January 2005 Newsletter

What to Say in Sticky Situations

Patient complaints often arise because of clumsy comments made by staff. Staff can feel uncomfortable when patients or families ask tough questions. This article provides guidance that will increase staff confidence when dealing with sticky situations, and will allow them to communicate more effectively with patients and families. Please let us know if you would like more information on this topic.

Guidelines to Follow in Sticky Situations Sample Responses

1) Respond to patient’s actual need, not the stated issue. For example, patients may comment on staffing levels because they have been waiting a long time for service. Respond to their need for service; that is really what they care about.

2) Tell the customer what you can do, not what you can’t. Don’t say, “I can’t get you anything to eat for a half hour.”
Do say, “I will have your food here within a half hour.”

3) Under-promise and over-deliver. In the above example, if you know the food can arrive within 30 minutes, tell the patient you will have it there within 40 minutes. When it comes in 30, you have exceeded their expectations!

4) Never make a promise you cannot keep. Don’t make promises on behalf of others. (“The doctor will call your family.”) Instead, promise what you, personally, can do. (“I will call the doctor right now.”)

5) Consider scripting for repetitive situations that cause difficulty, such as telling people about a delay.

6) Don’t become defensive when patients question or accuse. Defensiveness is a natural response when we feel we are being attacked and when patients question us. (“Why is this taking so long?” “The doctor didn’t say anything about this test!”) We often perceive this as an attack. It helps to recognize that patients want information to increase their sense of control and comfort, not to make life difficult for us.

7) Don’t be afraid to ask questions before responding to a patient, so that you are sure you know what the real issue is. (“You must be really short-staffed today.” “Why do you say that, Mr. White?” “Because I’ve been waiting for over 15 minutes for help to the bathroom!”)

8) Monitor voice tone and body language. Defensiveness, annoyance and frustration all can show if we are not careful.

9) Never blame or criticize other people or departments for problems that patients experience. Take care of that outside of the patient’s hearing.

Try some of these responses the next time a difficult situation arises. You might want to practice these in advance so you are comfortable. The phrases can be adapted to sound natural to you, as long as the tone and intent remain the same.

1) When a patient or family member needs something you are not able to provide.
“Mrs. Jones, the doctor is the person who can best answer that question for you. Would you like me to place a note on the chart and ask him to talk to you?” “Mr. Brown, the Registered Nurse is the only person who can give you your pain medicine. Your RN today is Pete. I’ll let him know you are ready.” “Ms. Green, it’s great that you want to be up and walking and I agree you should do that. We want to be sure to keep you safe though, so we’d like to have someone walk with you. We should be able to do that in about a half hour. Would that be alright?”

2)When a patient asks about staffing levels.
If the patient says, “You must be really short-staffed today. I’ve been pushing the call light for ages. I have to go to the bathroom.” “I'm so sorry you’ve had to wait. I’m here now, and all yours! Let’s get you out of bed.” You responded to the actual need (bathroom), not the stated issue (staffing levels).

3) When there is a delay.
“Mrs. Jones, I am so sorry about the delay for your test. I’ve just called Radiology and they expect to be here for you in 15 minutes. I’ve also made sure to ask for a late lunch tray for you. Is there anything else I can do for you now?” You have apologized, given a time estimate, and shown you care about the impact on her lunch. You have not blamed Radiology for the delay.


There are many other types of “sticky” situations beyond those mentioned here. If your staff has difficulty knowing what to say in such circumstances, or if patients are complaining about what staff members say or how they say it, A. Woodward & Associates can help. Please contact us at awoodw3369@aol.com or call 216-631-1852 for more information.



Upcoming Speaking Engagements

Anita Woodward, CHE, will be speaking in the following locations in the next few months. Please stop by to visit.

  • March 9 - 11, Georgia Society for Healthcare Consumer Advocacy annual meeting, Savannah, GA. For information, contact Leigh Belden at (770) 249-4503 or lbelden@gha.org.

  • March 31 - April 3, Society for Healthcare Consumer Advocacy of the American Hospital Association annual meeting, Chicago, IL. For information, go to http://www.shca-aha.org/ or contact Glen Brown at (312) 422-3907.



About A. Woodward & Associates

Our company’s primary focus is to help clients develop healthy patient and staff relationships. Our consulting services are customized to your organization, and your specific needs. Areas of expertise include customer service, organizational communications and employee relations.

A. Woodward & Associates was established in 1999 by Anita B. Woodward, MBA, CHE. We are based in Cleveland, Ohio, and have clients from San Francisco, to Baltimore, to Connecticut. Anita has over 20 years of healthcare management, customer service, and human resource experience.

For more information about A. Woodward & Associates, please call us at (216) 631-1852, or send an email to us at awoodw3369@aol.com.


About This Newsletter

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