An Examination of Adherence Strategies and Challenges in Poison Control Communication

Ellington, Lee; Sheldon, Lisa Kennedy; Matwin, Sonia; Smith, Jackie A.; Poynton, Mollie Merkley; Crouch, Barbara Insley; Caravati, E. Martin

doi:10.1016/j.jen.2008.02.015

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Findings from this study also suggest that SPIs are likely to be receptive to the idea of improving their skills; they made numerous comments that support the need for a communication training program. This is consistent with studies in which other telehealth providers were open to and supportive of communication training opportunities (Derkx et al, 2009; Ellington et al, 2009; Purc-Stephenson & Thrasher, 2010). It appears that a communication training would be most helpful before actually engaging in telehealth services, to be supplemented by periodic trainings to help strengthen and sustain telephone communication skills (Purc-Stephenson & Thrasher).…”

Section: Discussionsupporting

confidence: 90%

Exploring Challenges to Telehealth Communication by Specialists in Poison Information

et al. 2011

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The use of the telephone for providing health care is growing. A significant amount of social meaning is derived from visual information, and the absence of visual stimuli provides unique barriers to communication and increases the risks for misunderstandings and distractions. Understanding challenges to telephone communication can provide insight into training opportunities for overcoming these difficulties and improving patient care. The purpose of this research was to explore through focus groups the challenges of phone communication perceived by specialists in poison information. General types of challenges to effective phone communication included developing new communication skills to compensate for lack of visual information, difficulty assessing caller understanding, difficulty managing caller misunderstandings, maintaining distinctive assessments for routine calls, and managing the multifaceted aspects of job stress. The desire for training to enhance telehealth and cultural competency skills was also mentioned, and these findings might provide guidance for the development of training opportunities for telehealth professionals.

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Section: Discussionsupporting

confidence: 90%

Exploring Challenges to Telehealth Communication by Specialists in Poison Information

et al. 2011

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“…Although we have identified studies that have explored patient adherence to PC recommendations [30][31][32], to our knowledge, no study to date has explored the barriers to and facilitators of clinician adherence to PC recommendations. A few studies have identified beliefs that influence practice guidelines implementation among intensivists [12,[33][34][35][36][37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Intensivists’ Adherence to Hyperinsulinemia-Euglycemia Therapy in the Treatment of Calcium Channel Blocker Poisoning

et al. 2018

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“…However, SPIs report making a rapid initial assessment of case severity. 12 These provider severity perceptions have been found to affect emergency telehealth providers’ decision making processes. 13 Effective and efficient communication is essential to ensure that poison exposures have a positive patient outcome and is critical in the most serious poison exposures where the stakes are the highest.…”

Section: Introductionmentioning

confidence: 99%

Communication patterns for the most serious poison center calls

Ellington

Poynton

Reblin

et al. 2011

Clinical Toxicology

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Context The communication demands faced by specialists in poison information (SPI) are challenging in the health care context. Objectives 1: Describe SPI communication patterns for the highest risk poison exposure calls using cluster analysis, and 2: describe variation in communication patterns or clusters. Methods A sample of 1 year of poison exposure calls to a regional PCC with SPIs’ perceived severity rating of major/moderate perceived was collected. Digital voice recordings were linked with medical records and were coded using the Roter Interaction Analysis System (RIAS). Descriptive analyses were applied and cluster-analytic techniques were used to assess variation in call communication and factors associated with that variation. Results Cases were described and 4 communication styles were identified. The Informational cluster represents 24% of calls and represent a pattern of relatively high levels of SPI clinical information and caller questions. The Facilitative cluster represents 35% of calls with a pattern of relatively high SPI questions and caller information provision. The Planning cluster represents 33.5% of calls representing a pattern of relatively high levels of SPI relationship talk. The Emotional cluster represents 7.5% of calls representing a pattern of relatively high caller and SPI emotion. Multinomial logistic regression using call/case characteristics as stepwise predictors of cluster membership revealed relationships between cluster membership and number of substances, type of exposure (intentional vs. unintentional), caller relationship to patient, length of call (χ2s > 21.59, df =3, ps < .01)and SPI identity (χ2 = 88.34, df =33, p < .01). Conclusion This study provides a beginning step to understanding SPI communication behaviors. Our results suggest that SPIs are able to use a range of communication strategies that often involve not only information but also emotional responsiveness and rapport building. Findings also point to the opportunity for future communication training for SPIs to meet the needs of the heterogeneous caller population.

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An Examination of Adherence Strategies and Challenges in Poison Control Communication

Abstract: Introduction-The principal objective of this study was to characterize how nurses and pharmacists at a poison control center (PCC) determine the likelihood of caller adherence to a health care facility referral.

Cited by 7 publications

References 15 publications

Exploring Challenges to Telehealth Communication by Specialists in Poison Information

Exploring Challenges to Telehealth Communication by Specialists in Poison Information

Barriers and Facilitators of Intensivists’ Adherence to Hyperinsulinemia-Euglycemia Therapy in the Treatment of Calcium Channel Blocker Poisoning

Communication patterns for the most serious poison center calls

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