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Easy on communication in nursing practice
Easy on communication in nursing practice
Effective verbal communication skills for nursing
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Where I work we do bedside report and it does really make a difference seeing patients as well as the family during the report. Communication barriers are the center of many medical errors. Bedside shift report reduced communication deficits of traditional nurse reporting. Questions can be asked during the report and anxiety level can be alleviated, in addition, patients can feel that they are a part of a collaborative
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
As a result, patient safety is improved and poor outcomes are decreased. Communication of vital information was reported as being more complete among these research. Sand-Jecklin and Sherman (2014) identified an increase in report accuracy and the increase in nurse perceived accountability. This study reported that patient falls during bedside handoff reporting decreased from twenty pre-implementation to thirteen post implementation at 3 months to four at 13 months (Sand-Jecklin and Sherman, 2014). The practice of bedside handoff reporting offers the opportunity to address toileting and other needs thus decreasing the incidents of falls. Kerr et al. (2014) reported that participants in their studies believed that early encounters with their patients during bedside handoff reporting afforded them early assessment of their patients’ condition. This particular finding is relevant to our area, since the deterioration of most of patients condition could be identified during handoff bed reporting. Ultimately, this would improve patient safety and clinical outcome. Jeff et al. (2013) study reported that since bedside handoff reporting provided patients the opportunity to ask questions or clarify concerns. It also serves as trigger for the patient to update caregivers on new developments or concerns. During bedside handoff report nurses are able to assess the clinical environment such as intravenous lines, drainage tubes and infusion flow rates. “Patient reported that they felt safe when experiencing shift report at the bedside” Gregory et al., 2014,
My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
The Joint Commission in 2012 strongmindedly determined that patient safety and communication need to be nurses priority. Bedside shift-to-shift handoff is one way to promote patient safety by allowing patients and families to be active contributors in the nursing shift handoff procedure. Bedside nursing shift report over the years has been identified to be more effective than giving patient’s report at the nurse station or recorded report because its less time consuming and resulting in lower costs expenses (Halm, 2013). In short, it allows the outgoing nurse to be able to end the shift on time, which prevents an accidental overtime and allows the incoming nurse to begin her patient care sooner starting with the patient that needed immediate care (Evans et al., 2012). Bedside nursing report implementation in a healthcare facility is critical in meeting the Joint Commission’s 2009 National Patient Safety Goals. Face-to-face bedside shift report encourages patients to be actively engaged in their care and it implements standardized handoff communication between nursing shifts (Maxson, Derby, Wrobleski, and Foss, 2012). Bedside handoff promotes patient safety and allows an opportunity for patients to correct
A documentary Doctors ' Diaries produced real-life stories of seven first-year medical students from Harvard University. The film shows emotions and mental stress that goes through medical students while becoming a doctor and how it affects them. Medical students choose medicine or pre-med as a career to help save people, but the challenges interns interfere with are their personal life and education. At first, the interns were excited about their future and then over time they became tired and damage in certain ways; Tom Tarter was one of the interns that had to go through their medical education, internship, and family life at 21 years old.
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
Objective: Implement that nurses use the same handoff report at change of shift with patient at bedside by May 2018.
Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
When I was a freshman in college, I started my first semester with four basic classes, English, algebra, chemistry, and developmental psychology. Back then I did not see the significance of those classes other than the fact that I had to take them to meet general education requirements. I knew that the purpose of general education was to create a well-rounded student with a variety of skills and knowledge, but I did not understand why a nurse would need to know how to write a five page paper on the Arab Spring. Fast forward to my last semester of college and more importantly nursing school, where for the first time I am realizing how important those courses were for my nursing school career.
Based on the pre-med review of my MCAT score, I was advised to retake the MCAT. However, I did not have enough time to prepare, retake the MCAT, and submit my application in time for a committee letter. The pre-med committee requires all students to submit their AMCAS application before August 1st in order to be eligible for an advisor letter. I initially decided not to apply to medical school this cycle based on the pre-med advisor’s recommendation. However, receiving words of encouragement from my mentor, a previous emergency physician, and after a self-reflecting on my experiences in the health care field and my academic achievement, I regained the confidence to apply to medical school. As a result, I completed and submitted my AMCAS application
My clinical rotation in the acute care hospital has definitely been a great learning experience, it was a big transition for me having been working in a long-term care facilities for six years. There were three positive aspects about my performance that I will take away from this learning experience.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.