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Nursing News

NURSING NEWS SEPTEMBER 18, 2018


By Brook Jillings, Contributor

Patient Complaints and


How to Handle Them
Patient complaints are a common issue for all
medical professionals, so handling them effectively
is an important part of providing care.

Understanding the common complaints you will


encounter and following a three-step de-escalation
process ensures your patients stay happy and
reduces some of the stress you face while
performing your nursing duties.

Use these de-escalation tactics across the country


in any of the open travel nursing positions available
at American Mobile.

Understanding patient complaints

As the first medical professionals who interact with


those in need of medical assistance, nurses are
frequently who patients turn to when they’re
upset.

The public understands that a nurse's job is to care


for them during a health crisis, so it's natural that
those seeking conflict resolution expect their
nurses to take the lead.

Unfortunately for these nurses, handling patient


complaints can put them in a very difficult position.

"Nurses by nature want to fix things, whether it be


a conflict with a colleague or issues at the
bedside," says Heather M. Kannheiser, MSN, RN-C.
"Patients and families often don't realize we're just
the front line of what they see."

She points out that nurses have the delicate task


of balancing the establishment rules when
addressing patient complaints in hospitals. "Often
patients and families can be very demanding," she
explains, "and this can create conflict with the
nurse who is adhering to the protocols of the
establishment. It makes for a very stressful
environment for all parties involved."

She also mentions the issue of interdepartmental


conflict between nurses and their colleagues. She
suggests utilizing the chain of command in these
cases.

"On every shift there is a charge nurse assigned to


defer to who can help try to solve the problem,"
she says. "Above that, you have a nurse manager
... Moving higher up the chain there is a nursing
supervisor that can be called ... and if need be, the
issue can be escalated all the way up to the chief
nurse executive."

Kannheiser stresses that resolving patient


complaints is a team effort and nurses should take
advantage of the many resources available to
them, from multiple departments, that can help
resolve a difficult situation.

3 steps for handling patient


complaints
Dr. Neil Baum, a Medical Consultant for Vanguard
Communications, has had his fair share of dealing
with complaints from difficult patients. He offers
his effective three-step process for handling
patient complaints.

1. Listen to your patients' complaints

Taking the time to actively listen as a patient


describes his or her issue can offer a cathartic
release, allowing the patient to calm down after
venting. "The concept of listening and not
interrupting the patient is so important," says
Baum. "To interrupt is to make the patient
defensive and perhaps more upset and even
combative. This is the last response you want to
have from an upset patient."

2. Repeat what your patient says

"This step confirms to the patient that they have


indeed been heard and that the listener was paying
attention," Baum explains.

3. Take action as soon as you can

"The best situation is to resolve the complaint at


the time the event or problem has occurred,"
explains Baum. "The longer the delay, the less
impact that the resolution will have with the
patient."

So, what if the situation can't be resolved


immediately? "Let the patient know when they can
expect to hear from you," Baum suggests. "Then,
keep your promise and get back to the patient at
the allotted time."

He stresses that strong communication is


important. "If more time is needed, call the patient
and tell them more time is needed and let them
know when you will get back to them," he says.
"This confirms to the patient that their complaint is
taken seriously."

More Tips for De-escalation

Along with the three-step de-escalation process,


Baum also advises nurses to anticipate a patient's
frustrations before they feel the need to complain.
He points out that patients who are dissatisfied will
often show signs to warn nurses there is a
problem, so nurses should watch for these signs to
correct issues before they escalate.

"First, listen carefully to the tone of voice," Baum


says. "If the patient is speaking louder than
expected, or more rapidly than usual, you must
modulate and soften your voice and speak slower."
He also suggests watching a patient's body
language. "Look for signs of agitation, such as
wringing of the hands or tapping of the feet, which
is a sign of impatience."

Fear or frustration are two more emotions to be on


the lookout for. "Clenched fists and clenched teeth
are other signs that you're dealing with an unhappy
patient," Baum continues. "Patients with furrowed
brows or distended jugular veins indicate anxiety
and tension. Patients who are in a defensive
position, such as crossed arms, will often provide
clues about the intense conversation that is about
to take place."

Baum also recommends paying attention to the


patient's breathing patterns. "Restricted breathing
patterns or sighing is an indication that the patient
is upset," he warns. Being aware of a patient's
signs of agitation can give nurses the opportunity
to mentally prepare for a tough situation and can
even allow the nurse to step in to address the
patient's complaint before it is made.

Strong communication skills are also important


when handling patient complaints. Being an active
listener and noting the signs that a patient is
agitated won't do much good if you aren't able to
effectively communicate your willingness to
resolve the situation. Patient complaints are often
the result of feeling dismissed or misunderstood,
so it's important to convey your message in a way
that shows you understand their perspective.
When a nurse validates a patient's frustrations and
clearly communicates the steps that will be taken,
the patient feels better cared for and is more likely
to trust the nurse's judgement about the situation.

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