Advanced Effective Communication, Cultural Competence, and ...

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A Roadmap for Hospitals Chapter One: Admission • Note any additional needs in the medical record and communicate these needs to staff. ❑ Communicate information about unique patient needs to the care team. Information on patient needs collected during admission can help staff coordinate communication assistance, plan for cultural or religious or spiritual accommodations, or provide necessary equipment throughout the care continuum. • Note all relevant data in the patient’s medical record. • Create a process to identify any patients with unique needs (for example, color code the patient’s chart, add flags or stickers to the patient’s chart, or use patient armbands to denote different patient needs). • Ensure that data collected during admission can be transferred to the clinical database for use at the point of care, especially if multiple data systems are used to capture patient information. References: 1. U.S. Census Bureau: American Community Survey, 2008 American Community Survey 1-Year Estimates, S1601. Language Spoken at Home. Washington, DC: U.S. Census Bureau, 2008. Available at http://factfinder.census.gov. (Accessed April 15, 2010.) 2. U.S. Department of Commerce Bureau of the Census: Language Identification Flashcard. Available at http://www.justice.gov/ crt/cor/Pubs/ISpeakCards.pdf. (Accessed March 1, 2010.) 3. White S., Dillow S.: Key Concepts and Features of the 2003 National Assessment of Adult Literacy. Washington, DC: National Center for Education Statistics, U.S. Department of Education, 2005. Available at http://nces.ed.gov/NAAL/PDF/2006471.PDF. (Accessed April 15, 2010.) 4. Hasnain-Wynia R., et al.: Health Research and Educational Trust Disparities Toolkit. Chicago, IL: Health Research & Educational Trust, 2007. Available at http://www.hretdisparities.org. (Accessed March 2, 2010.) 12
Chapter Two Assessment After a patient is admitted to the hospital, clinical staff conduct a clinical assessment to determine the care, treatment, and services that will meet the patient’s needs. Staff should focus on collecting any clinical, environmental, demographic, or social information relevant to diagnose and treat the patient. Although several basic patient needs should be identified during admission, the assessment process provides an opportunity to probe potentially sensitive issues more deeply. Many factors can influence care and are important to consider. Some of these include the patient’s health literacy, mobility, sexual orientation, gender identity and expression, cultural, religious, spiritual, lifestyle, or dietary needs. This chapter highlights the importance of integrating effective communication, cultural competence, and patient- and family-centered care into the hospital’s system of clinical patient assessment. The accuracy of assessment depends upon the accuracy of the information received, making effective patient–provider communication vitally important. Staff must make sure to address the patient’s communication needs before conducting a comprehensive assessment or engaging the patient in care discussions. The next section includes both recommended issues to address during patient assessment (with check boxes) and practice examples (with round bullets). While the recommended issues present broad, overarching concepts that all hospitals should address, the example practices and methods may not apply to all hospital types, sizes, or settings. ✔ Checklist to Improve Effective Communication, Cultural Competence, and Patient- and Family-Centered Care During Assessment ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Identify and address patient communication needs during assessment. Begin the patient–provider relationship with an introduction. Support the patient’s ability to understand and act on health information. Identify and address patient mobility needs during assessment. Identify patient cultural, religious, or spiritual beliefs or practices that influence care. Identify patient dietary needs or restrictions that affect care. Ask the patient to identify a support person. Communicate information about unique patient needs to the care team. Recommended Issues and Related Practice Examples to Address During Assessment ❑ Identify and address patient communication needs during assessment. Provide appropriate communication assistance during the assessment process to meet the communication needs previously identified during the admission process and allow for accurate information exchange between the patient and provider. Patient communication needs and supports should be recorded in the patient’s medical record, and any documented communication needs should trigger staff to arrange for the appropriate communication assistance.* * See Chapter 6: Organization Readiness: Provision of Care, Treatment, and Services (page 40 and 41) for additional information on providing language services, auxiliary aids, and augmentative and alternative communication resources. 13
Page 1 and 2: Advancing Effective Communication,
Page 3 and 4: Table of Contents Acknowledgements
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Page 9 and 10: Introduction Every patient that ent
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Appendix D LAWS AND REGULATIONS Vir
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Appendix E RESOURCE GUIDE Appendix
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