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Results for “Communication Barriers”

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At least 469 records · Page 26Linked to original sources
PubMed2005

Barriers to effective symptom management in hospice.

The barriers to effective symptom management in hospice are not well described. We surveyed nurses of hospices affiliated with the Population-based Palliative Care Research Network (PoPCRN) to identify barriers to the effective management of common symptoms in terminally ill patients. 867/1710 (51%) nurses from 67 hospices in 25 U.S. States returned surveys. Of 32 symptoms, nurses reported agitation (45%), pain (40%), and dyspnea (34%) as the 'most difficult to manage.' The most common perceived barriers to effective symptom management were inability of family care providers to implement or maintain recommended treatments (38%), patients or families not wanting recommended treatments (38%), and competing demands from other distressing symptoms (37%). Patterns of barriers varied by symptom. These nurses endorsed multiple barriers contributing to unrelieved symptom distress in patients receiving hospice care. Interventions to improve symptom management in hospice may need to account for these differing barrier patterns.

Communication Barriers↗
PubMed1999

Medication education of acutely hospitalized older patients.

OBJECTIVES: To determine the amount of time spent providing medication education to older patients, the impact of medication education on patients' knowledge and satisfaction, and barriers to providing medication education. DESIGN: Telephone survey of patients within 48 hours of hospital discharge and direct survey of physicians and pharmacists. SETTING: Internal medicine ward in a tertiary care teaching hospital. PARTICIPANTS: Patients 65 years of age and over regularly taking at least one medication. MEASUREMENTS: Patient demographics, medication use, time spent receiving or providing medication education, and satisfaction scores. MAIN RESULTS: Forty-seven respondents with a mean age of 77.1 years reported that physicians spent a mean of 10.5 minutes (range, 0-60 minutes) and pharmacists spent a mean of 5.3 minutes (range, 0-40 minutes) providing medication education. Fifty-one percent reported receiving no education from either physician or pharmacist, and only 30% reported receiving written medication instructions. Respondents were generally quite satisfied with their education. Physicians identified one or more barriers to providing education 51% of the time and pharmacists 80%. Lack of time was the most common barrier (18%) identified by physicians, but pharmacists cited lack of notification of discharge plans (41%) and lack of time (39%) as the main barriers. Respondents made many medication errors and knew little about their medications. CONCLUSIONS: Although older hospitalized patients received little medication education or written information and made many medication errors with and without medication education, approximately one half of physicians perceived no barriers to providing education.

Aged↗
PubMedDate not supplied

Working together in Peru--language needn't be a problem!

International, co-operative links between dental schools are an increasingly common occurrence, especially in relation to elective visits for under-graduates. However, in this feature for FDI World Norman Whitehouse and Gillian Jones from the Cardiff Dental School in Wales, UK, describe how they came to meet and assist Teresa Rios Caro in Peru, in rather different circumstances, and how language need not be a barrier when goodwill prevails.

Communication Barriers↗
PubMed2004

Awareness of hypertension and diabetes in the Hispanic community.

Major barriers to awareness and control of hypertension and diabetes in Hispanic Americans include poor language comprehension, poor physician-patient communication, cultural differences, low educational level, and lack of health insurance. To better communicate the concerns about the risk factors for cardiovascular disease, physicians could use patient-education materials that include illustrations, familiarize themselves with their Hispanic patients and their preferences regarding communication (e.g., formality, close proximity, appropriately used touch), and advocate government action to make health insurance more affordable. An increase in Spanish-speaking physicians would help alleviate some of the confusion that Hispanic patients experience in their interactions with health care providers.

Communication Barriers↗
PubMedDate not supplied

Recognizing pain in the institutionalized elder with dementia.

Of the approximately 2 million elders residing in nursing homes, experts estimate that 49% to 83% are experiencing pain. Elders in nursing homes have a high incidence of cognitive impairment, possibly as high as 50%. The verbalization of pain can be difficult for those with cognitive impairment, and elders with dementia may be undertreated and unknowingly allowed to suffer. This article summarizes what is known about pain assessment in the cognitively impaired elderly who reside in nursing homes. Clinical practice implications were derived from this summary. Until accurate ways of assessing pain are discovered, nurses must be educated to the prevalence of pain in cognitively impaired elders and the subtle ways in which it might be detected. Nursing practice is about eliminating suffering. Relieving suffering in those most vulnerable and unable to express their needs is critical.

Aged↗
PubMed1998

A description of the comprehensive test of nonverbal intelligence.

The Comprehensive Test of Nonverbal Intelligence, or CTONI, has become an essential compliment to the traditional tests of intelligence, such as the WISC-III, DTLA-3, and the Binet. The CTONI provides examiners with a measure of nonverbal reasoning that requires no spoken language or complex motor skills. The CTONI has been proven to be unbiased with regard to gender, minority, or disabling condition. Finally, it is possible to estimate the intelligence of people without the contamination of social, ethnic, or disability bias.

Child, Gifted↗
PubMed2006

E pluribus unum.

Explore the source record for details and available documents.

Accidents, Occupational↗
PubMed1998

Self-directed work teams: the wave of the future?

Although teams are currently a popular means of solving work force needs in health care, there has been little use of self-directed work teams--autonomous units without a front-line manager and empowered to control their own work. This article analyzes key differences between self-directed work teams and traditional teams, looks at three cases in which self-directed work teams were implemented, and discusses some of the barriers to the formation and use of self-directed work teams.

Communication Barriers↗
PubMed1989

Mental health consumer participation on boards and committees: barriers and strategies.

The article provides an overview of factors related to the participation of consumers of mental health services on boards and committees. Six primary barriers to effective consumer participation are addressed: incongruency between stated values and actual practice, tokenism, lack of representativeness, role strain, poor communication and economic factors. Strategies are proposed to increase the potential for effective implementation of consumer participation. The article concludes with a broad statement affirming interdependence and the potential for increasing the effectiveness of boards and committees and exerting a positive influence on the system.

Canada↗
PubMedDate not supplied

Education techniques for lifelong learning: giving a PowerPoint presentation: the art of communicating effectively.

Effectiveness of an oral presentation depends on the ability of the speaker to communicate with the audience. An important part of this communication is focusing on two to five key points and emphasizing those points during the presentation. Every aspect of the presentation should be purposeful and directed at facilitating learners' achievement of the objectives. This necessitates that the speaker has carefully developed the objectives and built the presentation around attainment of the objectives. The best presentations are rehearsed, not so that the speaker memorizes exactly what he or she will say, but to facilitate the speaker's ability to interact with the audience and portray a relaxed, professional, and confident demeanor. Rehearsal also helps alleviate stage fright. The most useful method of controlling nervousness is to visualize success. When showing images, it is important to orient the audience with an adequate description, point out the relevant findings, and allow enough time for the audience to assimilate the information before moving on. This can be facilitated with appropriate use of a laser pointer, cursor, or use of builds and transitioning. A presentation should be designed to include as much audience participation as possible, no matter the size of the audience. Techniques to encourage audience participation include questioning, brainstorming, small-group activities, role-playing, case-based examples, and directed listening. It is first necessary to motivate and gain attention of the learner for learning to take place. This can be accomplished through appropriate use of humor, anecdotes, and quotations. Attention should be given to posture, body movement, eye contact, and voice when speaking, as how one appears to the audience will have an impact on their reaction to what is presented.

Audiovisual Aids↗
PubMedDate not supplied

Communication options for intubated patients.

The number of communication options available to intubated patients is rapidly increasing. Selection of an appropriate augmentative communication approach depends on the decision-making practices of a team of experts. A series of oral and nonoral augmentative communication options is reviewed here, with particular emphasis on patients who are candidates for each approach.

Communication↗
PubMed1985

Professional and system barriers to organ donation.

Like the public, the majority of hospital staff support the concept of organ donation. Some practical problems inhibit their full participation. We believe that the improvements suggested in this report will substantially enhance the participation of committed professionals in the organ donation process. Professional and system barriers to organ donation can be alleviated by clarifying procedures; providing educational opportunities; providing emotional support for professional staff; maintaining and improving communications and advice strategies; lobbying for the legal recognition of brain death; and improving remuneration systems for the physicians and hospitals.

Attitude of Health Personnel↗
PubMed1995

Understanding barriers to basing nursing practice upon research: a communication model approach.

It is suggested in this paper that the potential barriers to facilitating research-based practice can be comprehensively understood using a communication model approach. Barriers can thus be explored related to the research findings' message, to the ways in which this message is encoded and transmitted by nurse researchers and to the ways in which the message is received, interpreted and accepted by nurse practitioners. The role of research-based practice as a communication feedback mechanism is also described. The paper concludes by proposing that strategies for increasing the research base of our profession are more likely to be successful if all of these potential barriers are taken into account.

Communication↗