Popis: |
Emergency departments (EDs), with their high degree of interruption, evolving and often incoherent patient stories, and multiple patient needs, strain practitioner cognitive processing over time, forcing a reliance on default communication approaches and pattern recognition. This shift to scripted, routinized, and default approaches to interaction in the ED reduces situational awareness, impacting providers’ ability to respond appropriately to the person and story in front of them and their clinical decision making. However, being able to rapidly and effectively adapt to circumstances is essential for high-functioning providers in emergency department settings. Although solid, learned fundamental communication checklists can suffice in straightforward, low-stakes, or routine individual and team encounters, complicated, high-stakes, or unusual circumstances or situations require effective communicators to move beyond habituated communication practices to those that enable providers to appropriately interpret and adapt to circumstances while respecting self, others, and context. |