The Bedside Way : Causes For Poor Bed Side Manners

I will stay calm and will not be nervous during the interaction. I will do this by focusing on the needs of my patient and by trying to understand how she is feeling in this situation. I will ask open ended questions. I will do this in order to foster a meaningful conversation and to allow my patient to answer questions in her own way. I will use silence throughout my interaction in order to give my patient time to think about what she wants to say. I will do this by waiting for her answers and by encouraging my patient to take part in our interaction.

Connecting with a patients and their family leads to open communication with health care staff. Bedside reporting allows the nurse to visualize the patient and prioritize their daily care. Using bedside handoff decreases adverse events and promotes overall patient safety. This is because the patients and their family have the opportunity during report to clarify and correct any inaccuracies, so errors don’t ever have the chance to strike.

In any parts of the organizational settings, one must send forth an important message to another person especially pertinent information regarding a patient. Every articles and journals have been conducted with time and effort to see the positive and negative outcomes of examining the effectiveness of the bedside reporting. All eight article and journal are appropriate representations of the bedside reporting and thus, leads to a better communication in the health care settings. The words are to examine, conduct, report, explore, quantify and implement. In any ways that were mentioned by various authors and researchers, all have the same goal, and that is to illustrate the benefit of utilizing the usage of the bedside reporting.

Bedside manner is by definition, the manner that a physician assumes toward a patient. (Merriam-Webster’s online dictionary, n.d.) However, it is hard to strictly fix it into one set definition. It encompasses so many different aspects of personal human behavior, including things like attitude, kindness, sensitivity, and compassion. Good bedside manner is the foundation to building a healthy relationship between the patient and the physician. It sets the standard on communication between the two parties. Poor bedside manner or failure to properly establish appropriate bedside manner may result in patients becoming distant, apprehensive, or untrusting of the physician. Bedside manner is not strictly for the benefit of the patient. (Missouri College, 2013) A large part of conveying good bedside manner is for the healthcare professional to be sure that they are able to completely understand the patient. This goes hand in hand with favorable doctor-patient communication skills. It is crucial to maintain good bedside manner, not only to keep therapeutics moving forward smoothly, but also to aid in the healing process. In certain studies, it is reported that more patients prefer a doctor with a personality reflecting good bedside skills to one that might just be better at accurately diagnosing a patient. This conclusion is alarming in the fact that more people hold more importance on simply feeling human, than being properly diagnosed. (Danny Gordon, 2014)

Nontherapeutic expressions or gestures can disrupt a good, positive communication between the provider and the patient. Some of those nontherapeutic phrases or gesture are talking about something not related to the patient’s problem, negating their problems and preventing them from sharing by asking closed- ended questions. Sometimes the provider disrupt the patient’s willingness to talk about worries by giving personals opinions or expressing approval or disapproval constantly. Taking action by precipitately interpreting the patients concerns, or precipitately ending a conversation can shut off the patient and make difficult and even impossible to provide a therapeutic, positive communication. Another way of limiting patients from expressing

The research found in many of the 10 articles adequately explains and supports the need for a change in communication of nurse’s who provide care for patients. All of the articles found during my research state that communication is an issue and many of the articles researched used bedside reporting as the solution and documented the findings. One research article reported nurse satisfaction increasing from 37% to 78% after bedside implementation (Evan, Grunawalt, McClish, Wood, & Friese, 2012). Verifying that the use of bedside report is crucial to patient handoff with regards to nurse communication. There are many research article that conclude that bedside reporting is a quicker more efficient way of handing off care of the patient

“Physicians give orders, and primarily to nursing staff; nurses do not give orders to physicians,” (Pijl-Zieber, 2013, p.143) and a nurse’s perspective may not always be valued by physicians making nurses more reluctant to disclose their opinions on specific orders. In reading various quantitative studies, Tang et al., (2013) discovered that many nurses perceived that their “professional assessments or inputs regarding patient care were not valued by physicians” (p.298), propagating nurses to feel incompetent and excluded from patient decision-making. Rosenstein (2002) conducted an analysis on relationship between nurses and physicians by surveying 1,200 different health participants in various hospitals in the USA and found, “when asked whether they had witnessed disruptive behavior by physicians, 92.5% (1,089) of respondents (n = 1,177) said they had” (Rosenstein, 2002, p.28), justifying there’s a higher account of disruptive physician behaviors towards nurses then presumed. In a qualitative study by Robinson et al., (2010), “nurses expressed that physicians often used words that were rude and humiliating. This made them feel incompetent and intimated” (Tang et al., 2013, p. 299), which decreases a nurse’s self-esteem and further hindered proper communication. If nurses were ridiculed for speaking up to physicians about their

The research topic that I am interested in for this paper is bedside manner. I am interested in exploring its definition, as well as doctor’s role in it. I am also interested in exploring its effectiveness that brings not only healing to the patient, but also make a stronger relationship between doctor and patient. This is related to one of the inquiry above in a way that it directly explore the traditional model of bedside manner and its impact on patient wellness. Additionally, I would like to explore certain illnesses or diseases that can be cured through this kind of diagnosis instead of the use of technology, which is also exploring not only the traditional, but non-traditional model of bedside manner as well, one of the inquiry above.

This book consists of several chapters that help outline the best ways to maintain a functional and healthy work environment. The first chapter does by explaining the best ways to treat and communicate with your patients. It emphasizes the importance of communication and making sure the patient feels welcome, is well-informed about whatever issues they may have, and has their questions fully and accurately answered (Kurtz 3) . The main points in this chapter are as follows: relating effectively and sensitively to patients, conveying compassion and empathy, perceiving verbal and non-verbal communication from patients, eliciting information from patients and observing changes in mood and activity, communicating quickly, effectively and efficiently, reading and legibly recording observations and test results, and completing assignments, patient records, and correspondence accurately (Kurtz 2-23). Another important component this chapter covers is how to analyze a patient’s case history and assimilate it with their symptoms. A case history is a record of a

Frist, I have learned that it is very important for nurses to have a bed-side report because it gives a lot of information about the patient. Second, we must ask our patients if it’s okay for family members to stay in the room while we are assessing patients. Last, I have learned that after we finished with our assessment, we need to share our finds with the patients. Also, ask if the patients have any questions before we leave the room.

The purpose of this study is to learn the benefits of bedside report, and how it affects patient care in the terms of safety and satisfaction. You were selected at random as a possible participant because you are a patient on this acute care floor.

This relationship depends on the patient, the doctor and the communication skills that applied from the doctor to attract the patient’s attention.

The term bedside manner dates back as far as 1869. The Merriam-Webster dictionary definition of “bedside manner” is “the manner that a physician assumes towards a patient.” The initial first step is identifying the health problems and treating the symptom. A good physician listens, learns and understands what the patient needs. Recent studies show that good eating habits create less visits to the doctor and overall help the patients personal well being. Communication is echangable in some places in substitute for bedside manner. “A physician’s bedside manner can impact professional reputation in the community, affect the loyalty of patients, and even impact effectiveness of the treatment given” (Tetrault, J.2005).

One aspect that helps to enhance the process of communication is patient-centered care. This type of care ensures that staff communicates in a respectful manner that is responsive to the preferences of the patient (Adams et al., 2014). Another way is to identify the way staff attitudes, and behaviors, lead to conflict. Health professionals have approach patients with empathy as this encourages these patients to tell the health professionals about any concerns (West & Lyubovnika, 2013).

The relationship between a patient and his/her doctor is a prominent concern in the health industry. (Berry 2007) In the review titled, ‘Effective Physician-Patient Communication and Health Outcomes: A Review’, Moira Stewart states that physicians interrupt patients an average of 18 seconds into the patient’s description of presenting their health problem, and that there exists a major lack of patient involvement during discussion. Effectively communicating one’s well being is an extremely important aspect of health. In