Communication Between Patients And Nurse

Communication Between Patients And Nurse Essay Paper Communication Between Patients And Nurse Essay Paper Breakdowns in communication, within teams or with patients, can occur in many ways. Common examples include outbursts of anger, misunderstandings of tone or volume of voice, cultural differences, inappropriate humor, the use of touch, and others. All of these breakdowns can result in stressful work environments, costly turnover in staff, and poor clinical outcomes. This process-driven, highly interactive, two-day course with extended follow-up is designed to remediate distressed or disruptive clinicians who employ a broad range of unproductive or challenging communication behaviors. The course aims to return clinicians to meaningful careers properly equipped with the tools they need and a Personalized Protection Plan for communicating effectively and professionally in the future.Communication Between Patients And Nurse Essay Paper Permalink: https://nursingpaperessays.com/ communication-be…se-essay-paper / ? Prior to arrival at the seminar, participants begin our course with online pre-course assignments that include a personal essay and a Communication Self-Assessment Test. Our confidential and non-judgmental small-group seminar format creates a safe environment for honest disclosure and self-assessment. Through the use of the PBI Incivility Formula ©, participants are guided by faculty to openly examine their own personal vulnerabilities, risk factors, and resistance to self-assessment. Seminar participation and final presentation of a stratified Personalized Protection Plan to the course faculty and the class are required. Communication Between Patients And Nurse Essay Paper Upon concluding the in-person course, the weekly, telephonic post-course Maintenance and Accountability Seminars (MAS) reinforce what was learned in the classroom. These sessions elevate participants’ accountability through revisiting their Personalized Protection Plans, and engage them in a community of peer review and support. Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, messages are constantly being exchanged between individuals or groups of people (Bach & Grant 2009). All behaviour has a message and communication is a process which individuals cannot avoid being involved with (Ellis et al 1995). In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family. Models of Communication. The Linear Model is the simplest form of communication and involves messages being sent and received by two or more people (McCabe 2006). Whilst this model demonstrates how communication occurs in its simplest form, it fails to consider other factors impacting on the process. Communication in nursing practice can be complicated, involving the conveyance of large amounts of information, for example, when providing patients with information relating to their care and treatment or when offering health promotion advice. Reflection is a vital key for effective communication with patients and their families.Communication Between Patients And Nurse Essay Paper The main claim to this paper, is to prove, to have effective communication with patients and their families, firstly, one must know oneself. Communication is a two-way street Yes…but for effective communication to be understood, one must acknowledge oneself first, Communication starts with ourselves. we need to address that we, too, are human beings, with our own thoughts, feelings, beliefs, attitudes, prejudices and preferences. There is an increase in the healthcare profession that we must care for ourselves before caring for others (Burnard,2001). (Older reference but very supportive towards this paper). The quality of communication is a critical factor in meeting the needs of individuals, families and communities, (Crisp & Taylor 2009). Communication is an expressions of ones thoughts…To convey what one person is trying to say to another. When communicating there is a messenger and a receiver but sometimes due to the way the message is delivered there maybe misunderstandings, and confusion arises and the message Communication Between Patients And Nurse Essay Paper maybe misunderstood. Be clear and precise in what you’re trying to say and why, (Crisp & Taylor 2009). Body language has a great deal to do with communication and it is believed that body language is the greatest form of all communication skills because it is hard to control and therefore, maybe even more acknowledged that the spoken word, (Crisp & Taylor 2009). From birth, body language is the basic skill and the only way a baby has to communicate, as a teenager spoken words are often mixed with bad reactions but again their body language is without doubt the best way of understanding our confused teens, Adulthood is often confronting, their peers may use prominent words, which to the receiver may be complicated, and hard to follow the meaning of. Nurses possess a tremendous amount of medical knowledge and clinical expertise. Yet their greatest challenge — and perhaps most vital task — is communication. Every step of the way, from patient intake to patient discharge and beyond, nurses must communicate well to provide comprehensive care. Using Gibbs: Example of reflective writing in a healthcare assignment Description In a placement during my second year when I was working on a surgical ward, I was working under the supervision of my mentor, caring for a seventy-two year old gentleman, Mr Khan (pseudonym), who had undergone abdominal surgery. I had been asked to remove his wound dressing so that the doctor could assess it on the ward round. I removed the dressing under my mentor’s supervision, using a non-touch procedure, and cleaned the wound, as requested by the doctor. My mentor was called to another patient at this point, so at her request I stayed with Mr Khan while we waited for the doctor to come to see him. Communication Between Patients And Nurse Essay Paper The doctor had been with another patient, examining their wound, and I noticed that she came straight to Mr Khan to examine his wound, without either washing her hands or using alcohol gel first. I also noticed that she was wearing a long-sleeved shirt, and I was concerned that the cuffs could be contaminated. I thought for a moment about what to do or say, but by the time I had summoned enough courage to say something, I thought it was too late as she was already examining Mr Khan. Feelings I was alarmed by this, as I had expected the doctor to wash her hands or use alcohol gel before examining Mr Khan. However, I felt intimidated because I felt that the doctor was more experienced than me as a second year nursing student; and I didn’t want to embarrass her. Also, I didn’t want to make Mr Khan concerned by confronting the doctor in front of him. Later, I spoke to my mentor about the incident. She suggested that we speak to the doctor together about it. My mentor took the doctor aside, and asked her whether she had washed her hands before examining Mr Khan. She looked quite shocked. She said that she had been very busy and hadn’t thought about it. My mentor discussed the importance of hand hygiene with her, and the doctor assured her that she would wash her hands before examining every patient in the future. Communication Between Patients And Nurse Essay Paper Evaluation The incident was extremely challenging for me. I regret that I did not act to challenge the doctor’s practice before she examined Mr Khan. However, I am pleased that the doctor responded so positively to the feedback of my mentor, and I have observed that she has now changed her practice as a result of this incident. I too have learned from the incident, as it has taught me the importance of acting assertively with colleagues, in a sensitive manner, in order to safeguard patients’ well-being. Analysis The Royal College of Nursing (2005) states that hand hygiene is the single most important activity for reducing cross-infection, and points out that many health care professionals do not decontaminate their hands as often as they should. Recent guidance published by the Department of Health (2007) highlights the possibility of staff transmitting infections via uniforms, and the need to review policies on staff dress. The Nursing and Midwifery Council Code of Professional Conduct (2004, section 8) states that as a nurse ‘you must act to identify and minimise the risk to patients and clients’. As the student nurse caring for Mr Khan under my mentor’s supervision, this also applies to my own practice as a student nurse. Communication Between Patients And Nurse Essay Paper Looking back on this incident, I can see that I should have acted sooner, and that I should have ensured that the doctor washed her hands before examining Mr Khan. I can now see that my inaction in this incident put Mr Khan’s well-being at risk. After discussion with my mentor, I recognise that I need to develop the confidence to challenge the practice of colleagues, putting the well-being of clients at the forefront of my mind. I realise that I need to be supportive to colleagues, understanding the pressures that they may be under, but ensuring that their practice does not put clients at risk. Action Plan In future, I will aim to develop my assertive skills when working with colleagues, in order to ensure that the well-being of clients is maintained. In my next placement, I will make this a goal for my learning, and will discuss this with my mentor to work out strategies for how I can achieve this.Communication Between Patients And Nurse Essay Paper Communication can be approached in terms of the skills needed to get a hoped-for response. By seeing communication in terms of skills, it is easier to focus on what skills you already have and use. Once you have a reasonably clear picture about this, it is much easier to see where you might want to increase your communication strengths and decrease any weaknesses. It can be useful to try assessing what you see as someone else’s communication skills before you think about your own. Author Neil Thompson (1996) has pointed out that these verbal aspects of communication can all give important clues about how people are feeling. So it is not just what people say that counts, it is how people say it, too. If someone seems to talk rather quickly, this may be because he or she is angry or worried. In contrast, if someone speaks slowly, this may be because he or she is tired. Or it may indicate a lack of confidence in what that person has to say. It is also possible to interpret why people may use a particular tone of voice. As Thompson (1996, p. 83) points out, tone of voice is “an important indicator of emotional state. It gives important messages about how the person is feeling. It indicates a whole range of feelings: anger, sadness, joy Communication Between Patients And Nurse Essay Paper Similar comments may be made about pitch. Thompson suggests that: flat, unmodulated pitch can reflect a depressed mood, while high or fluctuating pitch can signal … anger, fear or excitement. Thompson (1996, pp. 83–84) Thompson (1996, p. 84) suggests that quiet speech can indicate a lack of confidence, fear or anxiety whereas loud speech can suggest aggression or a lack of sensitivity. Loud speech may also be used by someone who is fearful or anxious. Facial expressions, according to Thompson (1996, p. 95), “are very powerful in conveying information.” As far as eye contact is concerned, it is important not to have too much eye contact as this can be seen as challenging or threatening. On the other hand, too little eye contact can be interpreted as indicating that someone is not trustworthy. It is important to note that these interpretations can vary from one culture to another. Some cultures see it as being polite to avoid eye contact as much as possible.Communication Between Patients And Nurse Essay Paper Experience is sometimes regarded as the best teacher. Many things can be learned in a classroom and by formal academic study, but many cannot. Reflective practice is a form approach to learning through experience. Reflective practice is a lifelong learning process to promote continual development of the nurse. Reflective writing practice helps the nurse to gain knowledge and to challenge their own ideas and concepts. The idea of reflective practice is not only to see what happened, but to see the situation through new eyes, eyes that can help in personal growth and to develop ways to respond differently in the future. Effective reflection helps the practitioner to see the situation from an outsider’s perspective, so that they can develop a better way to respond to a similar scenario in the future. Reflection is meant to achieve a change in practice, rather than simply repeating the same mistakes (Schon, 1983). Many different models exist for structuring the reflective process. Regardless of the framework used, the reflection models are meant to accomplish three things. They are supposed to promote reflecting on events, self-evaluation and analysis, and a plan to change actions in the future. This Reflective essay will utilize Driscoll’s ‘The What?’ model as its structure (Driscoll, 1994).Having the chance to experience clinical rotations on the telemetry, medical surgical, labor and delivery and postpartum floors so far have been incredible. Although, throughout these last few months, I have certainly seen many nurses converse and behave in ways I would never imagine a registered nurse to. From these experiences I learned easier ways to quickly set up equipment, how to properly address situations when the family is present, and how to effectively communicate between doctors, physical therapists and case managers. As for the nurses who improperly cared for their patients, those nurses will be examples of who I tell myself I will never become. The top three priorities I have for myself in my nursing practice as a student and that of which I plan to carry on throughout my career are not to be the cause or route of transmission of any nosocomial infection; to take the time to listen to my patients and their families; and to never stop learning. A common barrier that I will encounter when performing all of my priorities is going to be the essence of time. As a nurse, I have to be ready for any situation to change for the good or bad at any time of the day. I have to be flexible but I also have to take the time to slow down in order to provide the safest and best quality care to my patients. Barriers that are present when trying to avoid being the route of transmission of an infectious bacterium are going from patient to patient and doing an assessment while not wearing a pair of gloves since I did not touch any body fluids or open wounds. Even though I did not come into contact with any known pathogens, It is my duty to protect my patient Communication Between Patients And Nurse Essay Paper Having the chance to experience clinical rotations on the telemetry, medical surgical, labor and delivery and postpartum floors so far have been incredible. Although, throughout these last few months, I have certainly seen many nurses converse and behave in ways I would never imagine a registered nurse to. From these experiences I learned easier ways to quickly set up equipment, how to properly address situations when the family is present, and how to effectively communicate between doctors, physical therapists and case managers. As for the nurses who improperly cared for their patients, those nurses will be examples of who I tell myself I will never become. The top three priorities I have for myself in my nursing practice as a student and that of which I plan to carry on throughout my career are not to be the cause or route of transmission of any nosocomial infection; to take the time to listen to my patients and their families; and to never stop learning. Communication Between Patients And Nurse Essay Paper A common barrier that I will encounter when performing all of my priorities is going to be the essence of time. As a nurse, I have to be ready for any situation to change for the good or bad at any time of the day. I have to be flexible but I also have to take the time to slow down in order to provide the safest and best quality care to my patients. Barriers that are present when trying to avoid being the route of transmission of an infectious bacterium are going from patient to patient and doing an assessment while not wearing a pair of gloves since I did not touch any body fluids or open wounds. Even though I did not come into contact with any known pathogens, It is my duty to protect my patient The aim of this report is to look at a critical incident that occurred in placement and relate this to the theory and knowledge regarding communication and interpersonal skills, so as to demonstrate an understanding of my views on the art and science of reflection and the issues surrounding reflective practice Reflection is part of reflective practice and a skill that is developed. It can be seen as a way of adjusting to life as a qualified healthcare professional and enhancing the development of a professional identity (Atwal & Jones, 2009). Reflection is defined as a process of reviewing an experience which involves description, analysis and evaluation to enhance learning in practice (Rolfe et al 2001). This is supported by Fleming (2006), who described it as a process of reasoned thought. It enables the practitioner to critically assess self and their approach to practice. Reflective practice is advocated in healthcare as a learning process that encourages self-evaluation with subsequent professional development planning (Zuzelo, 2010). Reflective practice has been identified as one of the key ways in which we can learn from our experiences. The incident that was chosen was so for the reasons that the situation made the student aware of inadequacies on his own part and those of the staff on the team, which made him reflect upon the situation and how this could be learned from, so as not to make the same mistake again. Before the critical incident is examined it is important to look at what a critical incident is and why it is important to nursing practice. Communication Between Patients And Nurse Essay Paper The nursing profession is one of the most challenging and rewarded careers in my opinion. Mostly in the XXI century that we are living, with the constant challenge of the healthcare system in our communities that continue to rise with a higher standards of care in all different setting in the nursing care. Everyday our patients and communities expect more from nurse as leaders in the shifting healthcare model. The recognition well deserved that we as nurses find in our patients is all because those many wonderful nurses that came before us and showed to the world how important is the job we do and how critical is taking our word in consideration when in taking care for our patients. I would like to emphasize today in a beacon of acknowledge in our profession and example of a great nurse. Dorothea Orem born in 1914, Maryland and her Theories about Self-Care in Nursing will be the center of our discussion on this article. She earned a Nursing Degree from Providence Hospital School of Nursing in Washington DC in the 1930’s. Later in the early 1940’s she a bachelor degree and later on a master degree both from Catholic University of America in Washington DC. The Self-Care Nursing Theory of Orem’s Model of Nursing was developed by her during her all career between 1959 and 2001. It’s considered a grand theory meaning that covers a broad of general concepts that applied to all fields of nursing. The main idea of Orem’s theory is that patients want to take care of themselves and they will recover sooner and holistically better when they do their own self-care as much as they are able to do it. Assessing someone’s communication skills is always going to be difficult as since different interpretations are always possible. It is not always easy to decide which interpretation is “true.” The point is to become as aware as possible about the messages that other people are sending out so that you can improve the likelihood of reasonably successful communication. Let’s see what Karen has to say about her communication skills.Communication Between Patients And Nurse Essay Paper I think I have learned how to read body language when I am speaking to people—I’m more observant. People don’t always say how they are feeling, so if you can read their body language, it’s easier to pick up on things. I am probably more confident with my questioning. I am listening and taking in the messages I am receiving from people and also giving them a lot more opportunity to make their own choices. A 2014 research paper, Communication in Nursing Practice , found that nurses who display courtesy, kindness and security to their patients — through both their actions and words — are generally more successful in establishing a good rapport. The paper suggested that nurses must go beyond simply demonstrating these niceties though. They need to approach every patient-nurse interaction with the intent to understand the patient’s concerns and experiences as well as demonstrate that they are open to truly hearing patient’s input. To do so, nurses must carefully consider where and when to talk to patients. Nurses should allow sufficient time for each patient interaction. For example, patients may be hesitant, nervous, upset or otherwise incapacitated, which may extend the time needed to have a thorough discussion of the issue at hand. Patients may find a rushed conversation frustrating or even rude. It may hinder the ability of the nurse to establish open communication with the patient, thereby slowing down or negating the treatment process. Nurses must also be mindful of the location in which these interactions occur. Selecting an area that is free from distractions — to the greatest extent possible — may help to facilitate a more positive flow of communication. Additionally, this promotes confidentiality and protects the patient’s personal health information.Communication Between Patients And Nurse Essay Paper Good communication between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. To achieve this, however, nurses must understand and help their patients, demonstrating courtesy, kindness and sincerity. Also they should devote time to the patient to communicate with the necessary confidentiality, and must not forget that this communication includes persons who surround the sick person, which is why the language of communication should be understood by all those involved in it. Good communication also is not only based on the physical abilities of nurses, but also on education and experience. The Nursing and Midwifery Council (NMC) has set out at least four domains of competencies for entry to the register in Adult Nursing. In this brief, I will focus on the second domain of communication and interpersonal skills. Communication plays a crucial role in addressing the needs of the patients. Adult nurses are expected to communicate effectively, listen with empathy and advocate for their patients (Department of Health, 2012a, 2012b). Specifically, the Department of Health (Commissioning Board Chief Nursing Officer and DH Chief Nursing Adviser, 2012) has introduced the 6 Cs of nursing, which encompasses compassion in nursing practice. Compassion in care is only possible when patients feel that their nurses understand their feelings and show empathy (Chambers and Ryder, 2009). Communication is essential in helping patients articulate their needs (Hall, 2005). Similarly, poor communication could result to misunderstanding, anxiety for the patients and poor quality of care (Chambers and Ryder, 2009).Communication Between Patients And Nurse Essay Paper In this brief I will focus on the domain of communication and interpersonal skills since these form the foundation of my relationships with my patients. Developing my competency in this domain would help me identify both verbal and non-verbal messages of the patients and address their needs accordingly. Meanwhile, effective communication is needed when I communicate with my colleagues and other healthcare practitioners. A focus on my communication skills with my patients will be made in this reflective brief. Communicating effectively with my patients and other health and social care professionals would help improve the care received by my patients. Benner’s (1984) stages of clinical competence would be used to underpin my development from novice to competent. Gibb’s (1988) reflective model will be utilised to reflect on my experiences in the last three years from novice to competent.Improving my communication skills has been a work in progress starting back in the early years of my life. I have always been my own worse critic. Usually beating myself down through interpersonal communication. Now as an adult I have made great improvements but still have trouble dealing with perception and self-image. Not being raised in an environment of positive reinforcement and poor communication in the workplace I have made it a point to change that trait in my own family and professional environment. When reading the opening lecture I cringed at the thought of dealing with communication. Sort of that belly ache feeling you get when you had to do an oral presentation in front of the class in elementary school. I understand have a number of strong qualities but self-image and my perception are still traits I long to improve. My self-image is so low that I have a tremendous amount of self-pity or self-hatred. I do however want to find that happy median where I’m comfortable in my own skin. It’s odd how my feelings about myself change from day to day. I engage quite often in interpersonal conversation, question my motives and encouraging myself to move forward. Communication Between Patients And Nurse Essay Paper Professional Development from Novice to Competent Level Reflective practice (Gibbs, 1988) allows healthcare practitioners to improve current practice by learning from incidents and one’s own experiences. Pearson et al. (2009) explains that one’s own experiences are another form of evidence in healthcare. With the focus on patient-centred care, the NHS (Department of Health, 2012b) has encouraged evidence-based care when addressing the needs of the patients. I will use Gibbs (1988) model in reflecting on my communication experiences in years 1 to 3. This model starts with a description of an incident followed by analysis, evaluation, conclusion and action plan.Communication Between Patients And Nurse Essay Paper In this essay, I intend to reflect on a situation I encountered during my first community placement I had the opportunity to develop my communication skills not just theoretically but also practically, facing a real life environment. My placement made me aware of the importance of interpersonal and communication skills which are very important in the delivery of care. Throughout my nursing career, I will be encouraged to develop reflective practice skills and become a reflective practitioner. Reflection refers to a series of steps that you may take to question and explore an experience with the aim of learning from it. I will discuss the importance of communication in order to maintain a therapeutic relationship. Communication Between Patients And Nurse Essay Paper Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.Communication Between Patients And Nurse Essay Paper Composing a reflective essay on effective communication in nursing can be difficult for some. Producing this style of paper will need the basic steps taught and some variations on the way it is written. When writing most types of papers, it is taught to come up with a thesis and explain, in the most informative and clear way, what it is. This style of paper consists of reflections made on the subject including emotions and experiences on the matter. The difference in this introduction is in your own way summarizing the conclusion. Having the room to produce your experiences without concern of facts opens the door for that all important creativity. Emotion is more crucial than facts To say no facts does not mean it is not true. Everyone sees and feels different things when looking at the same thing. The better you are at putting these things down on paper, the more interesting your work will be. Imagination and memory are two strengths that must be paid close attention to. In the world of nursing there is a lot of turmoil and confusion in a life and death situation. Sometimes the difference between saving and losing a life is a very fine line.Communication Between Patients And Nurse Essay Paper Effective communication is crucial The ability to clearly hear instructions or the patient’s needs can be drowned out in the confusion. Working with a regular staff can be a plus when you know the skills of the other personnel. Descriptions of the injuries are a must for not only the nurse but the doctor. The skill of recalling what you see can be very important in order to keep the patient alive. Life as a nurse Explaining how uncomfortable it was in the beginning, working with new staff and injuries, will automatically bring up memories and emotions felt by you personally. There will not be a shortage of sight, smells, and sounds that only a nurse could know and understand. Dealing with the sick and dying is working with man at its worst. Learning the skill of carrying on conversations with these types of people only makes you a stronger and better person. Explain how you felt and worked around these individuals in the beginning and how you handled same situations at this point in your career. People whose scenarios have led them to a visit to a hospital can be very weary of the kind of treatment they receive from personnel. The ability to look back and describe all of those experiences in your own way will make the interest of the reader while they are reading, but will remember those insights well after they have finished. Composing a reflective essay will help others appreciate what nurses go through.Communication Between Patients And Nurse Essay Paper An incident during my year 1 exemplifies how I developed my communication and interpersonal skills as a novice. I was assigned to the mental health ward and assisted an elderly patient with dementia who was admitted for pneumonia. During his first day in the hospital, my senior nurse performed a nutritional assessment and infor