Johali APCHER QUALITY A ssertive P atient C entred HE ’ R with Best Evidence Part of Health Education and Promotion for All Health Professions (HEPAHP Book 2012 in Press ) Johali HEP & Human Communication Courses (Just for Kindly Feedback ) Updated 9 Feb 2010Johali1

Managerial HEPT Communicative Styles The Highest the Most Trusted Styles “Ethically – Humanity” the Highest Quality +VE ASSERTIVENESS (Confidence, Self assure, Be empathic – Other Feelings; Communicate & Educate without Attack..): Give patient freedom for direct expression of ideas, opinions ands desires. The intent of Assertive PT behavior is to communicate in an atmosphere of TRUST. It is “how to communicate straight without hurting others”. It focuses “On What we should Do rather than What we want others to Do”. The Assertive communicate message caries Feeling, Behavior and Effect ”: Example: I Feel Angry ( Feeling ), when you are not comply with medication ( Attitude/Behavior ) and/thus, I blame You ( Effect ) PASSIVE AGRESSIVENESS (Indirect Attack, non assertive): Indirect attack, who has the intent to attack, but is carried out in an indirect avoiding way. Passive behavior designed to avoid conflict at all cost; The Passive or non assertive do not say what they really think out of fear, that other may not agree. PT “ hides ” at corner or behind window of Pharmacy..The recipient/Receiver is often left Puzzle & Confused?! OFFENSEVE AGGRESSIVE ( Direct attacker; Not friendly, non peaceful/ not healthy ): Agg. People seek to “win” in conflict situation by dominating or intimidating (threatening) other. Offensive is the direct attack behavior by which PTs decide to hit out others using blame and putdown words. e g:“As usual you are being hopeless”. Aggressive/Offensive PT, the persons who promote their own interests or points of view indifferent way or hostile to the feeling, thoughts and needs of others. The Lowest the Less Trusted Styles “Ethically – Humanity” the Less Quality -ve Updated 9 Feb 2010Johali2

Reasoning APCHER HEPT Quality APCHE’ R based on the Assertive Style the FEELING of others the patients “PT as a patient” this is the Ideal way to grantee quality In addition to ”PT caries patients’ feelings”, It covers all related scientific concepts that we have learn with (e.g Carol Rogers father of Person Centred Psychotherapy”; Jean Piaget; Bloom; Dewey....etc) It is arranged “Highest to the Lowest” effect on the quality of human communication & education Its overall goal is Quality, the intent goal, the desire and the need for every person, patient and every community and nations. APCHE’R Quality Model consists of “Three Major Models”: Patient Centred HEPT the P Self Awareness Assertive based HEPT the Style Best Evidence HEPT the scientific research & assessment Patients and any health education "Persons or customer the Centre of any HEMLT planning and activities. P's nature, characters, abilities, needs, interests, problems, risk factors and all the related information are the foundation "the Best Evidences" by which we promote, motivate and grantee its "Readiness and Willingness. By scientific research we collect these best evidences. All of these HE processes are done under "Assertiveness" concept by which MLT\PT\RT.. feel that they are the Patients carrying their sickness, healthful and hopeful feelings. Updated 9 Feb 2010Johali3

HEPT APCHER QUALITY MODEL Johali 2006; Mod 2010 \ Health Care & Cost effective ↔ QUALITY ↔ Patient–People–Community–the whole Nation ِ Health Care & Cost effective ↔ QUALITY ↔ Patient–People–Community–the whole Nation ِ Assertive HE/HPs Percept Assertive HE/HPs Percept EMPATHETIC – FEELINGS ↕ RELIGIONS & CULTURE Values Attitude Norms Needs Interests Behave Problems Risk Factors Scientific Research – Assessment Motivate READENESS WELLINGNESS HEPT PATIENTS/ PERSONS Health Care - Cost effective ↔ QUALITY ↔ Patient – People – Assertive HEPT /HPs