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Effective communication in healthcare setting
Effective communication in healthcare setting
Effective communication in health care
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The helpful patient-nurse relationship requires nurses to build interpersonal connections with patients and is made stronger by the nurses’ abilities to understand their own selves and by being culturally aware. One of the biggest cultural differences which impacts the nurse’s ability to communicate effectively in the development of the helpful patient-nurse relationship is when the patient speaks a different language than the nurse.
According to Stein-Parbury (2009), the characteristics of the helpful patient-nurse relationship are social versus professional relationships, interpersonal distance versus involvement, therapeutic superficiality versus intimacy, and mutuality and reciprocity. Professional relationships differ from social relationships in that they are goal-directed and confined to a particular setting, and also have time and space limits, meaning that they do not go on for life (Stein-Parbury, 2009). Professional relationships between patient and nurse eventually come to an end. The most important difference, however, is that the patient-nurse relationship is mainly established by the nurse with an emphasis on the needs of the patient (Stein-Parbury, 2009).
When forming relationships with patients, nurses are often advised of the risks of being emotionally involved, since this may leave nurses emotionally drained. Professional behaviour necessitates emotional detachment for objectivity to be maintained in decision making. It is important not to become too involved with a patient. Boundaries are imperative when forming relationships with patients. Interpersonal distancing and lack of involvement are used as defensive strategies by nurses to cope with the hardships of nursing (Stein-Parbury, 2009). These can,...
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...verse hospital settings of UAE. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 240-255.
Guglielmi, C.L. (2013). Sustaining a culture of safety: Are we one step forward or three steps back? AORN Journal, 98(6), 634-646. Doi:10.1016/j.aorn.2013.10.009
Muñoz, C., & Luckman, J. (2005). Transcultural communication in nursing (2nd ed.). New York, NY: Delmar Learning.
Nursing theories: Peplau’s theory of interpersonal relations. (2012). Retrieved from http://currentnursing.com/nursing_theory/ interpersonal_theory.html
Stajduhar, K., Thorne, S., McGuiness, L., & Kim-Sing, C. (2010). Patient perceptions of helpful communication in the context of advanced cancer. Journal of Clinical Nursing, 19(13/14), 2039-2047. Doi:10.1111/j.1365-2702.2009.03158.x
Stein-Parbury, J. (2009). Patient & person (4th ed.). Chatswood, Australia: Elsevier.
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
This paper is a literature review of the results of three empirical studies on trust within the nurse–patient relationship. Studies implemented a descriptive qualitative design, and studies used quantitative research, and phenomenological approach method. The context of most quantitative studies was nurse caring behaviors, whereas most qualitative studies focused on trust in the nurse–patient relationship. The quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; however, various factors may hinder the trusting relationship.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
Collaboration is an effort of multiple members of a healthcare team to achieve a desired outcome. It is partitive that in healthcare the goal of the patient is centered around the patient needs. Here should be open dialogue and shared decision making amongst all members of the healthcare team and the patient (Davis, 2010). Professional boundaries are the intimate nature of nursing and often present challenges as nurse’s share problems and difficulties with patients that can be quite stressful (ANA, 2010). When the nurse finds that professional boundaries are becoming endangered the nurse should seek assistance from peers or supervisors or seek to remove themselves from the situation (Olin,
Nurses must have a professional relationship with all types of people. The nurse must be a professional with their coworkers, superiors, and patients. The most important relationship is with the patient; if a professional relationship does not exist with them, the nurse as well as the organization will get a bad reputation. This in turn will ruin our professional relationship with our coworkers and superiors and will eventually cost that person a
The theory of interpersonal relations in nursing was developed by Hildegard E. Peplau after theorists in other social sciences disciplines had shown noteworthy focus on the interpersonal relationships. Of particular influence to Peplau’s theory is Sullivan’s interpersonal psychology (McCamant, 2006). The interpersonal relations theory is founded on the significance of the nurse-patient relationship in the process of healing. Peplau proposed that for the nurse-patient relationship to be therapeutic, that is, to facilitate healing it must be nurtured through four phases – orientation, identification, exploitation, and resolution (Peplau, 1997). The major assumption of
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
Nurses and doctors are educated separately, yet nurses and doctors are expected to know how to collaborate effectively towards improving patient outcomes. This is a descriptive cross-sectional study to determine the nurses’ perception and attitude toward nurse-doctor relationship in Universiti Kebangsaan Malaysia Medical Centre (UKMMC). Nurses’ perception onto the overall significance of nurse-doctor relationship at hospital is satisfied resulted 81.5% (n=119). The result showed gender significantly influence on the nurses’ perception. There was a significant different between level of education and with working experience nurses’ attitude. The result in this current study showed
trust of the patient, if language is a barrier the nurse should pay attention to the means of