Improving Nurse Patient Communication Using The Teach Back Method

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Improving Nurse-patient Communication Using the Teach-back Method

Author : Sheila R. Smallwood
Publisher :
ISBN 13 :
Total Pages : 136 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Improving Nurse-patient Communication Using the Teach-back Method by : Sheila R. Smallwood

Download or read book Improving Nurse-patient Communication Using the Teach-back Method written by Sheila R. Smallwood and published by . This book was released on 2018 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective nursing communication considers health literacy, the person’s ability to understand and make health decisions based on the information given. Health professionals often overestimate the health literacy of patients, thereby affecting patient outcomes. In a hospital environment, patients rate the ability of the nurse to explain things in a way patients understand by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) after discharge. The HCAHPS results are converted to a score which is used in a formula to determine hospital reimbursement; the lower the score, the lower the reimbursement. The purpose of this project was to improve nurse communication skills and facilitate patient understanding of care. A literature review revealed the teach-back method as a best practice strategy. Teach-back is a communication technique designed to improve patient understanding about what was said by healthcare providers. Teach-back is a way of presenting information, then asking patients to repeat what was said in their own words. An education module designed to improve nurse communication skills was implemented on a 14-bed hospitalist medical unit for the registered nurse staff (N=13). The education included content on health literacy and the teach-back method of communication. Nursing staff was surveyed before (61.5% response rate) and six weeks following (50% response rate) the educational offering, using the Health Professionals Communication Skills Scale (HP CSS), an 18-item tool measuring empathy, informative communication, respect, and social skills. In addition, patient responses to the HCAHPS question, the nurse explained things in a way you could understand were compared before and after the educational offering. -- Overall, the post-survey responses were lower than the pre-survey responses in each domain, indicating a decreased perception of communication by the nursing staff. The aggregate mean score for informative communication decreased from 5.01 to 4.83 (p = 0.37) and social skills decreased from 3.85 to 3.75 (p = 0.87) on the post-survey, with significant aggregate mean score decreases for respect 5.46 to 4.76 (p

A Quality Improvement Project to Promote Teach-Back Education Provided by Cardiac Nurses Using the Teach-Back Method

Author : Esther Williams Brant
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (136 download)

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Book Synopsis A Quality Improvement Project to Promote Teach-Back Education Provided by Cardiac Nurses Using the Teach-Back Method by : Esther Williams Brant

Download or read book A Quality Improvement Project to Promote Teach-Back Education Provided by Cardiac Nurses Using the Teach-Back Method written by Esther Williams Brant and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-based literature suggests that Teach-back is an effective patient education strategy. The purpose of this Doctor of Nursing Practice (DNP) project was to reeducate the nurses on the effective use of Teach-back on a cardiac unit at a community hospital in Maryland. The aim of promoting Teach-back (TB) is to assist nurses in becoming comfortable and competent in using Teach-back effectively. The goal is to improve patient education documentation, increase the use of Teach-back for patient education, close the loop on nurse-patient communication, encourage patient's engagement, and enhance health literacy, and improve patient outcomes. This quality improvement (QI) project took place over a four-week period. Pre-and post-intervention questionnaires were given to cardiac nurses at the hospital before and after the implementation of the educational intervention. A pre- and -post-test design was used to evaluate the increase use of Teach-back. Descriptive analysis was performed to determine if the Teach-back reeducation of the nurses would improve the use of Teach-back. The findings indicated a considerable improvement in the nurses' competence and confidence in using Teach-back for patient education after the intervention. The findings can contribute to positive change by improving the quality of cardiac care, preventing readmissions, and reducing healthcare costs in cardiac facilities. Keywords: Teach-back, education, teaching, health literacy, literacy, patient education.

Improving Nurse-patient Communication about New Medicines

Author : Srimala Thinsan
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (925 download)

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Book Synopsis Improving Nurse-patient Communication about New Medicines by : Srimala Thinsan

Download or read book Improving Nurse-patient Communication about New Medicines written by Srimala Thinsan and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving Nurse-patient Communication about New Medicines Abstract The project aimed at improving nursing communication with patients and families about medication in order to increase patient satisfaction in terms of safety, quality of care, and patient-centeredness in an acute care setting. The selected patient cohort was at a 42-bed medical-surgical unit in a trauma center in Oakland, California. The gap of nurse-patent communication about medicines was identified based on the HCAHPs scores that had been found to be lower than average (44.1% in March 2015; 40.9% in April 2015). The visibility board was provided to show the staff the HCAHPS scores, the pre-survey scores, the information about the teach-back method, and how the "ask3/teach3" approach would be implemented during medication administration with the easy access to the information of the medicines through the EHR during the medication administration. The compared results of 40 surveys from the pre-intervention and post-intervention revealed the increased number of the patients who knew the names of new medicines they had been taking from 25% to 75%, knew the purposes from 50% to 90%, and knew the side effects from 15% to 50%. The teaching materials and strategies included the flyers about the ask3/teach3 methods, the sheets of common side effects of medications list, the communication board on the medicine section, and the role-play on ask3/teach3 intervention. Based on the project, to ensure the effectiveness of the engagement in medication communication process, it is recommended that sustained efforts in collecting data and evaluating the effectiveness of the intervention be encouraged as an ongoing process with staff collaboration. Srimala Thinsan, RN, BA, BSN, M.Ed., MSN University of San Francisco, Summer 2015

TeachBack

Author : Elizabeth M. Breton
Publisher :
ISBN 13 :
Total Pages : 61 pages
Book Rating : 4.:/5 (113 download)

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Book Synopsis TeachBack by : Elizabeth M. Breton

Download or read book TeachBack written by Elizabeth M. Breton and published by . This book was released on 2019 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient education at discharge from the hospital is an essential element to continuation of care and management of chronic health issues. While many elements may contribute to patient satisfaction with discharge education, use of the teach-back method has been found to improve retention of discharge instruction, as well as increase patient confidence in chronic disease management and self-care at the time of discharge. Patient satisfaction with discharge education is a notable component of hospital reimbursement by national standards, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems survey (HCAHPS) results. Following education of nursing staff participating in use of discharge teaching, patient satisfaction with discharge instructions taught using the teach-back method was measured via HCAHPS for a period of two months. Results suggested potential correlation to improved HCAHPS scores for the question “When I left the hospital, I had a good understanding of the things I was responsible for in managing my health,” associated with use of teach-back at time of discharge.

Communication for Nurses: Talking with Patients

Author : Lisa Kennedy Sheldon
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763769924
Total Pages : 219 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Communication for Nurses: Talking with Patients by : Lisa Kennedy Sheldon

Download or read book Communication for Nurses: Talking with Patients written by Lisa Kennedy Sheldon and published by Jones & Bartlett Learning. This book was released on 2009-10-07 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Communication for Nurses offers valuable techniques delivered in a concise, user-friendly format that encourages reader's development of a personal, professional communication style. Topics include effective communication in difficult situations, the nurse-patient relationship, working with different patient groups and families, and communicating with other healthcare providers."-- Book Jacket.

Textbook of Palliative Care Communication

Author : Elaine Wittenberg
Publisher :
ISBN 13 : 0190201703
Total Pages : 457 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Textbook of Palliative Care Communication by : Elaine Wittenberg

Download or read book Textbook of Palliative Care Communication written by Elaine Wittenberg and published by . This book was released on 2015-11-20 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The Textbook of Palliative Care Communication' is the authoritative text on communication in palliative care. Uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, it unites clinicians and academic researchers interested in the study of communication.

Advances in Patient Safety

Author : Kerm Henriksen
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Reflexivity

Author : Linda Finlay
Publisher : John Wiley & Sons
ISBN 13 : 0470776986
Total Pages : 269 pages
Book Rating : 4.4/5 (77 download)

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Book Synopsis Reflexivity by : Linda Finlay

Download or read book Reflexivity written by Linda Finlay and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reflexivity is a popular tool used to analyse personal, intersubjective and social processes which shape research projects. It enables researchers, particularly within the qualitative tradition, to acknowledge their role and the situated nature of their research. In the current climate, which sees the popularity of qualitative methods coupled with increased public and professional scrutiny of research, reflexivity provides a means of bolstering greater transparency and quality in research. This book recognises the considerable value of reflexivity to researchers, and provides a means to navigate this field. The book is foremost a practical guide which examines reflexivity at different stages of the research process. The editors and contributors offer candid approaches to the subject, which supply readers with diverse strategies on how to do reflexivity in practice. Features * Provides an accessible, practical guide to reflexive research processes, methods and outcomes * Encompasses both the health and social science fields * Includes contributions from international researchers The book is aimed at postgraduate and final year students of health and social sciences. Interested clinicians will also find useful insights in the text.

Improving Patient Outcomes Through Use of the Teach-back Method in the Post Anesthesia Care Unit

Author : Kathleen O'Sullivan
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (98 download)

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Book Synopsis Improving Patient Outcomes Through Use of the Teach-back Method in the Post Anesthesia Care Unit by : Kathleen O'Sullivan

Download or read book Improving Patient Outcomes Through Use of the Teach-back Method in the Post Anesthesia Care Unit written by Kathleen O'Sullivan and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The setting for this Clinical Nurse Leader (CNL) project was the Post Anesthesia Care Unit (PACU) at a level I trauma center in the Bay Area. The goal was to improve the discharge education performed by the PACU nurses to improve patient safety and decrease the chance of complications or readmissions to this hospital. With no clear instructions for how discharge teaching should be done, the nurses have many differing styles which leaves room for gaps in discharge planning. This influenced the implementation of the teach-back method during discharge planning in order to ensure proper education and increased patient understanding. A literature review revealed that the teach-back method has helped to decrease hospital readmissions and prevents complications patients may experience during home self-care. The Joint Commission, Agency for Healthcare Research and Quality, and the Institute for Healthcare Improvement all state that the teach-back method for discharge planning is best practice. Project data was collected through observation, microsystem assessments and through nurse and patient surveys. Interventions included nurse education at staff meetings, one on one in-service educations and teach-back handouts. The pre-intervention nurse survey (n=26) showed that 80% of the nurses were familiar with the teach-back method while only 36% of nurses used teach-back during discharge planning regularly. The patient survey (n=25) revealed that patients were able to retain 68% of the information presented during discharge education. One on one in-service education on the teach-back method is still being conducted at this time, with high nurse satisfaction. Follow-up surveys will commence when 100% of the staff have completed the in-service. The expected final outcome of this project is the implementation of the teach-back method during discharge planning by all nurses and increased patient understanding of discharge education.

Health Literacy in Nursing

Author : Terri Ann Parnell
Publisher : Springer Publishing Company
ISBN 13 : 0826161723
Total Pages : 322 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Health Literacy in Nursing by : Terri Ann Parnell

Download or read book Health Literacy in Nursing written by Terri Ann Parnell and published by Springer Publishing Company. This book was released on 2014-08-18 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Fundamentals of Health Care Improvement

Author : Gregory S. Ogrinc
Publisher :
ISBN 13 : 9781635852721
Total Pages : 0 pages
Book Rating : 4.8/5 (527 download)

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Book Synopsis Fundamentals of Health Care Improvement by : Gregory S. Ogrinc

Download or read book Fundamentals of Health Care Improvement written by Gregory S. Ogrinc and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Health Literacy Within a State

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309215757
Total Pages : 114 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Improving Health Literacy Within a State by : Institute of Medicine

Download or read book Improving Health Literacy Within a State written by Institute of Medicine and published by National Academies Press. This book was released on 2011-11-07 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health literacy is the degree to which individuals can obtain, process, and understand the basic health information and services they need to make appropriate health decisions. According to Health Literacy: A Prescription to End Confusion (IOM, 2004), nearly half of all American adults-90 million people-have inadequate health literacy to navigate the healthcare system. To address issues raised in that report, the Institute of Medicine convened the Roundtable on Health Literacy, which brings together leaders from the federal government, foundations, health plans, associations, and private companies to discuss challenges facing health literacy practice and research and to identify approaches to promote health literacy in both the public and private sectors. On November 30, 2010, the roundtable cosponsored a workshop with the University of California, Los Angeles (UCLA), Anderson School of Management in Los Angeles. Improving Health Literacy Within a State serves as a summary of what occurred at the workshop. The workshop focused on understanding what works to improve health literacy across a state, including how various stakeholders have a role in improving health literacy. The focus of the workshop was on presentations and discussions that address (1) the clinical impacts of health literacy improvement approaches; (2) economic outcomes of health literacy implementation; and (3) how various stakeholders can affect health literacy.

Nursing Case Studies on Improving Health-Related Quality of Life in Older Adults

Author : Kathy Murphy, PhD, MSc, BA, RGN, RNT, Dip Nur, Dip Nur Ed
Publisher : Springer Publishing Company
ISBN 13 : 0826127045
Total Pages : 464 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Nursing Case Studies on Improving Health-Related Quality of Life in Older Adults by : Kathy Murphy, PhD, MSc, BA, RGN, RNT, Dip Nur, Dip Nur Ed

Download or read book Nursing Case Studies on Improving Health-Related Quality of Life in Older Adults written by Kathy Murphy, PhD, MSc, BA, RGN, RNT, Dip Nur, Dip Nur Ed and published by Springer Publishing Company. This book was released on 2015-04-13 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Features evidence-based, practical, and effective strategies for creating and maintaining optimal quality of life for older adults This globally focused resource integrates sound research evidence, real-life case scenarios, and effective, practical strategies to address a key health care initiative of the 21st century: optimal quality of life for older adults. Distinguished by its broad outlook, the book includes contributions from an international cadre of widely published scholars and is designed for easy integration into traditional nursing education curricula. The book explores the experiences of older adults at home, in assisted living, and in nursing home environments, examining their complex and wide-ranging health, spiritual, and emotional needs. The book is organized into two sections that address quality of life issues. Section I broadly addresses quality of life issues across the full range of care environments, while Section II addresses some of the more specific issues and health conditions that have an impact on the quality of life of older adults. A detailed and multidimensional case study opens each chapter, including subjective and objective data focusing on the quality-of-life domain being addressed. Articulation and definition of each quality-of-life issue are presented along with information on the incidence and prevalence of the problem. Several cases addressing issues older adults encounter in preventing and managing acute and chronic disease serve as a clinical resource guide, with an emphasis on clinical reasoning. Each chapter features a comprehensive, synthesized literature review, delivering the best evidence in the field and offering effective strategies for managing care issues. Generalist and advanced practice nursing roles in promoting quality of life, along with relevant cultural considerations, are covered in detail. Each chapter concludes with tips and strategies for the promotion of quality of life among older adults, accompanied by a list of critical thinking questions. Content is organized to be compatible with the Adult-Gero Nurse Practitioner Certification Test Plan. Key Features: Addresses key quality-of-life education and practice initiatives advanced by leading gerontology organizations worldwide Includes detailed, multifaceted case studies reflecting extensive, current evidence-based literature Describes practical, cost-effective strategies aimed at maintaining health Disseminates the universally applicable perspectives of international scholars of global aging Provides content compatible with the Adult-Gero Nurse Practitioner Certification Test Plan

Reinforcing Teach-back Method Regarding Pain Management for Non-verbal Patients and Their Families

Author : Renee Krystle Doll Lazaro
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (948 download)

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Book Synopsis Reinforcing Teach-back Method Regarding Pain Management for Non-verbal Patients and Their Families by : Renee Krystle Doll Lazaro

Download or read book Reinforcing Teach-back Method Regarding Pain Management for Non-verbal Patients and Their Families written by Renee Krystle Doll Lazaro and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain has been known to have physiologic, psychologic and emotional consequences. Education in pain management has been part for standard care for nurses. The purpose of this study was to reinforce teach-back techniques with nurses when delivering pain management education with non-verbal patients in order to improve patient outcomes in the adult ICU. By using the teach-back method, the nurse will be able to hone a more collaborative approach in dealing with pain, encourage autonomy and include the patient/family in making informed decisions regarding treatment for pain. Reinforcement regarding teach-back was focused on teaching points, and rewording teach-back cues to better engage with the patient/family and acquire more data, not just for the education but for their routing cares as well. A family guide was used as a visual aid for the teaching. A survey was conducted, pre-/post-reinforcement whether or not the nurses do teach-back and observations and family interviews were done after the reinforcement of teach-back technique. The findings show that four out of five family interviews found the guide to be useful, and four out of five nurses found the guide to be useful.

Nursing Interventions & Clinical Skills - E-Book

Author : Anne G. Perry
Publisher : Elsevier Health Sciences
ISBN 13 : 0323241158
Total Pages : 891 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Nursing Interventions & Clinical Skills - E-Book by : Anne G. Perry

Download or read book Nursing Interventions & Clinical Skills - E-Book written by Anne G. Perry and published by Elsevier Health Sciences. This book was released on 2015-01-08 with total page 891 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 6th Edition makes it easy to master the clinical skills required in everyday nursing practice. Clear guidelines address 159 basic, intermediate, and advanced skills — from measuring body temperature to insertion of a peripheral intravenous device — and step-by-step instructions emphasize the use of evidence-based concepts to improve patient safety and outcomes. Its friendly, easy-to-read writing style includes a streamlined format and an Evolve companion website with review questions and handy checklists for each skill. Coverage of 159 skills and interventions addresses basic, intermediate, and advanced skills you'll use every day in practice. UNIQUE! Using Evidence in Nursing Practice chapter provides the information needed to use evidence-based practice to solve clinical problems. Safe Patient Care Alerts highlight unusual risks in performing skills, so you can plan ahead at each step of nursing care. Delegation & Collaboration guidelines help you make decisions in whether to delegate a skill to unlicensed assistive personnel, and indicates what key information must be shared. Special Considerations indicate additional risks or accommodations you may face when caring for pediatric or geriatric patients, and patients in home care settings. Documentation guidelines include samples of nurses’ notes showing what should be reported and recorded after performing skills. A consistent format for nursing skills makes it easier to perform skills, always including Assessment, Planning, Implementation, and Evaluation. A Glove icon identifies procedures in which clean gloves should be worn or gloves should be changed in order to minimize the risk of infection. Media resources include skills performance checklists on the Evolve companion website and related lessons, videos, and interactive exercises on Nursing Skills Online. NEW coverage of evidence-based techniques to improve patient safety and outcomes includes the concept of care bundles, structured practices that have been proven to improve the quality of care, and teach-back, a new step that shows how you can evaluate your success in patient teaching. NEW! Coverage of HCAHPS (Hospital Care Quality Information from the Consumer Perspective) introduces a concept now widely used to evaluate hospitals across the country. NEW! Teach-Back step shows how to evaluate the success of patient teaching, so you can be sure that the patient has mastered a task or consider trying additional teaching methods. NEW! Updated 2012 Infusion Nurses Society standards are incorporated for administering IVs, as well as other changes in evidence-based practice. NEW topics include communication with cognitively impaired patients, discharge planning and transitional care, and compassion fatigue for professional and family caregivers.

Fundamentals of Nursing - E-Book

Author : Patricia A. Potter
Publisher : Elsevier Health Sciences
ISBN 13 : 0323812155
Total Pages : 1542 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Fundamentals of Nursing - E-Book by : Patricia A. Potter

Download or read book Fundamentals of Nursing - E-Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2021-12-22 with total page 1542 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW content includes topics such as clinical judgment, COVID-19, compassion fatigue, gun violence, patient safety, the opioid epidemic, and device addiction. NEW! Next Generation NCLEX®-style questions with cases are provided on the Evolve website to prepare you for these challenging new question types. NEW! Nursing Process and Clinical Judgment steps are coordinated so that you can quickly understand how both models drive their nursing care. NEW objectives are clearly and precisely tied to content, making it easier to find relevant information.

The Art of Communication in Nursing and Health Care

Author : Theresa Raphael-Grimm, PhD, CNS
Publisher : Springer Publishing Company
ISBN 13 : 0826110568
Total Pages : 202 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The Art of Communication in Nursing and Health Care by : Theresa Raphael-Grimm, PhD, CNS

Download or read book The Art of Communication in Nursing and Health Care written by Theresa Raphael-Grimm, PhD, CNS and published by Springer Publishing Company. This book was released on 2014-10-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years