Personal and

Interdisciplinary
Communication
What is your
definition of
communication?
Communication
Interactive process that occurs when
a person (the sender) sends a verbal
or nonverbal message to another
person (the receiver) and receives
feedback
Kelly, 2012
Communication Process
Communication skills
Attending
Responding
Clarifying
Confronting
Supporting
Focusing
Open-ended questioning
Providing information
Using silence
Reassuring
HIPPA
Health Insurance Portability
and Accountability Act
Protects all individually identifiable health
information held or transmitted by a
covered entity or its business associate, in
any form or media, whether electronic,
paper, or oral.
Kelly, 2012
Secondary goal is to permit the flow of
information needed to provide quality
health care
Elements considered patient
identifiers under HIPPA
Names
St. Address, city, zip code
All elements of dates: DOB, Admission date,
D/C date, date of death
Telephone/fax numbers
E-mail addresses
SSN/ MRN
Full-face photographic images
Account numbers
Certificate/ license numbers

HIPPA HAPPENS
https://www.youtube.com/watch?v=MWK9DmmenIQ
Tips for protecting patient
privacy
1. when using an electronic documentation system
-Close results on computer screens when not working on
the screen
-Have screens point away from visitor traffic areas
-Change passwords often
-Do not share passwords with others

2. Refrain from removing copies of (PHI) from the hospital
3. Dispose of PHI properlyShred-It
4. Discuss patients and their care in appropriate settings
5. Place hard copies of patients charts and HCP
handwritten notes facedown




Tips for protecting patient
privacy (cont.)
6. Be aware of who is around you when
discussing patient information over the phone
with other HCP
7. When discussing PHI with the patient
-politely ask visitors to leave
-offer to move patient to a private are if in a
semiprivate room
8. Refrain from taking pictures of patients
without their written consent


Modes of communication
VERBAL VS NONVERBAL
Verbal: a conscious process, sender has ability to
control what is said
Nonverbal: unconscious and more difficult to
control.
ex. Body language, facial expressions
Electronic Communication
Tips for electronic
communication
Reply in a timely manner
Be accurate in spelling, grammar
Spell out your message clearly
Always proofread e-mails/texts before sending
Both parties have an understanding about the
circumstances under which different modes of
communication will be used
Remember, issues of confidentiality is of utmost
importance, maintain privacy
Levels of communication
PUBLIC: a group of people with a common
interest. Usually at a seminar/workshop, the
presenter acts as a sender of information
INTRAPERSONAL: what individuals do within
themselves, and it can present as doubts or
affirmations
INTERPERSONAL: involves communication
between individuals, person-to-person or small
groups
Interdisciplinary
Communication
Defined as health care professionals
assuming complementary roles and
cooperatively working together, sharing
responsibility for problem-solving and
making decisions to formulate and carry
out plans for patient care

ODaniel & Rosenstein, 2009
Ten characteristics of a good
team
Leadership and management
Communication
Personal rewards, training and development
Appropriate resources and procedures
Appropriate skill mix
Climate
Individual characteristics
Clarity of vision
Quality and outcomes of care
Respecting and understanding roles
Advantages of interdisciplinary
care
For the patients..
Improves care by increasing coordination of
services, especially for complex problems
Integrates health care for a wide range of
problems and needs
Empower patients as active partners in care
Can serve patients of diverse cultural
backgrounds
Uses time more efficiently
Advantages of interdisciplinary
care
For heath care professionals.
Increases professional satisfaction
Facilitates shift in emphasis from acute,
episodic care to long-term preventative care
Enables the practitioner to learn new skills and
approaches
Encourages innovation
Allows providers to focus on individual areas of
expertise
Advantages of interdisciplinary
care
For the health care delivery system.
Holds potential for more efficient delivery of
care
Maximizes resources and facilities
Decreased burden on acute care facilities as a
result of increases preventive care
Facilities continuous quality improvement
efforts
Limitation of interdisciplinary
team care
Process of team formation is time consuming
and requires matching of schedules of the
different team members
Collaboration requires communication among
team members
Increased use of limited services and resources
On-going conflict resolution and goal re-
assessment
Organizational barriers may limit reimbursement
for collaborative teams
Evidence-Based Research
Purpose: University of Pittsburgh Medical
Center, established an ICU Rounds Task
Force to improve interdisciplinary
communication, partnership, and patient
care delivery
Structured communication using a
systems-based framework



Evidence based research
Description: nurses have most current
information available, such as patients
therapeutic response to therapies
Group of nurses and physicians convened to
develop a structured format for nurse-led rounds
Requires the assertiveness of the nurse to speak
up during rounds
Evidence based research
Evaluations/Outcomes:
Preimplementation: 57% strongly agreed or
agreed
Postimplementation: 79.8% strongly agreed
or agreed

76.6% of nurses believed that ICU nurse-led
rounds have improved interdisciplinary
communication
Barriers to
communication
Common barriers to
communication
Use of Language
-Limited English Proficiency (LEP)
Culture
Health Literacy
Generational Differences
Intimidation
-new nurses
SBARR to help communicate
Situation: Identify self, unit, patient, room number,
admitting diagnosis. STATE THE PROBLEM
Background: Background information r/t the
situation
Assessment: State the current condition of the
patient
Recommendation: State what is needed from the
physician
Response: Document response of practitioner and
all actions taken to assure patient needs and safety
Overcoming
Communication
Barriers
Overcoming barriers
Understand the receiver
Communicate assertively
Use two-way communication
Unite with a common vocabulary
Elicit verbal and nonverbal feedback
Enhance listening skills
Be sensitive to cultural difference
Summary
https://www.youtube.com/watch?v=hZZ3cKu8XHA