearfulâand perhaps resentfulâof change, the unknown and the loss of control. But as the rapper Tupac Shakur reminds us, âThings change. Thatâs the way it is.â
The good news is through effective communication we have the power to reshape our personal and professional lives. While there is some truth in the maxim âone cannot control anyone else,â there is also truth in the knowledge âone can choose to control oneself and how to respond to others.â And, frankly, there are even some evidence-based ways predictably and positively to affect othersâ communication behaviors. Enhanced doctor-patient-nurse relationships will lead to improved patient outcomes, greater job satisfaction, less work-related stress, and better time management.6
As Aristotle, the Greek philosopher and rhetorician, observed 2400 years ago: âA good relationship starts with good communication.â
5Morin, A., âImportant Social Skills for First Grade,â Very W...
Table des matiĂšres
- Cover Page
- Praise
- Half Title
- Full Title
- Copyright
- About the Author
- Dedication
- Table of Contents
- Chapter 1: Where We Are
- Chapter 2: We Once Knew It All
- Chapter 3: The Importance of a Name
- Chapter 4: Handshakes and Other Greetings
- Chapter 5: A Communication Model
- Chapter 6: Interruption
- Chapter 7: Technical Talk
- Chapter 8: Patient Barriers to Understanding
- Chapter 9: Itâs More About Listening
- Chapter 10: Human Barriers to Active Listening
- Chapter 11: Physical Barriers to Active Listening
- Chapter 12: Nurse-Doctor Communication
- Chapter 13: Communication Within Teams
- Chapter 14: The Testimonial
- Chapter 15: Patient Preparation for the Office Visit
- Chapter 16: Patient Preparation for the Hospital Stay
- Chapter 17: The Angry Patient
- Chapter 18: The Quiet Patient
- Chapter 19: The Unfocused Patient
- Chapter 20: The Patientâs Family
- Chapter 21: Legal Healthcare Documents
- Chapter 22: The Patient Bill of Rights
- Chapter 23: The Disabled Patient
- Chapter 24: The Foreign Patient
- Chapter 25: Informed Consent
- Chapter 26: Conduct During Examinations
- Chapter 27: Communicating in the Medical Record
- Chapter 28: Confidentiality
- Chapter 29: Sex Talk
- Chapter 30: The Transgender and Non-Binary Patient
- Chapter 31: The Elderly Patient
- Chapter 32: The Seriously III Patient
- Chapter 33: Telemedicine
- Chapter 34: Doctor Disclosure and Apology
- Chapter 35: Terminating the Relationship
- References and Resources
- Acknowledgements
Normes de citation pour The Mumbo Jumbo Fix
APA 6 Citation
Grace, M. (2021). The Mumbo Jumbo Fix ([edition unavailable]). Universal-Publishers. Retrieved from https://www.perlego.com/book/3259035/the-mumbo-jumbo-fix-a-survival-guide-for-effective-doctorpatientnurse-communication-pdf (Original work published 2021)
Chicago Citation
Grace, Michael. (2021) 2021. The Mumbo Jumbo Fix. [Edition unavailable]. Universal-Publishers. https://www.perlego.com/book/3259035/the-mumbo-jumbo-fix-a-survival-guide-for-effective-doctorpatientnurse-communication-pdf.
Harvard Citation
Grace, M. (2021) The Mumbo Jumbo Fix. [edition unavailable]. Universal-Publishers. Available at: https://www.perlego.com/book/3259035/the-mumbo-jumbo-fix-a-survival-guide-for-effective-doctorpatientnurse-communication-pdf (Accessed: 15 October 2022).
MLA 7 Citation
Grace, Michael. The Mumbo Jumbo Fix. [edition unavailable]. Universal-Publishers, 2021. Web. 15 Oct. 2022.