Communication: Types, Importance, and Impact

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The Great Big “C”
Faith Kinnear CPNP-AC
Brian Rissmiller MD
 
COMMUNICATION
Objectives:
Define 3 types of communication
Explain importance of standardized communication
Practice multiple handoffs
Good or Bad ?
 
https://www.youtube.com/watch?v=Jt0MYij66jM
 
https://www.youtube.com/watch?v=Z59AnkxekfI
 
https://media.giphy.com/media/3o7TKAWRHYdIl4SjpS/g
iphy-downsized.gif
 
Communication:
 
1 
 
a : a process by which information is exchanged between individuals through a common system of symbols, signs,
 
or behavior the function of pheromones in insect communication; also : exchange of information
 
b : personal rapport a lack of communication between old and young persons
2 
 
a : information communicated : information transmitted or conveyed
 
b : a verbal or written message The captain received an important communication.
3 communications plural
 
a : a system (as of telephones or computers) for transmitting or exchanging information wireless electronic
 
communications
 
b : a system of routes for moving troops, supplies, and vehicles
 
c : personnel engaged in communicating : personnel engaged in transmitting or exchanging information
4 communications plural in form but singular or plural in construction
 
a : a technique for expressing ideas effectively (as in speech)
 
b : the technology of the transmission of information (as by print or telecommunication)
5 : an act or instance of transmitting the communication of disease
6 anatomy : a connection between bodily parts
 
https://www.merriam-webster.com/dictionary/communication
 
Types of Communication:
Verbal
Non-Verbal
Written/Visual
 
Let’s take a poll:
 
Q1: Do you spend more time:
 
 texting, emailing or talking to people face to face
Q2: How often do you experience frustration related to communication at work
 
Never   Sometimes   Often   Every shift
Q3: Have you left a job because you felt like communication was poor
 
Yes    No
Q4: What do you perceive to be the biggest barrier in daily communication
 
Free Text
 
Why it matters
 
We do it all day every day
verbal, text, email,
waving, hugging, nodding
 
Negativity Bias
We are wired to respond
stronger to negative
input than positive ones-
Dr Rick Hanson
 
Attrition & Communication
 
Transparency
 
Frustration
 
Value
 
Satisfaction
 
Statistics
 
1744 deaths in 5 years due to communication errors
1.7 billion dollar cost
80% serious medical errors happened when transferring
patients due to miscommunication
27%-37% of malpractice cases due to miscommunication in
4 years
Between providers, between providers and families and technology
Standardized handoff reduced preventable errors by
almost 50%
44% inpatient, 48% ambulatory, and 8% ER.
Almost 50/50 in breakdown between providers and between
providers and patients
 
Potential Barriers to Effective
Communication
 
I’m uncomfortable
I don’t know you
I have different beliefs, morals or ethical views
from you
What if I’m wrong
If I say or do the wrong thing will I be punished
 
Overcoming Barriers
 
Get to know them
Educational seminars
Specialized training
Badge cards
Simulation
Standardized process
 
Examples of Standardized Mnemonics
 
SBAR +/- Q
Daily communication
SPIKES
Helpful for breaking bad news
CUS
I have a Concern, I’m Uncomfortable, Safety
NURSE
Tool for responding to emotion
IPASS
Early studies on usefulness in critical patient care areas
 
+/- Q
 
Questions
 
CUS
 
CONCERN
I am 
concerned
 that the respiratory rate has gone up by 10
 
UNCOMFORTABLE
I am 
uncomfortable
 with the amount of urine the patient
has had this shift
 
SAFETY
I am worried that the patient would be 
safer
 in the ICU due
to his rapidly worsening respiratory distress
 
SPIKES
 
Setting
: Is it a private area? Sitting?
Perception
: How sick is the patient?
Invitation
: What do you want to know? How much?
Knowledge
: Share what you know, simply in a way they
can understand
Emotions
: Let family show emotions, be present
Strategy/Summary
: Make a plan for next meeting, plan of
action, etc
 
NURSE
 
Provider to provider handoff
 
I-PASS
Between teams
Shift handoff
PHM to ICU
ICU/PHM to OR
ER to ICU/PHM
 
 
http://www.ponderingem.com/journal-club/pondering-em-journal-club-changes-in/
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Explore the various aspects of communication including types such as verbal, non-verbal, and written/visual, importance of standardized communication, and the impact of communication on daily interactions. Dive into the ways we communicate, challenges faced, and why effective communication matters in our personal and professional lives.

  • Communication
  • Types
  • Importance
  • Impact
  • Verbal

Uploaded on Jul 30, 2024 | 0 Views


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  1. The Great Big C COMMUNICATION Faith Kinnear CPNP-AC Brian Rissmiller MD

  2. Objectives: Define 3 types of communication Explain importance of standardized communication Practice multiple handoffs

  3. Good or Bad ? https://media.giphy.com/media/3o7TKAWRHYdIl4SjpS/g iphy-downsized.gif https://www.youtube.com/watch?v=Z59AnkxekfI https://www.youtube.com/watch?v=Jt0MYij66jM

  4. Communication: 1 a : a process by which information is exchanged between individuals through a common system of symbols, signs, or behavior the function of pheromones in insect communication; also : exchange of information b : personal rapport a lack of communication between old and young persons 2 a : information communicated : information transmitted or conveyed b : a verbal or written message The captain received an important communication. 3 communications plural a : a system (as of telephones or computers) for transmitting or exchanging information wireless electronic communications b : a system of routes for moving troops, supplies, and vehicles c : personnel engaged in communicating : personnel engaged in transmitting or exchanging information 4 communications plural in form but singular or plural in construction a : a technique for expressing ideas effectively (as in speech) b : the technology of the transmission of information (as by print or telecommunication) 5 : an act or instance of transmitting the communication of disease 6 anatomy : a connection between bodily parts https://www.merriam-webster.com/dictionary/communication

  5. Types of Communication: Verbal Non-Verbal Written/Visual

  6. Lets take a poll: Q1: Do you spend more time: texting, emailing or talking to people face to face Q2: How often do you experience frustration related to communication at work Never Sometimes Often Every shift Q3: Have you left a job because you felt like communication was poor Yes No Q4: What do you perceive to be the biggest barrier in daily communication Free Text

  7. Why it matters We do it all day every day verbal, text, email, waving, hugging, nodding Negativity Bias We are wired to respond stronger to negative input than positive ones- Dr Rick Hanson

  8. Attrition & Communication Transparency Frustration Value Satisfaction

  9. Statistics 1744 deaths in 5 years due to communication errors 1.7 billion dollar cost 80% serious medical errors happened when transferring patients due to miscommunication 27%-37% of malpractice cases due to miscommunication in 4 years Between providers, between providers and families and technology Standardized handoff reduced preventable errors by almost 50% 44% inpatient, 48% ambulatory, and 8% ER. Almost 50/50 in breakdown between providers and between providers and patients

  10. Potential Barriers to Effective Communication I m uncomfortable I don t know you I have different beliefs, morals or ethical views from you What if I m wrong If I say or do the wrong thing will I be punished

  11. Overcoming Barriers Get to know them Educational seminars Specialized training Badge cards Simulation Standardized process

  12. Examples of Standardized Mnemonics SBAR +/- Q Daily communication SPIKES Helpful for breaking bad news CUS I have a Concern, I m Uncomfortable, Safety NURSE Tool for responding to emotion IPASS Early studies on usefulness in critical patient care areas

  13. +/- Q Questions

  14. CUS CONCERN I am concerned that the respiratory rate has gone up by 10 UNCOMFORTABLE I am uncomfortable with the amount of urine the patient has had this shift SAFETY I am worried that the patient would be safer in the ICU due to his rapidly worsening respiratory distress

  15. SPIKES Setting: Is it a private area? Sitting? Perception: How sick is the patient? Invitation: What do you want to know? How much? Knowledge: Share what you know, simply in a way they can understand Emotions: Let family show emotions, be present Strategy/Summary: Make a plan for next meeting, plan of action, etc

  16. NURSE

  17. Provider to provider handoff I-PASS Between teams Shift handoff PHM to ICU ICU/PHM to OR ER to ICU/PHM http://www.ponderingem.com/journal-club/pondering-em-journal-club-changes-in/

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