Komkes (Pengantar) - dr. Arif Hari Martono Marsaban, SpAn-KAP

Summary

This video focuses on the Calgary Cambridge Framework, which serves as a guide for effective interpersonal communication between healthcare professionals and patients. It highlights the stages of communication, including the introduction, information gathering, assessment, explanation, and closing of a consultation. The framework emphasizes the importance of using clear, accessible language, building trust, and ensuring patient involvement in their care. The example scenario involves a doctor explaining tuberculosis management to a 30-year-old male patient, focusing on proper therapy and lifestyle considerations. The video aims to improve understanding of effective communication in healthcare settings.

Takeaways

• 😀 The video explains interpersonal communication between healthcare workers and patients using the Calgary-Cambridge Framework.
• 😀 Interpersonal communication involves two or three people, with fast feedback and active engagement from both parties.
• 😀 One person acts as the source of information (e.g., doctor), while the recipient(s) receive and respond.
• 😀 Communication obstacles may include medical jargon that patients may not understand.
• 😀 The Calgary-Cambridge Framework structures communication into five stages: opening, information gathering, assessment, explanation & planning, and closing.
• 😀 Opening involves greetings, introduction, and building trust with the patient.
• 😀 Information gathering requires collecting accurate patient data, including identifying the patient correctly using name and date of birth.
• 😀 Assessment includes examining the patient and evaluating their health issues before providing explanations or recommendations.
• 😀 Explanation & planning involve sharing test results, treatment plans, and ensuring the patient understands the next steps.
• 😀 Closing the session includes summarizing the consultation, confirming patient understanding, and providing encouragement or small talk to maintain rapport.
• 😀 Effective communication requires both verbal and nonverbal cues, active patient involvement, and mutual trust.
• 😀 The example scenario features a 30-year-old male TB patient receiving guidance on treatment management after prior consultations and tests.

Q & A

What is the Calgary Cambridge Framework, and how does it apply to doctor-patient communication?

The Calgary Cambridge Framework is a structured guide used to improve interpersonal communication, particularly between health workers (like doctors) and patients. It provides a step-by-step method to ensure effective and clear communication, which can be applied to a variety of healthcare settings, including interviews and counseling.

What are the key stages of interpersonal communication as outlined in the transcript?

The key stages of interpersonal communication are: 1) Opening the session, 2) Collecting information, 3) Conducting a physical examination or assessing the patient’s issues, 4) Providing explanations based on findings, and 5) Closing the session.

Why is the feedback loop important in interpersonal communication between a doctor and a patient?

The feedback loop ensures that both the doctor and the patient understand each other. It allows the doctor to check if the patient comprehends the information given and provides an opportunity for the patient to ask questions or clarify doubts.

How can a doctor establish trust with a patient during a consultation?

A doctor can establish trust by using good verbal and nonverbal communication, showing empathy, actively listening to the patient, and ensuring the patient feels heard and respected. Mutual trust encourages the patient to be open and share relevant information.

What role does nonverbal communication play in doctor-patient interactions?

Nonverbal communication is crucial because it can convey empathy, understanding, and attentiveness. The doctor’s body language, eye contact, and tone of voice all contribute to creating a comfortable environment where the patient feels valued and understood.

What is the importance of patient identification in healthcare settings?

Patient identification is critical to prevent mistakes or misidentification, especially during stressful situations. It ensures that the right patient receives the correct treatment. The patient’s name and date of birth are used to confirm their identity.

What is the purpose of the ‘purpose of the meeting’ stage in the communication process?

The purpose of the meeting stage is to ensure that both the doctor and the patient share the same understanding of the consultation’s objective. This helps clarify the goals of the meeting, whether it’s diagnosis, treatment planning, or answering the patient’s questions.

What should the doctor do after collecting information from the patient?

After collecting information, the doctor should analyze the data and provide explanations based on the findings. This includes discussing the patient’s condition, possible treatments, and any necessary lifestyle changes or actions the patient should take.

Why is it important for a patient to be actively involved in their consultation?

Active involvement from the patient ensures that they understand the information being presented and can make informed decisions about their treatment. It also helps the doctor assess the patient’s understanding and address any concerns or misunderstandings.

What should a doctor do during the closing of a consultation?

During the closing, the doctor should summarize the key points discussed, check the patient’s understanding, provide any final instructions, and offer encouragement. It’s important to leave the patient feeling reassured and clear about the next steps in their treatment.