Chapter 5 Communicating with each other
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Transcript of Chapter 5 Communicating with each other
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 1
Chapter 5
Communicating with each other
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 2
Learning outcomes
• Discuss the fundamental communication skills needed to facilitate effective relationships with patients, carers and health care professionals
• Identify the methods of communication that enhance effective interprofessional working
• Discuss the barriers to effective communication
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 3
Verbal communication
People’s attitudes and feelings are communicated:
55% by the body
38% by the voice
7% by spoken words
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 4
Non-Verbal Communication
Body language
Proximity
Body orientation
Posture
Touch
Gestures
Facial expression
Eye contact
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 5
Written communication
In pairs list the forms of written communication that you use in the workplace.
Time − 5 minutes
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 6
Patient records
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 7
Types of meetings
Types of meetings that promote team communication include:
• team/staff meetings
• multidisciplinary team meetings
• child protection case conferences.
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 8
Team meetings• Semi-formal meetings held in most practice environments on a regular
basis.• Usually chaired by the team leader/head of department/service manager.• Provide the opportunity for the team leader and team members to meet
and discuss matters that affect the team.• Provide a two-way communication channel between the team leader and
the team members and serve multiple purposes.• Enable team members to make suggestions and comments to the team
leader about the ways in which the team could enhance its practice.• Enables the team leader to share with the team information that will
affect the day-to-day activities of the team.• Bring the whole team together providing opportunities for the team
members to chat informally.
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 9
Skills required for a successful team meeting
There are three elements to a meeting:
1. Preparation
2. The meeting
3. After the meeting
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 10
Preparation
• When to hold the meeting
• Where to hold the meeting
• Setting the agenda
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 11
The meeting
• Agree ground rules
• Role of the chairperson during the meeting
• Role of team members
• Role of minute taker
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 12
After the meeting
• Role of the chairperson
• Role of team members
• Role of the minute taker
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 13
Multidisciplinary Team Meeting (MDT)
MDT membership is developed around the patient’s journey through the system, to ensure that all relevant professionals are
able to play an active role in the care of the patient.
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 14
Examples of MDT and their membershipStroke MDT Breast cancer MDT Children’s network MDTMedical staff Radiologist Educational psychologistNursing staff Oncologist Education welfare officersSpecialist stroke nurse Histopathologist Behavioural support teachersOccupational therapist Therapeutic
radiographerLanguage support teachers
Physiotherapist Clinical nurse specialist Autism teachersSpeech and language therapist
MDT coordinator Early years practitioners
Social worker Nursing staff Teenage pregnancy and parenthood officers
Dietician Diagnostic radiographer Parent support officersStroke coordinator Surgeon Family support workersClinical psychologist Plastic surgeon Other staff e.g. health
professionalsFamily and carer support coordinator
MDT coordinator MDT coordinator
MDT coordinator
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 15
What are the challenges for MDT meetings?
• Coordinating the MDT meeting
• Time commitment
• Resources
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 16
Child protection case conferences
• Critical part of the process of safeguardingchildren
• Takes place if there is a concern that a child isbelieved to have been harmed, or to be at significant risk of being harmed
• Conference is attended by those professionals involved with the current care of the child as well as the child’s parent/carers
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 17
Enabling Technologies
Electronic Health RecordsThere are three types:1. Summary care records2. Detailed care records3. Records held in prescriptions, referrals and
other local systems
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 18
Enabling Technologies
Electronic Social Care Records (ESCR)There are three types of information held:1. Structured information2. Unstructured information3. Coded data for management and statistical
reports
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 19
Enabling Technologies
Picture archiving and communication systems (PACS)• PACS is a system which captures, stores,
distributes and displays static or moving digital images such as radiographs, CT, ultrasound, MR, nuclear medicine.
• System takes away any need to print on film and to file or distribute images manually.
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 20
The communication process
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 21
Potential barriers to communication
• Distractions• Hierarchy• Inappropriate channel of communication• Too many communications• Complex messages• Professional language• Too much information• Ideological differences between different professionals• Lack of time
Jane Day, Interprofessional Working: An Essential Guide for Health & Social Care Professionals 2/e
Nursing and Health Care Practice Series© Cengage Learning EMEA 2013 22
What have you learnt?Try answering the following questions:
1. What are the main methods of verbal communication?
2. What are the benefits of multidisciplinary team meetings?
3. How do electronic health records and electronic social care records enhance interprofessional communication?
4. What factors inhibit interprofessional communication?
If you can’t answer any of the above read Chapter 5 and/or review this PowerPoint presentation.