The ability to communicate effectively is an essential skill that plays a crucial role in the profession of nursing. Through ineffective communication, language and attitudes, the video entitled “effective communication in nursing” suggests that correct professional nursing practice positively affects health outcomes and patient care. The Australian Nursing and Midwifery Council (ANMC) National Competency Standards for the Registered Nurse, under the domain of Collaborative and Therapeutic Care, closely relate to the issues presented in the clip. From the perspective of the nurse, patient and health outcomes, Competency 9.1, 9.2 and 9.4 are examined to support the importance of suitable nursing practice and patient-centred care.
To improve patient satisfaction, a patient-centred approach to care must be applied. According to Fenton (2012, para. 1), Patients’ satisfaction has been used as a measure of quality nursing care. A study conducted by Suhonen (2012) found that individualised care is associated with positive patient outcomes, such as patient satisfaction. By communicating effectively to the patient and treating them with respect and dignity, we can significantly improve patient care. Treating patients, consumers, carers and families with dignity and respect improves satisfaction (The Australian Safety and Quality Health Service, 2014). This relates to competency 9.1 under the domain of Collaborative and Therapeutic Care in the ANMC competency standards that require nurses to demonstrate empathy, trust and respect for the dignity and potential of the individual or group. This is strongly exemplified in the first half of the video where the nurse is distracted by other means, such as phone conversations and his laptop instead...
... middle of paper ...
...effectiveness and patient, family and staff satisfaction. Patient satisfaction is an indicator of quality care. Some aspects that can improve patient care is respecting the patient, fostering culture that promotes open communication, maintaining eye contact and listening without interrupting which conveys interest and respect for another’s point of view. Nurses can communicate well with patients when they use a patient-centred approach. Communication that are patient-centred and can considerably affect the development of a positive nurse–patient relationship, essential for the provision of quality patient care. Through effective communication and professional practice, patient care and outcomes can be substantially improved. Nurses can make an impact on a person’s life, remember that patients almost always remember their nurse; rarely do they remember the doctor.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Not only is professional communication important in the portrayal of a good nursing image and behaviour, it also plays a vital role in patient care and health outcomes. The ANMC standards serve as a good guidance on the need to establish therapeutic relationship through effective communication. As nurses spend relatively more time with patients, they play a significant role in bridging a patient and doctor. Hence, it is would help for nurses to constantly hone their communication skills through experience over time.
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Those that held a higher level of education were a less satisfied with care received than those with the least amount of education. The expectations that patients already had about how their healthcare was going to procede was a determining factor in their level of satisfaction and the level of involvement in their own care was also a factor. Patients’ who developed a trusting, honest and respectful relationship with their nurse reported a higher level of satisfaction and expressed receiving quality nursing care when the nurse took time to listen. The final indicators for quality care, was the competence and knowledge of the nursing staff and the organization of the facility in regards to continuity of care. Patients expressed greater satisfaction when the staff worked together to care for them and the staff appeared skillful and knowlegable in their
two or more people; this is something that we do all the time. It is
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 nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
Webb, L. & Holland, K. (2011). Nursing: Communication Skills in Practice. Nursing Education in Practice. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/1446976140?accountid=13380.
Furthermore it’s very important not to judge the patient pertaining to what they may have to say. Good communication helps nurses build a relationship with their patient. Linking my personal experience from the clinical area relates to the practical side of nursing. It is necessary for communication between the nurse and the patient to be clear, understandable, appropriate and
While proficiency and confidence in knowledge and skills are important elements of licensure; great bedside manner, compassion, and nurturing behaviors are what patients are expecting from their nurse. “Because the majority of the physical and emotional care is delivered by nurses, it seems reasonable to conclude that nursing significantly influences patient satisfaction… Because patient satisfaction is used as a gauge of the quality of nursing care, nurses have strived to improve the delivery of care so as to maximize patient satisfaction.” (ED compare, 2014)The challenges with expectations are that they vary between the patients receiving care, and the nurses providing it. A study published by the Journal of Emergency Nursing compared the expectations of the nurse versus those of the patient, regarding the care received within the ED. The goal was to assess the performance of the nurses and the correlating patient satisfaction to help identify areas needing improvement. The original hypothesis was that the nurses would rate themselves higher overall than what the patients rated them in that attribute. The results actually showed the complete opposite. The patients scored their nursing experience higher, while the nurse felt that they did not provide satisfactory levels of care. Generally, the nurses were harder on themselves than the patients were when it came to the
Communication in the nursing practice and in healthcare is important because when talking with patients, their families, and staff, the nurse and the nursing student needs to be able to efficiently express the information that they want the other person to understand. “Verbal communication is a primary way of transmitting vital information concerning patient issues in hospital settings” (Raica, 2009, para. 1). When proper communication skills are lacking in nursing practice, the chances of errors and risks to the patient’s safety increases. One crucial aspect of communication that affects the patient care outcome is how the nurse and the nursing student interacts and communicates with the physicians and other staff members. If the nurse is not clear and concise when relaying patient information to other members of the healthcare team the patient care may be below the expected quality.
Over the past few decades, the necessity for this relationship between patient and nurse has increased immensely. In recent years, the health-care industry has emphasized on the provision of patient-centered care to generate effective care, to furthermore increase the satisfaction of the patient. The capability to convey patient centered care is recognized as a fundamental characteristic of expert nursing.
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in