{"id":3125,"date":"2017-06-01T16:58:12","date_gmt":"2017-06-01T15:58:12","guid":{"rendered":"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/?page_id=3125"},"modified":"2024-02-22T09:46:28","modified_gmt":"2024-02-22T09:46:28","slug":"effective-communication","status":"publish","type":"page","link":"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/effective-communication\/","title":{"rendered":"Effective Communication"},"content":{"rendered":"\n<div style=\"background-color: #f8f9fa; padding: 15px; border-left: 3px solid #007bff; margin-bottom: 20px;\">\n    <h2 style=\"color: #007bff;\">Archived Content Notice<\/h2>\n    <p>You are currently accessing the Think Kidneys website. Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. As a result, the information presented here is no longer being updated or maintained.<\/p>\n    <p>For the most current and relevant information, we encourage medical professionals to visit the <a href=\"https:\/\/www.ukkidney.org\" target=\"_blank\" rel=\"noopener noreferrer\">UK Kidney Association<\/a> for comprehensive resources and updates in the field. Patients and their families can find valuable, patient-centric information and support at <a href=\"https:\/\/www.kidneycareuk.org\" target=\"_blank\" rel=\"noopener noreferrer\">Kidney Care UK<\/a>.<\/p>\n    <p>We would also like to inform you that the Kidney Quality Improvement Partnership (KQIP) is now part of the UK Kidney Association. For more information, please visit <a href=\"https:\/\/ukkidney.org\/kquip\/homepage\" target=\"_blank\" rel=\"noopener noreferrer\">KQIP&#8217;s homepage<\/a> under the UK Kidney Association.<\/p>\n    <p>We thank you for your understanding and invite you to explore these recommended resources for up-to-date insights and guidance in kidney care and health.<\/p>\n<\/div>\n\n\n<p>The following is a&nbsp;recommended intervention identified&nbsp;by the TP-CKD programme for implementation with both staff and patients, to test the following question:<\/p>\n<blockquote>\n<p>Can the use of intervention tools&nbsp;help to improve the knowledge, skills and confidence of patients with kidney disease to enable fuller participation in the management of their own health?<\/p>\n<\/blockquote>\n<p>To explore other interventions identified by the programme, visit our <a href=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/\">Interventions Toolkit Home Page<\/a><\/p>\n<h2>Effective Communication<\/h2>\n<p><strong>Effective communication<\/strong> between the patient and healthcare team is key to successful outcomes in patient-centered care and in enhancing patient engagement in their own care. Effective communication between individuals involves more than just information exchange. It is a skilled activity consisting of various key skill areas including non-verbal communication, listening, explanation, questioning, negotiation, reinforcement, persuasion, reflecting, opening and closing and self-disclosure (Hargie 2006). It requires clusters of behaviours, values, traits, and attitudes as well as skills to exchange information, feelings and meaning verbally and non-verbally.<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3471 size-full\" src=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/communication-cropped.jpg\" alt=\"\" width=\"146\" height=\"123\" srcset=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/communication-cropped.jpg 146w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/communication-cropped-100x84.jpg 100w\" sizes=\"auto, (max-width: 146px) 100vw, 146px\" \/><\/strong><\/p>\n<p><strong>What are the benefits?<\/strong><\/p>\n<ul>\n<li>Effective communication helps build good rapport between patient and health professionals and ensures a clear understanding of patient concerns and worries<\/li>\n<li>Good clear communication coupled with an empathetic understanding of patient needs helps build strong relationships and can enhance understanding and patient motivation<\/li>\n<li>Listening skills are an important part of good communication; being an \u201cactive\u201d listener helps avoid misunderstandings. Good listening skills enable health professionals to understand the deeper emotional issues affecting patients and help to contextualise management<\/li>\n<li>Good writing skills are also an essential part of good communication. A patient\u2019s level of understanding of written information can influence outcomes such as medication adherence or health behaviour change<\/li>\n<\/ul>\n<p><strong>How can it be used?<\/strong><\/p>\n<p><strong>For patients<\/strong><\/p>\n<ul>\n<li>To gain the knowledge skills and confidence to self-manage their condition<\/li>\n<li>To identify and address issues that impact upon everyday life beyond clinical outcomes<\/li>\n<li>To explain and clearly identify the reasons for making decisions about treatment and options based on the values and circumstances important to them<\/li>\n<li>To help build a relationship of equality with clinical teams where the experience and expertise of the patient can contribute to service provision and development<\/li>\n<\/ul>\n<p><strong>For staff<\/strong><\/p>\n<p>Effective communication helps the healthcare professional focus on the whole person. This includes sharing information and decisions, providing compassionate and empowering care, and being sensitive to patient needs. The following skills help build good relationships with patients.<\/p>\n<ul>\n<li>Active and attentive listening for both verbal and nonverbal communication<\/li>\n<li>Understanding patient\/family problems and working together to find manageable solutions<\/li>\n<li>Use of open questions where possible to elicit patient thoughts and ideas. Use closed questions in information giving<\/li>\n<li>For written communication, use clear wording in plain English and explain medical terminology in lay terms<\/li>\n<li>Involve patients and explain record keeping<\/li>\n<li>Learn and understand the barriers to communication<\/li>\n<\/ul>\n<p>Communication skills training is now assuming a larger role in many undergraduate and postgraduate clinical training programmes. Some aspects are also covered in NHS mandatory training programmes. Effective communication is integral to many of the interventions referred to in this toolkit including <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/ask-three-questions\/\">Ask 3 Questions<\/a>, <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/care-plans\/ \u200e\">Care Planning<\/a>, and <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/patient-decision-aids\/\">Use of Decision Aids<\/a>, <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/coaching\/\">Coaching <\/a>and <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/motivational-interviewing-mi\/\">Motivational Interviewing<\/a>. Training in advanced communication skills is often focused on particular speciality areas such as palliative care. A basic communications e-learning&nbsp;\u200ecourse can be accessed&nbsp;<a href=\"http:\/\/rcnhca.org.uk\/46-2\/principles-of-nursing-practice\/\">here<\/a>.<\/p>\n<p><strong>Useful Links and Resources<\/strong><\/p>\n<p><a href=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/blog\/communication-communication-communication\/\">Communication, communication, communication<\/a>: A&nbsp;personal blog on the importance of communication, written by&nbsp;Bill Dickson, Kidney Patient and member of the Nottingham Team for Transforming Participation in Chronic Kidney Disease<\/p>\n<p>Hargie O (ed). (2006). The Handbook of Communication Skills. Third edition. Hove: Routledge<\/p>\n<p>Lewin S, Skea, Entwistle VA, Zwarenstein M &amp; Dick J (2009). Interventions for providers to promote a patient-centred approach in clinical consultations (Review). The Cochrane Collaboration. John Wiley &amp; Sons Ltd<\/p>\n<p>How healthcare professionals in Scotland develop their communication skills, attitudes and behaviours:&nbsp; An independent report for NHS Education for Scotland Steven McCluskey, Susie Heywood, Niamh Fitzgerald Create Consultancy Ltd. <a href=\"http:\/\/www.createconsultancy.com\">www.createconsultancy.com<\/a><\/p>\n<p>Institute for Healthcare Communication \u2013 Impact of communication in Healthcare <a href=\"http:\/\/healthcarecomm.org\/about-us\/impact-of-communication-in-healthcare\/\">http:\/\/healthcarecomm.org\/about-us\/impact-of-communication-in-healthcare\/<\/a><\/p>\n<p><a href=\"http:\/\/group.bmj.com\/products\/learning\"><strong>BMJ Learning<br>\n<\/strong><\/a>A wide range of modules and events to assist doctors in their professional development. This includes the following communication skills modules:<\/p>\n<ul>\n<li><a href=\"http:\/\/learning.bmj.com\/learning\/search-result.html?moduleId=6057021\">Communication skills: an up to date guide<\/a><\/li>\n<li><a href=\"http:\/\/learning.bmj.com\/learning\/course-intro\/communication_skills_GPs.html?courseId=10032887&amp;searchTerm=%E2%80%9Ccommunication%E2%80%9D&amp;page=1&amp;locale=en_GB%20\">Advanced communication skills <\/a><\/li>\n<\/ul>\n<p>The Respect model<\/p>\n<p><a href=\"http:\/\/www.acog.org\/Resources-And-Publications\/Committee-Opinions\/Committee-on-Health-Care-for-Underserved-Women\/Effective-Patient-Physician-Communication\">http:\/\/www.acog.org\/Resources-And-Publications\/Committee-Opinions\/Committee-on-Health-Care-for-Underserved-Women\/Effective-Patient-Physician-Communication<\/a><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Archived Content Notice You are currently accessing the Think Kidneys website. Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. As a result, the information presented here is no longer being updated or maintained. For the most current and relevant information, we encourage medical professionals to visit the UK Kidney Association for comprehensive resources&#8230;<\/p>\n","protected":false},"author":130,"featured_media":0,"parent":3148,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-3125","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Effective Communication - Chronic Kidney Disease<\/title>\n<meta name=\"description\" content=\"Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. 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