Communication in clinical handover: improving the safety and quality of the patient experience

Abstract not available

Appraising Pain: Clinician-Patient Interactions in Hospital Emergency Departments

In this paper I explore the applications of appraisal analysis to one interactive context in which evaluation is critical: that of clinician-patient interactions in hospital emergency departments. Th e data analysed was collected by a team from the University of Technology Sydney, led by Diana Slade, as part of a three-year research project into communication in emergency departments in fi ve Australian public hospitals. Adding appraisal analysis (Martin and White) to the SFL analysis of interaction I show how patients and clinicians use appraisal, along with other interpersonal resources, to bridge the gap between patients’ subjective experiences of illness and clinicians’ objective knowledge of it. Th rough appraisal, patients can rate and describe their pain. Th rough appraisal clinicians can elicit key evaluative information, build empathy and show respect for patients, all of which can contribute to a more compassionate and eff ective outcome. Th is paper argues that appraisal analysis adds to the SFL account of interpersonal meaning. In particular, by highlighting the evaluative colouring of ideational information that is a defi ning feature of emergency department interactions it helps explain how patients and clinicians make meanings collaboratively in this critical social context.En este artículo se analizan las aplicaciones del análisis de la valoración a un contexto interactivo en el que la evaluación es importante: el de la interacción médico-paciente en las urgencias de los hospitales. Los datos analizados fueron recogidos por un equipo de la University of Technology Sydney, liderados por Diana Slade, como parte de un proyecto de tres años sobre la comunicación en los departamentos de urgencias de cinco hospitales públicos de Australia. Añadiendo el análisis de la valoración al análisis de la interacción de la Lingüística Sistémica se muestra cómo los pacientes y los médicos usan la valoración, además de otros recursos interpersonales, para llenar el vacío entre las experiencias subjetivas los pacientes y el conocimiento objetivo que tienen los médicos de la enfermedad. Este artículo sostiene que el análisis de la valoración contribuye positivamente a la descripción interpersonal de la lingüística sistémica

The International Charter for Human Values in Healthcare: An interprofessional global collaboration to enhance values and communication in healthcare

Objectives: The human dimensions of healthcare—core values and skilled communication necessary for every healthcare interaction—are fundamental to compassionate, ethical, and safe relationship-centered care. The objectives of this paper are to: describe the development of the International Charter for Human Values in Healthcare which delineates core values, articulate the role of skilled communication in enacting these values, and provide examples showing translation of the Charter’s values into action. Methods: We describe development of the Charter using combined qualitative research methods and the international, interprofessional collaboration of institutions and individuals worldwide. Results: We identified five fundamental categories of human values for every healthcare interaction—Compassion, Respect for Persons, Commitment to Integrity and Ethical Practice, Commitment to Excellence, and Justice in Healthcare—and delineated subvalues within each category. We have disseminated the Charter internationally and incorporated it into education/training. Diverse healthcare partners have joined in this work. Conclusion: We chronicle the development and dissemination of the International Charter for Human Values in Healthcare, the role of skilled communication in demonstrating values, and provide examples of educational and clinical programs integrating these values. Practice implications: The Charter identifies and promotes core values clinicians and educators can demonstrate through skilled communication and use to advance humanistic educational programs and practice

An Introduction to systemic functional linguistics

xvi, 384 p. : il.; 24 cm

Analysing casual conversation

xiv, 333 p.; 23 cm

An introduction to systemic functional linguistics/ Eggins

360 hal. : tab. : 21 cm

An introduction to systemic functional linguistics/ Eggins

360 hal. : tab. : 21 cm

Resource: communicating effectively in bedside nursing handover

Chapter 6 described the challenges nurses faced at the research site when implementing the mandated policy of bedside handovers. In response to our research findings, and with the strong support of the local health department, we developed a two hour training module 'Better Bedside Handovers', and a train-the-trainer package. At time of writing we have delivered this training to more than 300 nurses and nurse managers. The training is described in full in Slade et al. (in preparation). In this chapter we summarize the training module design and present the communication protocols and tools that we developed

Communication in bedside nursing handovers

The previous chapters have described the challenges of emergency department clinical handovers when medical staff change. In this chapter the focus shifts to nursing staff shift changes in a general medical ward. We describe and analyze the practice of bedside handovers in a metropolitan teaching hospital, hospital B, acknowledging the challenges but also the benefits of this semi-public clinical handover mode for nurses and patients. In chapter 7 we then suggest strategies and resources to improve patient safety and to increase nurse and patient satisfaction with the practice