Ilmu Komunikasi

1. Communication is not an add on

it is at the heart of patient care
2. Good communication is difficult :
few can master it without special tuition and costant attention to its effectiveness
3. The aim of communication is
to help you to develop the skill that will enable you to communicate effectively and sensitively
with
i. patients
ii. their relatives
iii. colleagues
4. Patients experiences of the care they receive often fall far short of the ideal
5. With the exciting technological advances being made in clinical medicine and to forget the
ancient aim of the physician :
to cure sometimes
relieve often
comfort always
6. Latest recommendations on undergraduate education
Graduates must be able to communicate clearly, sensitively and effectively with patients and
their relatives, and also colleagues from a variety of health and social care professions.
7. What is communication?
a. What does the word communication mean to you?
b. Do some brainstorming, either by yourself or in a group.
c. Write down all the words or phrases which come to mind.
8. The word communicate comes from the Latin to impart, to share.
9. Communication is imparting, conveying or exchanging ideas, knowledge, etc.
10. What is good communication ?
11. Patients preferred interviewers who :
a. Were warm and symphathetic
b. Were easy to talk to
c. Introduced themselves
d. Appeared self-confident
e. Listened to the patients and responded to their verbal cues
f. Asked questions that were easily understood and were precise
12. Why is good communication important ?
For better care for our patients
13. Doctors who communicate well with patients are more likely to :
Make an accurate, comprehensive diagnosis
i. Good communication skills enable one to collect information about a patients
problems that is comprehensive, relevant and accurate.
ii. It has been shown that doctors who have received training in communication
skills are more likely to diagnose psychiatric morbidity in their patients than
those who had not been trained.
14. Cont :

a. Detect emotional distress in patients and respond appropriately.

b. Have patients who are satisfied with the care they have received and who are less
anxious about their problems.
c. Have patients who agree with and follow the advice given.
15. Good communication can have a positive effect on the patients physical condition for example,
blood pressure.
16. One study showed that patients who had been allowed to express their concerns about their
problem had a significantly greater reduction in their blood pressure than those who had not
been given this opportunity but had been treated similarly in other respects.
17. Poor doctor-patient communication
Patients were most likely to complain about aspects of patient-doctor communication
rather than the technical aspects of care.
18. The most frequent complaints about the doctors were that they :
a. Would not listen
b. Would not give information
c. Showed lack of concern or lack of respect for the patient
19. In countries where patients are less likely to sue their doctors, patients still express
dissatisfaction about how doctors communicate and relate to them.
20. A report of a survey carried out in Britain includes a quote from a patient with breast cancer :
They just told me I was going to have a mastectomy. No choice, no explanation. They
dont discuss much with patients. I would have preferred that they had explained more.
21. Can communication skills be learned ?
a. Training to be a doctor involves the acquisition of
b. Knowledge
c. Skills
d. Appropriate attitudes
22. Like many aspects of medical education, it was assumed until fairly recently that students
aquire good communication skills and appropriate attitudes by a sort of osmosis by observing
and modelling their behaviour on that of their teachers.
23. This may not produce doctors who are good communicators.
24. It is now recognised that the apprenticeship method is not sufficient and that formal training in
communication skills is necessary and effective.
25. Medical schools have responded by introducing communication skills as a formal and
important part of the curriculum and assessments.
26. What is the evidence for the effectiveness of communication skills training ?
a. In the 1970s a series of studies was carried out on medical students during their fourthyear clerkship in psychiatry.
b. The study found that before training, students experienced difficulties in obtaining
histories from patients.
27. The difficulties which were highlighted included :
a. Not obtaining all the necessary information from the patient
b. Forgetting to ask about the influence of the patients problems on themselves and their
family
c. Failing to notice and respond to verbal and non-verbal cues from the patient
d. Looking bored during the interview.
28. Sampe Halaman 43