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How to improve the communication skills between doctors and patients
How to improve the communication skills between doctors and patients 1 1. Exploration
1, an important stage in the four stages.
2, ignore it, or deviation.
The measures you proposed may not meet the requirements of patients and their families.
How to explore?
1. consider the patient: this is a necessary step to build trust.
2. Understand the patient's expectations: seeing the results behind the needs and finding out the hidden satisfaction conditions (potential expectations) may exceed his expectations.
3. Listening: attention and participation, verification and reflection.
4. Question: Closed, open and limited open.
Listen to seven good habits
1, be patient and don't interrupt.
Step 2 put yourself in the other person's shoes
3. Non-verbal communication (eyes, expression, posture)
4. Ask the right questions (open and closed)
Step 5 take notes
Step 6 Repeat and clarify
Step 7 react
Pay attention to nonverbal communication
1. Pay attention to all kinds of nonverbal behaviors, such as intonation, fluent procedures, words, facial expressions, body posture and movements.
2, carefully understand the "implication" to understand the main meaning and true content of the other party;
3. Understand each other's cultural background and knowledge level;
4, listening is not good, it is estimated that only 10% of people can listen well in the process of communication.
Concern and participation
It means that you are listening carefully.
1, keep a proper distance;
2. Maintain a relaxed and comfortable posture and posture;
3. Keep eye contact;
4. Avoid distracting actions, such as watching your watch and fidgeting.
5. Don't interrupt each other's conversation or change the subject;
6. Don't comment on what the other party is saying;
7. In order to show that you are listening and paying attention, you can say "yes" or nod your head gently to show that you accept what the other person said, and hope that he can continue to talk.
verify
1. Repeat: repeat what the other party said, pay attention to the key points and keep judging. If someone says, "I feel cold", you can say, "You feel cold, don't you?"
2. Retelling: Retell the other person's words in different intonations, but keep the meaning of the original sentence. For example, the other party said, "I've been studying very hard recently and I feel very tired." You can change the meaning of the word to "You feel tired because you are nervous about your studies, right?"
3. Clarification: It means clarifying some ambiguous, ambiguous and incomplete statements, including trying to obtain more information. When clarifying, I often use "I don't fully understand what you mean, can you tell me if ……". There are some commonly used words or phrases that often need to be clarified because they don't have the same meaning for everyone. For example. Big, small, some, many, several, most, often, etc. For example, if someone says, "I smoke a little every day," you can say, "Would you please tell me how many cigarettes you smoke every day? How many years have you been smoking? "
4. Summary: Repeat what the patient said with a simple summary. When verifying, we should pay attention to leaving some pause time so that the other party can correct, modify or clarify some problems. Correctly applying these verification techniques will help to build trust and emotion.
show
1. counterclaim some or all of the communication content of the other party to him, and let him reevaluate his speech and performance through your counterclaim and make necessary clarification.
2. Reflection requires certain skills. In addition to carefully listening to and observing each other's emotions (nonverbal expressions), we should also choose the words that best represent their meanings and emotions. We should avoid using fixed words or cliches, such as "Do you think …" and use some leading dialogues, such as "You look like …" and "As far as I understand, what you said is …"
3. The focus of reflection is to put the interviewee's "hints" on the table, so that the other party can further clarify their true feelings.
How to improve the communication skills between doctors and patients 2 l According to patients of different ages and genders, pay attention to the application of psychological knowledge, pay attention to observing words and feelings at any time and place, accurately judge what patients need, want to do, have any requirements and concerns according to their different reactions, and adjust the treatment plan and psychological state in time to facilitate the recovery of the disease. Respect patients and treat others equally. Medical personnel should treat patients equally in the implementation of treatment programs, regardless of their age, gender, appearance, income, occupation, city people and rural people, and regardless of their illness, economic status and social status. Especially when making rounds and treating patients in the same ward, a casual word and a move may lead to psychological changes of patients.
Be good at using easy-to-understand protective language. When communicating with patients, medical staff should also pay attention not to blindly use medical professional language, so as to avoid patients not understanding or making jokes. It is best to use Mandarin, and dialects can be used in special circumstances. In addition, we should pay attention to the use of protective language to avoid psychological harm to patients.
Medical staff should be good at using body language, such as sincere smile, trusting eyes, appropriate supporting actions, patting shoulders to show encouragement, etc. These seemingly small actions will narrow the distance with patients, enhance the feelings with patients, reduce misunderstandings between doctors and patients, and reduce the occurrence of disputes between doctors and patients.
5 be good at listening. In the process of communicating with patients, we should always pay attention to the patient's conversation, and be attentive, patient and interested. Especially for patients with mental illness, paying attention to his pain and depression is a kind of comfort and encouragement in itself, which is more conducive to a comprehensive understanding of the condition and the content related to the condition. Only by fully understanding the condition can we treat the disease better.
How to improve the communication skills between doctors and patients 3 1 When accepting patients, most people will feel nervous, anxious and painful after getting sick. Therefore, we should give priority to eliminating patients' anxiety, alleviating their pain and giving them spiritual comfort. At this time, medical staff should be dignified and kind, introduce themselves in kind language, and let patients feel that you can be trusted. At this time, the doctor can ask about the condition and check it at the same time. The technique should be gentle, meticulous and formal, and serious illness should not be repeated. Nurses should comfort patients and their families when assisting doctors to do examinations; In case there are children, you can play for a while and get the cooperation of the children; Critically ill patients can ask, check and rescue, so as not to delay their illness; In the process of rescuing patients, medical staff must be calm and comfortable, and avoid being nervous and flustered, otherwise the image of medical staff in the eyes of patients and their families will be greatly reduced.
Once the patient is admitted to the hospital during the treatment of the disease, the most urgent wish is to recover as soon as possible and leave the hospital as soon as possible. If surgery is needed, medical staff should do a good job of preoperative nursing and various preoperative examinations as soon as possible. Patients who don't need surgery come to comfort them. If some auxiliary examination is needed, the patient can observe the process of doing this examination before the examination. If possible, you can play the video, familiarize yourself with the process and be mentally prepared. When doing auxiliary examination, we should fully understand the patient's pain, guide the patient to cooperate with the examination with gentle words, make a clear diagnosis, and tell him the matters needing attention after the examination. In the process of daily rounds and treatment, medical staff can first ask the patients in the whole ward: "Hello everyone!" Make patients feel kind, respected and equal. Let patients build confidence in overcoming the disease. For some patients who consider the possible changes in body and face and sequelae after operation, it can be explained to the patients that a person's figure and appearance can not represent a person's whole. As long as they have beautiful minds and skills to serve the people, they can still create wealth for the society and win people's respect for themselves.
When the patient leaves the hospital, his condition improves or is cured. When leaving the hospital, but some diseases need follow-up, continue to take medicine, and those with sequelae need functional exercise. They should explain to patients and their families one by one. For those who are likely to relapse, they should be told to avoid inducing factors, pay close attention to the symptoms before recurrence, and see a doctor as soon as possible if they are suspicious, so as not to delay treatment and enhance patients' confidence in overcoming the disease.
Please note that people who communicate with others are not only natural people, but also social people. After the patient is admitted to the hospital, with the change of body and environment and the reduction of social contact, the patient's psychology will change greatly, such as whether he cares more about his social status and family status, which the leader will consider, whether the position will be retained, whether the treatment will be reduced, and so on. And seriously ill people will consider whether my illness can be cured and whether there will be sequelae. People with poor economic conditions will also consider the difficulties caused by medical expenses. Therefore, medical staff should always know about the patient's condition with the patient's family members, colleagues and familiar people, fully grasp the changes of the patient's condition to assist in treatment through various communication, and comfort the patient in time to adjust his mentality, adapt to the changes and change his role, so as to facilitate the recovery of the disease, and let the family members assist in all aspects of work, give meticulous care in life, give spiritual comfort and strengthen his confidence in overcoming the disease.
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