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Showing items related by title, author, creator and subject.
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Exploratory Study of Nurse-Patient Encounters in Home Healthcare: A DissertationThe purpose of this study was to explore nurse-patient encounters from the perspective of the Home Healthcare Registered Nurse. A qualitative descriptive design was used to collect data from a purposive sample of 20 home healthcare registered nurses from Connecticut, Massachusetts, and Rhode Island currently or previously employed as a home healthcare nurse. Four themes and one interconnecting theme emerged from the data: Objective Language; Navigating the Unknown; Mitigating Risk; Looking for Reciprocality in the Encounter; and the interconnecting theme of Acknowledging Not All Nurse-Patient Encounters Go Well. One goal of the study was to propose an empirically informed definition of what constituted a difficult encounter. An important early finding was that the terms difficult patient and difficult encounter were not generally used by study participants. HHC RNs voiced a preference for objective and nonjudgmental language to communicate outcomes of nurse-patient encounters. Three types of HHC RN-patient interactions emerged from the data, with constructive encounters the norm and non-constructive or destructive encounters less frequent. A constructive encounter is when two or more human beings, the nurse on the one side, and the patient, caregiver, or both on the other, interact to achieve a mutually agreed upon outcome. A nonconstructive encounter is when one or more human beings obstruct efforts to achieve at least one positive outcome. A destructive encounter is when one or more human beings direct anger at or physically aggress toward another human being. Strategies to promote reciprocality are routinely employed during HHC RN-patient encounters, but HHC RNs who miss cues that a strategy is ineffective or failed may be at risk in the home. Study data lend support to key concepts, assumptions, and propositions of Travelbee’s (1971) Human-to-Human Relationship Model. Study results provide a foundation for further research to increase the understanding, recognition, and development of empirically derived responses to non-constructive or destructive encounters such that HHC RNs are safe and best able to meet patients’ healthcare needs.
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Motivational Interviewing from Theory to Practice: Engaging the Patient Throughout the MTM EncounterThe application of motivational interviewing (MI) can be used to improve patient communication and outcomes. MI techniques can be used in conversations with patients to identify their readiness to change health-related behaviors and collaborate with them in achieving these changes. It is particularly helpful when determining why patients may be taking their medications improperly, or not at all. The technique enhances the pharmacists’ communication with patients and can make a difference in their health outcomes. Presented at the 2015 MTM and Medication Adherence Innovations Summit, Nashville, TN.
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Integrating Measures of Social Determinants of Health Into Health Care Encounters: Opportunities and ChallengesThere are a number of potential benefits for identifying and documenting social determinants of health in health care delivery settings.
