Question 2: How to do a good job in doctor-patient communication and establish a harmonious doctor-patient relationship? Now the market awareness of hospitals and patients is gradually awakening, and the awareness of patients as consumers is increasing. Harmonious doctor-patient relationship and strengthening doctor-patient communication have become urgent problems in the medical industry. The status quo of doctor-patient communication With the public constantly demanding better care and enjoying more rights, the problem of doctor-patient relationship has long been attached importance to by most hospitals, but most medical staff still have the following puzzles: What kind of service do patients want when they come to the hospital? How to communicate well between doctors and patients? Why do doctors think they are full of compassion and dedication to patients, but patients complain? What's the problem? How to solve these problems? How to improve patients' satisfaction and reduce the risk of medical accidents? The key point of these problems is that medical staff should first find the key point in the communication between doctors and patients, so as to grasp the patient's medical history as much as possible in the follow-up interview and information collection process, remove their psychological obstacles, and finally make accurate disease diagnosis and timely treatment. The focus of doctor-patient communication 1. Fully understand the role In the past research and work practice, medical staff are often endowed with lofty role consciousness such as "angels in white", "Saving the wounded and saving the dying" and "selfless dedication", while ignoring the most basic role consciousness of medical staff. Generally speaking, medical staff should have some basic role consciousness first, and then serve patients on this basis, in order to achieve good communication effect. The role cognition of medical staff is the premise and foundation of role playing, and it is also the subjective condition to realize role playing. The clearer and more comprehensive role cognition is, the more role-playing can meet social expectations. The process of medical staff's role cognition is a process of role learning. In the process of understanding the role of medical staff, two problems should be solved: one is to understand the expectation of nurse role and correctly understand the hope of society for nurse role; The second is to understand the concept of role, correctly understand what role you undertake, how to act, how to enter the role wholeheartedly, how to fulfill the rights and obligations stipulated by your role, and follow the code of conduct of the role. Second, it is more important to enrich one's medical profession than other professions. It is difficult for patients to make correct choices and decisions because they don't know much about medical knowledge, the efficacy and side effects of certain drugs, the necessity and danger of certain operations, and their own lesions and consequences. From this point of view, in the doctor-patient relationship, the help of medical staff is active, while the patient is passive. This requires medical staff to strive for perfection in technology, be enthusiastic about patients, be only responsible for patients regardless of personal gains and losses, have a high degree of self-discipline, and always adhere to the principle of "preventing and treating diseases, saving lives, practicing humanitarianism and serving people's health wholeheartedly" and do their job well. 3. Prerequisites for doctor-patient communication With the rapid development of China's social economy in recent years, the development of medical and health undertakings has also been further accelerated, but there has also been a tendency of excessive marketization of hospitals. There is an unprecedented contradiction between the weakening of the public welfare function of hospitals and the growing demand for medical services of the people, and the relationship between doctors and patients is gradually tense. Therefore, strengthening the professional ethics education of medical staff, promoting the public welfare function of public hospitals, strengthening supervision and inspection, improving the management level of hospitals, striving to build a sound social medical security system and strengthening the legal awareness education of citizens are the prerequisites for doctor-patient communication. Basic quality requirements of doctor-patient communication for medical staff 1. Noble medical ethics as a medical staff, we must first have a sense of responsibility, compassion and love. This is the basis of being a man and the medical ethics of medical staff. Especially in the pursuit of a people-oriented harmonious society today, treating patients as relatives is by no means empty talk, but a concrete manifestation of professionalism. Second, the correct concept When treating patients, medical staff should not only treat patients as biological people, but also treat patients as social people. In the face of patients with serious illness, rapid change and emergency, it is necessary to cultivate a quality, quickly understand the cause of the patient, analyze the illness, and make accurate judgments with superb technology. 3. Popular and effective language art To establish a good doctor-patient relationship, we should not only have superb medical nursing skills, but also pay attention to cultivating the language art of medical staff. This requires medical staff to master the art of listening when communicating with patients, so as to understand the meaning of patients' conversation and accurately understand the original intention and facts of patients; Second, pay attention to tone. Only when medical staff treat patients with warm attitude and polite language can they have a benign psychological effect on patients and establish ... & gt
Question 3: How to communicate effectively between doctors and patients, tell your family the truth of your illness without exaggeration and concealment, and then tell them your medical plan, advantages and risks, and ask for their opinions. Don't make your own decisions, communicate more. Can't go wrong! !
Question 4: How to strengthen the communication ability between doctors and patients? Communication is connotation, accomplishment and art. The effect of trained communication is different from that of untrained communication. When communicating, the doctor's words, manners, demeanor and clothes will affect the effect of communication. Doctors should master two kinds of weapons, one is scalpel, and the other is communication ability. In foreign countries, doctor-patient communication often starts from the early stage of medical education, runs through it, and even continues education after graduation. There is a general lack of education in this field in China, and students often lack this awareness and ability after graduation. Therefore, in clinical work, while paying attention to the improvement of medical technology, we should pay more attention to the cultivation of doctors' communication ability, cooperation ability and affinity with patients.
Strengthening doctor-patient communication requires medical staff to have good communication skills and skills, so as to achieve one skill, two proficiency, three attentions and four avoidance. One skill is to respect each other and listen to each other patiently when communicating with patients or their families. Listen to the patients or their families to say a few words, let them vent and talk as much as possible, and explain the patient's condition as accurately as possible. Two mastery, that is, mastering the condition, examination results and treatment; To master the medical expenses of patients and the social and psychological status of patients and their families. Three notes: First, pay attention to the cultural level, emotional state and feelings of the communication object; The second is to pay attention to the cognitive degree of the communication object to the disease and the expectation of communication; Third, pay attention to your emotional reaction and learn to control yourself. Four taboos, that is, avoid using the tone, intonation and sentence of the other party's emotions; Avoid suppressing each other's emotions and deliberately change each other's views; Avoid using too many technical words that are difficult for the other party to understand; Avoid forcing the other party to accept the doctor's opinion and facts immediately. Only the joint efforts and friendly participation of both doctors and patients can achieve harmonious communication. According to the actual situation, our hospital adopts effective methods such as ward round communication, preventive communication, written communication, hierarchical communication, centralized communication, indirect communication (communication between relatives and friends, protective communication) and direct communication to strengthen doctor-patient communication.
Ward round communication
When the doctor in charge makes rounds, he will communicate with the patient or his family in time about the condition, initial diagnosis, treatment plan and further examination plan, so that the patient or his family can understand the condition and the treatment plan will be recognized by the patient or his family.
Preventive communication
If patients who may have problems or disputes are found, prevention should be given priority, and they should be taken as the key communication objects to communicate in a targeted manner. During the shift change, the shift change is an important content, so that the next class of medical staff can know fairly well, communicate with them in a targeted manner, and eliminate patients' doubts.
Written communication.
Communicate in writing with patients who need some special examination, treatment and major surgery, patients or their families who do not cooperate or understand medical behavior, or some special patients (such as language barriers).
Grade communication.
When a junior doctor refuses to explain a disease on a regular basis, he should first ask the superior doctor for instructions or communicate with the patient. Communication between superior doctors and patients can often achieve twice the result with half the effort. When the responsible physician has difficulty communicating with the patient or his family members or the family members of the patient are emotional, the communicator should be changed. That is, communicate with other medical staff or superior doctors and department directors.
Concentrate on communication.
When the diagnosis is unknown or the condition is aggravated, doctors, doctors and nurses should discuss it collectively before communication, and the family members should be explained by the doctor at the next higher level after unified understanding. Special major events (special patients, sudden mass casualties, accidents, etc.). ) should report to the relevant departments in a timely manner, and communicate with doctors, nurses, experts and hospital leaders after collective discussion when necessary. Avoid the distrust and doubts of patients and their families caused by disagreement. In case of emergency, the doctor with the highest professional title is present to communicate.
Direct communication.
Communicate directly with the patient when the patient's condition and psychological endurance allow.
Indirect communication
Considering the protection of patients' privacy and protective medical measures, communication can be achieved through protective communication or communication with relatives or clients.
Question 5: How to communicate effectively between doctors and patients? People will get sick, get sick and seek medical treatment, and need patients to see a doctor. Without patients, doctors will lose their jobs. Then this is interdependence. Only by working hard to make good relations can we be positive. Only mutual understanding and communication can solve the problem.
Question 6: How to strengthen communication between doctors and patients, reduce contradictions between doctors and patients, improve communication skills between doctors and patients, reduce contradictions between doctors and patients, and create a harmonious medical environment?
A survey by the World Health Organization found that when a patient complained about his illness, the average time he was interrupted by a doctor was 18 seconds. When patients want to express their views on treatment, doctors have prescribed prescriptions at the first time ... Senior experts from Hefei One Plus One Hospital said that more than 90% of doctor-patient disputes stem from improper communication between doctors and patients, so every medical staff should master the skills of communicating with patients and strengthen humanistic attention to patients' social and psychological needs. Research shows that patients and the public are most dissatisfied with doctors, often because of their poor communication skills, not their professional skills. According to reports, some doctors often proceed from their own point of view when conducting diagnosis and treatment, and rarely consider the patient's thoughts; Even rely too much on some high-tech instruments in diagnosis and treatment, and are unwilling to spend time communicating with patients.
Medical staff should not only communicate with patients, but also master communication skills. The communication between doctors and patients is professional, and doctors should play a leading role. It is wrong to complain about patients' poor expression ability. Doctors must be sincere and approachable, and have the desire and motivation to help patients relieve pain and promote rehabilitation. It is no exaggeration to say that communication skills are indispensable for doctors. The following speech focuses on communication skills:
1. Listening: This is the most important and basic skill, but unfortunately, it is often overlooked by busy doctors. Doctors must listen to patients' complaints with patience, concentration and concern as much as possible, and respond, such as changing expressions and eyes, nodding to say "hmm", or simply inserting "I heard clearly" and so on. Patients with toothache, in particular, often worry about the pain caused by doctors' treatment, especially fear and doubt about the sound of dental drills and dental instruments. Doctors need to patiently explain that dental treatment in regular hospitals has changed from "painless treatment" to "comfortable treatment" to eliminate unnecessary fears. Of course, the patient's narrative should not go too far from the topic, and the doctor can politely remind the patient to get back to the topic. In a word, listening is the most important step to develop a good doctor-patient relationship. Mistakes in diagnosis are often caused by doctors' insufficient listening.
2. Acceptance: Believers are doctors, and patients should trust and accept doctors. Patients or their families who don't trust doctors and are treated by doctors are most likely to have disputes. Doctors should also accept patients unconditionally, without any rejection, disgust, disgust and impatience.
3. Affirmation: This refers to affirming the authenticity of the patient's feelings, and shall not be arbitrarily denied. For example, patients complain that "my teeth here are always jumping." Doctors must first affirm the authenticity of patients' jumping sensation and understand patients' discomfort and worry. We should not take a negative attitude towards the patient's thoughts, even if they are obviously morbid, let alone argue with the patient.
4. Encouragement: Appropriate appreciation and encouragement can narrow the distance between doctors and patients.
5. Choice: As the saying goes, all roads lead to Rome. Doctors may have many kinds of treatment schemes and tell patients their advantages and disadvantages. Patients can make different choices according to their own ideas, time schedule, economic situation and so on. Doctors fully respect patients' choice on the basis of treatment effect. Of course, doctors can't accommodate unreasonable or unrealistic demands made by patients, because doctors can't accurately predict the "future".
In order to make the communication between doctors and patients smoother and obtain more comprehensive information, doctors should mainly do the following work: (1) improve their own quality and increase the knowledge and popularity of communication; (2) It varies from person to person, which increases the flexibility and intimacy of communication; (3) Listen carefully and encourage patients to actively provide information; (4) Seeking truth from facts to ensure the authenticity of communication information. (5) Establish a good medical ethics, consciously * * * unhealthy trends that are detrimental to the image of medical institutions, respect the rights and interests of patients, start from ourselves, improve the language art of communicating with patients, and create a harmonious doctor-patient relationship.
Medical institutions should also be strictly self-disciplined. First of all, they should lead a good team, carefully sort out the medical disputes in their units in recent years, learn from them, improve measures and methods, take various forms to strengthen the education of employees' laws and regulations and professional ethics, truly implement the "patient-centered" activities, further improve the quality of medical care and improve the service attitude. The second is to strengthen the exchange and training of medical workers and hold more lectures and seminars. Third, * * * relevant functional departments should provide guarantee and support for the hospital to create a good practice environment, and all medical units should take the initiative to communicate with relevant departments to gain social understanding and support. Fourth, increase investment in health care and advanced equipment, especially ...
Question 7: What are the communication skills between doctors and patients? One, two, three, four, five, six.
A fundamental: honesty, respect, sympathy and patience;
Two skills: listening is to listen to the patient or his family to say a few words; Introduction is to say a few words to patients or their families;
Master: master the patient's condition, treatment and examination results; Master the use of patients' medical expenses; To master the social and psychological status of patients.
Four notes: pay attention to the emotional state of patients; Pay attention to education level and feelings about communication; Pay attention to patients' cognition of diseases and expectations of communication; Pay attention to your emotional reaction and learn to control yourself.
Five taboos: avoid forcing patients to accept the facts in time; Avoid using words and tones that are easy to * * * patients' emotions; Avoid using too many professional words that are difficult for patients to understand; Avoid deliberately changing patients' views; Avoid suppressing patients' emotions.
Six ways: prevention-oriented targeted communication, communication, collective communication, written communication, coordinated and unified communication, and physical comparison communication.
Question 8: How to communicate between doctors and patients? PPT tells your family the truth about your illness, without exaggeration or concealment, and then tells them about your medical plan, advantages and risks, and so on. Tell them and ask for their advice. Don't make your own decisions, communicate more. Can't go wrong! !
Question 9: Ways and means of doctor-patient communication 1. Principles of doctor-patient communication 1. People-oriented Nowadays, most pathogenic factors are related to emotion, environment and society, so it is necessary to consider patients' personal factors. Show concern and respect. 2. The foundation of honesty and trust. Look at each other. It's wrong to welcome guests without looking them in the eye. ) 3. Equality 4. The overall principle is complex and diverse, and there are many factors that are difficult to quantify. Laboratory indicators reflect the micro-world, but the macro-environment can not be ignored. Although sympathy is common, it still needs humanistic care. 6. Confidential "informed consent" treatment; Protect the patient's privacy. 7. Feedback to verify whether the information is collected correctly; Show listening, show concentration. 8.* * * Participation (interactive) research shows that medical treatment can improve patients' self-healing ability and help eliminate pathogenic factors. * * * Choose the best treatment plan. Patients need to cooperate with complex drugs. 2. Technical premise of language communication: Basic principles must be involved. Need extensive knowledge, read other literary works (know a lot about the world). 1. Listen more and talk less: how to listen is conducive to harmonious communication: 1) indicates concentration-body language (change posture appropriately when important information; It is not appropriate to wait with your hands in your pockets. )-eyes (eye contact time is generally 60% ~ 70%; Not suitable for staring for a long time when the patient is angry and sad) 2) Retelling and feedback: verifying information; Show concentration. 3) Empathy listening → sensitivity → sympathy (reading between the lines) 4) Encourage and guide patients to speak: guide information related to the meaning of the disease. 2. The title should be appropriate. 3. Appropriate praise (specific; Meet the right occasion. Concise 5. Open question 6. Taboo (asking for a test without explanation, etc.). ) 3. Nonverbal communication skills 1. First impression (instrument. Appearance, posture, clothing, hairstyle, etc. ) be kind and friendly; Steady (not fashionable and heavy makeup when sitting in the clinic); Reliability ("initial reliability") 2. Behavior: reflect self-cultivation, cleanliness, etc. 3.60% ~ 70% eye contact 4. Facial expression (smile is the world language) shares joys and sorrows with patients. (Speaking of intuitive impression: 7% language, 38% voice, 55% facial expressions and movements. 5. The expression of voice is low and clear (low on the premise of ensuring that patients can hear clearly, so as to win trust and respect) 6. Body posture should be elegant and steady, and the pace can be fast but not chaotic; Pat the back of your hand to appease, or pat the back (for young people), but not too intimate; Sitting distance is 0.5~ 1.2M in private area. 4. Doctor-patient communication process (taking outpatient service as an example) 1. Before starting the conversation: from the moment you push the door in: get to know the first impression and the patient. 2. Sit down, address, greet, introduce yourself properly, and show initial credibility without expression. 3. Guided conversation: open questions, appropriate feedback and retelling, and correct patients' views on the causal relationship of diseases in the process. 4. the spread of diseases 5. Record: communicate properly, don't just bury yourself in hard work. 6. Talk about diagnosis and treatment. Doctor's advice and education. Communication between environment and technology. Medical staff receive appropriate consultation in the process of service. Safe clinic environment. Advanced instruments and technical support.
Question 10: How to communicate effectively between doctors and patients If doctors can be "sincere, patient and careful" to patients first, then all problems will be solved.