A compassionate pause

Links, Matthew; Ayling, Terry; Doran, Joanne; Braganza, Shahina; Martin, Peter; Clayton, Josephine M; Hiremagalur, Balaji

doi:10.1016/j.pec.2020.08.012

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…Another criticism of reducing healthcare communication to a list of steps is that doing this neglects the importance of intention and values. It makes a difference to the patient if the same content is addressed with a priority given to compassion or efficiency (M Links et al 2020). Making the intention explicit is thus an important aspect of implementing a communication framework.…”

Section: Links Et Almentioning

confidence: 99%

ISBAR+ a communication tool to advocate for patients

Links,

McLean,

Pepper

et al. 2024

HEPJ

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Introduction Recognising the importance of social determinants of health is a key part of the curriculum for health practitioners. The ability to advocate on behalf of patients is a competency that demonstrates enacting this understanding in practice. Communication frameworks are used to structure difficult conversations in multiple settings, notably handover. There is no commonly accepted communication framework to structure a patient advocacy conversation. Approach We assembled a team with skills in patient advocacy, healthcare communication, community advocacy, education and business negotiation to identify the knowledge, skills and attitudes required and to develop a framework suitable for this purpose. We chose to adapt the ISBAR framework as an existing communication framework commonly used for handover. Outcomes ISBAR+ is a framework that is based on a person-centred approach and ‘integrated negotiation’. ‘Intention and Inquiry’ involves a compassionate understanding of the patient’s position. ‘Situation’ is a succinct framing of the problem. ‘Background’ is the information required for the decision-maker to make a person-centred decision. The next step is ‘alignment’ of the priorities of the patient, practitioner and decision-maker. ‘Response’ is the proposed solution, and ‘+’ (‘plus’) is the actions taken for implementation. Conclusions ISBAR+ provides a framework for conversations advocating on behalf of patients that draws from the literature around advocacy inside and outside health. A communication framework allows the development and evaluation of interventions to teach and promote this critical function to promote person-centred care.

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Section: Links Et Almentioning

confidence: 99%