Doctor-Patient Relationship - Article Example

400732 – Communication in Health Reflective Journal Student Name: Week: Student Number: REFLECTIVE RESPONSE (Please double space your reflective response) Understanding & critical analysis of the communication concept/issue Transference and counter transference Transference is where a health employee is identified through someone else for example like a parent (Ryle 1998). This especially occurs when the needs of the client are not met and can be positive, negative or neutral. This greatly influences the way a health promoter and the client communicate. For instance, when transference is positive there will be a good relationship between the client and the health professional. There will be a good sharing of information which will improve the provision of the health services (Ryle 1998). On the other hand, when there is negative transference, there will be less information being shared which will hinder effective communication (Kerr 1999). Transference can be increased by factors such as situations, anxiety setting and personality. Counter transference on the other hand is where the health employee has some feelings which are not professional towards the clients (DeFleur et al 2005). This can be as a result of the client being known the health worker. This relationship also can be positive, negative or both and can greatly influence the communication between the client and the health promoter (DeFleur et al 2005). Application of communication concept/issue to future professional practice (specific to future profession) Transference and counter-transference can be applied in various aspects when promoting health. As a health promoter, transference will help me to support the staff by helping them to understand their relationship with the clients. This will help to reduce anxiety between the health employee and client and also reduce over responsibility (Kerr 1999). It will also help me to manage the clients better because I will be able to identify the wishes which are articulated. It will help me to understand and maintain the boundaries with the client. In this regard, in my communication with the clients I need to make ensure that there is professional relationship. In order to maintain a professional relationship with the client, I will uphold the professional ethics like effective communication with the clients by keeping the information given confidential. This will help the client to feel safe and give more details (Kerr 1999). Reflection of own values related to the communication concept/issue Transference and counter-transference helps to distinguish different expectations between the client and the health promoter. The health professional expects that the client behaves in a manner that is professional like giving complete information to help the doctor to offer better services (Kerr 1999). The client is also expected that he or she gives honest information so that there will be good communication between the two parties (Kerr 1999). For instance when the client gives correct information, the health worker will be able to establish the cause of the problems that affects the client. On the other hand, the client expects that the person promoting health be honest in handling the problems of the clients. This will help to improve the quality of services offered. In addition, the client expects that the health employee show courtesy when communicating so as to motivate the client give full details. These values will help to maintain good relationship between the client and health services promoter and the relationship will be neutral transference and counter transference (Kerr 1999). Word Count: Reference List: Kerr, I. B. (1999) Cognitive analytic therapy for borderline personality disorder in the context of A Community Mental Health Team: individual and organisational psychodynamic Implications. British Journal of Psychotherapy, 15(4), 425–438. Ryle, A. (1998). Transferences and counter transferences: the cognitive analytic perspective. British Journal of Psychotherapy, 14(3), 303–309. DeFleur, M. H. Kearney, P. Plax, T. G. & DeFleur, M. L. (2005). Fundamentals of Human communication. New York, NY: McGraw-Hill. 400732 – Communication in Health Reflective Journal Student Name: Week: Student Number: REFLECTIVE RESPONSE (Please double space your reflective response) Understanding & critical analysis of the communication concept/issue Circular transactional theory Circular transactional theory is the theory of communication which states that for communication to take place, there has to be the sender and the receiver and that all people who are involved in the process are referred to as communicators (Corcoran 2007). The sender and the receiver constantly exchange ideas and the whole process ends up in form of a circle. The sender of the message arranges the ideas and encodes to a way it can be understood which can either be verbal or non verbal. The receiver receives the message, decodes it and translates it to make a meaning and interprets it to understand what the sender means (Corcoran 2007. The message should include the structure in which the message is assembled, the information and elements contained in it like words or the non verbal (Stephen 2000). The sender selects the most appropriate channel to send the message like oral or non verbal communication. The factors that influence communication between the sender and the receiver include physiological, psychological and physical factors. Upon reception of the message, the receiver provides the feedback to acknowledge that he or she has received the message (Corcoran 2007. In order to confirm that he or she has interpreted the message in the same meaning as the sender there is a validation feedback. Application of communication concept/issue to future professional practice (specific to future profession) This model of communication is so useful to me as a health professional because it greatly influences the way I should communicate with my clients. To start with, it helps me to understand the means of communication I should use to communicate with my clients (Joanna & Cheryl 2011). I will understand the best channel that will be used which can be understood best by the client. In addition, this theory helps me to understand the values of the clients so that I will learn to appreciate them in order to make the communication process better (Joanna & Cheryl 2011). As a health promoter, I will interact with many clients. Some of the people I will interact with include other health professionals and the patients. The circular transactional theory of communication influences greatly the way I interact with different people (Corcoran 2007). For instance the language to use when communicating fellow people who promote health will be different from those of the patients. During communication in my area of specialisation, noise could be physical noise or too many people talking at the same time (Corcoran 2007). It could also be verbal communication which could not be making any meaning. Reflection of own values related to the communication concept/issue Understanding the circular transactional theory will help to build positive relationship between the client and the health promoter. This is because there will be good communication to meet the objectives of communication like getting real information from the client to establish the cause of the problem (Joanna & Cheryl 2011). There will be good communication and interpretation of the message to avoid distortion of the message. If the health employee can use a language which cannot be understood by the client there will be wrong message interpretation leading to bad relationship between them. On the other hand the values for feedback and validation include honest, courtesy and tolerance. These values help to understand how the message was perceived by the recipient and how he or she interpreted it. Tolerance enables the health worker to be patient and wait for the feedback from the receiver. Word Count: Reference List: Corcoran, N. (2007). Theories and models in communicating health messages. New Harbinger Inc. Ducey, M. Heather, G & Dominic, W. (2003). Regulating affective labor: communication Skills training in the health care industry, New York, NY: McGraw-Hill Joanna, L & Cheryl, H. (2011). Pronunciation as Life and Death: Improving the Communication Skills of Non-Native English Speaking Pathologists. New York: NY: McGraw-Hill. Stephen, T. (2000). Concept analysis of gender, feminist, and women's studies research in The Communication literature. Communication Monographs, Vol. 67, No. 1, pp. 42-62. 400732 – Communication in Health Reflective Journal Student Name: Week: Student Number: REFLECTIVE RESPONSE (Please double space your reflective response) Understanding & critical analysis of the communication concept/issue Interpreters Interpreters are the people who translate communication from one language to another especially to people who don’t understand that language. In the health sector, all clients have the right to get an interpreter (DeFleur et al 2005). All health sector interpreters should be familiar with the health issues, terms used in the health sector and the culture of health so that they can translate the message the way it is said. Translation can be simultaneous or sequential interpretation. Simultaneous translations is where the translation is done at the same time the communication is made while sequential communication is where communication is done at intervals or portions and is mostly used when to interpret for clients (DeFleur et al 2005). Transliteration is where the translation for every word is done while interpretation is the general interpretation of the meaning (Sara 2011). Translation is important in many aspects in the health sector. It is especially done where the client speaks limited English which is not sufficient to make communication complete. In order to improve the use of an interpreter, the English used should be checked, introduce everyone and prepare information and questions for discussion (Sara 2011). Family interpreters should not be used because they are not health professionals. Some family members also could not feel free to discuss some issues in front of other members thus the interpreter will not give all the details. However it is convenient and most useful for information which is less sensitive (Sara 2011). Application of communication concept/issue to future professional practice (specific to future profession) The interpretation is mostly required when the client speaks limited English which cannot be fully understood by the health promoter. In this instance, the interpreter is required to help translate the message into the language that can be understood by the client (MaryGrace 2011). Another instance where interpretation is required is when the client could not understand the health terminologies being used by a person promoting health. Without understanding the terminologies, the client might interpret the message wrongly leading to poor communication thus interpretation is required (MaryGrace 2011). Another way to communicate with a client who speaks limited English is through is through sign language. This is where the client and the health promoter professional use some signs to communicate for example gestures and facial expressions and the movement of the hands (MaryGrace 2011). Interpretation is preferable to sign language in the circumstance where the client is blind and cannot see the signs. It is also preferable because it is more accurate than sign language. Reflection of own values related to the communication concept/issue Interpretation is important because it helps to enhance communication between the client and the health promoter professional (Lee & Laster 2013). When the client speaks limited English and there is no interpreter, there will be no communication because the two will not understand one another thus the need of an interpreter to improve the communication. Interpreters are also important because they help in translating the health terminologies so that they can be understood by the client (Lee & Laster 2013). There are some terminologies which are used by the health promotions that cannot be understood by the client thus they need an interpreter. Through the interpreter, the client will understand the message and respond appropriately. Word Count: Reference List: DeFleur, M. H. Kearney, P. Plax, T. G & DeFleur, M. L. (2005). Fundamentals of Human communication. New York, NY: McGraw-Hill. Lee, A. & Laster, B. (2013). Taking Technology from Clinic to Classroom, Cambridge, MA: Da Capo Press. Mary Grace, Z. (2011). By the Bedside: Lessons about Communication from an Internal Medicine Program Director, Cambridge, MA: Da Capo Press. Sara, M. T. (2011). The Clinical Skills (CS) Test: IMG Preparation and Perception. New York, NY: McGraw-Hill. 400732 – Communication in Health Reflective Journal Student Name: Week: Student Number: REFLECTIVE RESPONSE (Please double space your reflective response) Understanding & critical analysis of the communication concept/issue Two categories of motivation Motivation is a drive that influences the way in which a health worker conducts his or her tasks. Through motivation, a health promoter can be able to improve the quality of services offered to clients to meet their demands and satisfy them (Stephen et al 2006). There are two types of motivation in communication and they include the following; controlled motivation and self determined motivation (Stephen et al 2006). Controlled motivation is where the health person is motivated through the pressure from other professionals or through the clients. Other health promoters can motivate the other through pressure for instance pressuring the colleague to perform up to standards so as to meet the standards set (DeFleur et al 2005). This will motivate the professional to work hard through improving communication with the clients to meet their demands through good communication. They will provide the feedback which will be used to assess the motivation of the health professional. Self determined motivation is the motivation that is achieved through the benefits that the health worker achieves in form of rewards and self interests (Linda 2004). When a health worker is provided with incentives as a form of reward, he or she will have to improve the quality of service. Communication will also be good between the clients and the health worker because the health promoter wants to improve the quality of service offered to clients and can only be achieved through good communication thus motivation improves communication (Linda 2004). Application of communication concept/issue to future professional practice (specific to future profession) Motivation in the health sector is important especially when the health employee work for long hours. Sometimes the health workers can work for longer hours than usual to meet the demands of the clients (Linda 2004). In this situation, the workers might be bored with their work if they are not motivated thus will lower their communication effectiveness with the clients. Motivation is also applicable where there is need to improve the performance of the health worker. Some clients are hard to handle so if the health worker is not motivated, he or she may have communication breakdown with the clients thus the objective of meeting the clients demands cannot be achieved therefore this calls for motivation of the health worker (Linda 2004). Reflection of own values related to the communication concept/issue Motivation helps to improve the personality of the health worker. When a health worker employee is motivated, there will be improved communication with the client. This is because better services will benefit the worker in form of rewards thus each health worker employee will improve try to communicate well with the clients so as to be ranked best to be rewarded (Stephen et al 2006). Motivation also improves job satisfaction of the health worker employee. Through benefits and self interests the health worker is likely to develop passion for the job leading to satisfaction thus the services provided will be of good quality which includes good communication with the clients to establish the cause of their problems. Word Count: Reference List: Linda, A. (2004). Developing competencies, critical analysis and personal transferable skills in future information professionals, Library Review, 53(2), 82-88. Stephen, C. T. Mark, L. O. Matthew, O & Bronwyn, H. (2006). Communication skills training for doctors increases patient satisfaction, Clinical Governance: An International Journal, 11(4), 326 - 334. DeFleur, M. H., Kearney, P., Plax, T. G & DeFleur, M. L. (2005). Fundamentals of Human communication. New York, NY: McGraw-Hill. Read More