Highlights
The impact of effective/ineffective communication on patient care
The impact of effective/ineffective communication on patient care Effective communication impacts on patient outcomes in multiple ways. It can enhance diagnos tic accuracy (Dwamena et al., 2012), improve patient satisfaction and wellbeing (Mickan & Rodger, 2005), and improve treatment adherence (such as compliance with medication and rehabilitation programs) (Zolnierek & Dimatteo, 2009) and clinical outcomes (including reduced stress and anxiety, improved pain management, self-management, mood, self-esteem, functional and psychological status) (Harms, 2007; Doyle, Lennox & Bell, 2013). Skilled communication can also enhance symptom res olution, and reduce the length of hospitalisation, healthcare costs (Mickan & Rodger, 2005) and rates of post-operative complications (Vats et al., 2010). In contrast, ineffective communication can lead to hostility, anger, confusion, misunderstandings, lack of trust, poor compliance, and greatly increased risk of error, patient harm and malpractice claims (Moore, Adler & Robertson, 2000).
Patient-safe communication is a goal-oriented activity focused on preventing adverse events and helping patients attain optimal health outcomes. It is a means by which healthcare professionals gather and share information, clarify and verify accurate interpretations of information, and establish a process for working collaboratively with both patients and other healthcare professionals to achieve common goals of safe and high-quality patient care (Schuster & Nykolyn, 2010). Every aspect of patient care depends upon how well healthcare professionals communicate with each other and the patients they care for. Clinical decisions based on incomplete or misinterpreted information are likely to be inappro priate and may cause patient harm and distress. For healthcare professionals, unsafe communication is considered to be a breach of professional standards and a leading cause of litigation (Trede, Ellis & Jones, 2012). Examples of this may include:
inadequate or inaccurate advice on self-management
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