Also, Henly argued that effective communication is imperative in clinical interactions. In that dialogue, both parties speak and are listened to without interrupting they ask questions for clarity, express their opinions, exchange information, and grasp entirely and understand what the others mean. explored patients’ experiences of caring relationships in an Iranian hospital where they found that good communication between nurses and patients was regarded as “more significant than physical care” among patients.Īccording to Boykins, effective communication is a two-way dialogue between patients and care providers. However, other patients said poor communication by nurses and midwives, including verbal abuse, disrespect, or denial from asking questions, affected their perceptions of the services offered. , in a study on maternal care in Malawi, noted that patients reported being happy when the nurses and midwives communicated well and treated them with warmth, empathy, and respect. Research has shown that effective communication between patients and healthcare providers is essential for the provision of patient care and recovery. This emphasis underscored the value of delivering healthcare services according to patients’ needs and preferences. The IOM, in its 2003 report on Health Professions Education, recognized the values of patient-centered care and emphasized that providing patient-centered care is the first core competency that health professionals’ education must focus on. Healthcare providers and professionals are thus required to fully engage patients and their families in the care process in meaningful ways. In nursing care, patient-centered care or person-centered care must acknowledge patients’ experiences, stories, and knowledge and provide care that focuses on and respects patients’ values, preferences, and needs by engaging the patient more in the care process. The Institute of Medicine (IOM) noted that to provide patient-centered care means respecting and responding to individual patient’s care needs, preferences, and values in all clinical decisions. Care is “a feeling of concern for, or an interest in, a person or object which necessitates looking after them/it”. Providing healthcare services that respect and meet patients’ and their caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thus constituting patient-centered care. A person-centered care and communication continuum (PC4 Model) is thus proposed to orient healthcare professionals to care practices, discourse contexts, and communication contents and forms that can enhance or impede the acheivement of patient-centered care in clinical practice. To promote patient-centered care, healthcare professionals must identify these barriers and facitators of both patient-centered care and communication, given their interconnections in clinical interactions. Achieving patient-centered care and communication in nurse-patient clinical interactions is complex as there are always institutional, communication, environmental, and personal/behavioural related barriers. Hence, patient-centered communication is fundamental to ensuring optimal health outcomes, reflecting long-held nursing values that care must be individualized and responsive to patient health concerns, beliefs, and contextual variables. Effective communication between patients and healthcare providers is crucial for the provision of patient care and recovery. Providing healthcare services that respect and meet patients’ and caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thereby fulfilling a significant aspect of patient-centered care requirement.
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