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Communication & interpersonal skills in nursing
Importance of communication for health delivery
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Analyses.
People who live with chronic illness like stroke often experience difficulties in their everyday life. Chang & Johnson (2014) describe stroke as a debilitating condition and tremendous personal and financial burden for not the patient and their loved ones, but the community as whole. Providing optimal care to people suffering a disability and chronic condition they are key principles of practice where nurses together with another healthcare team must implemented. These principles include collaborative decision making, empowerment and diversity(Findley,2014).
The assessment task shows us that the patient can become vulnerable and have personality problems when affected by a stroke. As health care workers we have to consider empowering patients so that they gain control of their well- being (Berns, 2016). Patient empowerment is a process designed to facilitate self-directed behaviour change whereby patient choose realistic goals, personally meaningful that involved deeply embedded aspects of patient life (Anderson & Funnell,2010). The goal is to increase patient capacity to make autonomous informed decision regarding their condition (Anderson & Funnell,2010). A way of showing a successful patient empowerment includes shift of power or authority from health care to patients, informed patient choice and individual patient’s rights over decision
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When nurses collaborate with interdisciplinary health care team, patient, families, carers and community they work together to deliver a comprehensive quality of care (Bell,2014). By building up therapeutic relationship with patient and use of good communication skills brings trust and some positive health outcomes (Doherty,2016). Part of nursing competency standards, nurses should present an understanding on how collaboration impacts the safe and effective provision of comprehensive care (Australia Nursing and Midwifery board,
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Stroke survivors or anyone with chronic illness and health providers remain hopeful and “realistic” by counting on each other. The patients while being realistic about the outcome of their disease, stay hopeful that each of their health care providers will give them the appropriate care and will make sure that they can live with their disease in the best way possible.
Nurses should foster collaborative planning to provide safe, high-quality, patient-centered health care. As nurses, we probably know the patients the best since we spend much more time with them than any other members of the care team. We are the liaison between the patient and the rest of the care team. We need to identify a potential problem or issue, and bring it to the attention of the whole care team. We should facilitate mutual trust, respect, shared decision-making, and open communication among all relevant persons in the care of the patients. With the collaborative support of the whole care team, the patients are in a much better position and are more likely to make an informed and deliberate decision. Besides, the collaboration among the care team can facilitate communication among the care providers, and provide a channel for the care providers to vent their stress caused by the ethical dilemmas that they encounter in work. The support from peers is very important for care providers to maintain their emotional and psychological
It is obvious that a great deal of interprofessional research has been aimed to educate practitioners and nurses over the past decade for interprofessional practice (Orchard, King, Khalil & Beezina, 2012). The Institute of Medicine (IOM) “The Future of Nursing Leading Change, Advancing Health” (2010) recommend that private and public organizations, nursing programs and associations increase opportunities for nurses to lead and manage collaborative teams. Health care reform has created a shift in the healthcare delivery to place more emphasis on interprofessional health care teams (Sinfield, Donoghue, Horobi & Anderson, 2012). New implications are directed towards continuing education for health care workers to understand the meaning of interprofessional collaboration to support the changes in collaborative practice to improve patient outcomes (Orchard et.al, 2012). Encouraging health care professional to collaborate as a team more effectively may seem as the answer to improve the quality of care, but ineffective communication from team members to collaborate on the care needs often attributed to patient safety issues. Consequently, even when professional collaborative teams work together, there is no means to validate and measure the impact on continuing education for nurses about interprofessional collaborative practice (Sinfield, et al., 2012).
To attain this goal, nurses must work in collaboration with other members of the health care team. To improve efficiency, the health care environment must foster the development of collaborative relations among health care professionals. Trust, open communication, commitment, and shared goals must be present to support collaborative relations and effective teamwork. Health care organizations continue to place a greater demand on health care professionals while often working with limited resources. In a recent study focused on determining if there was a current or impending shortage of nurses in care settings throughout the United States, 81% of the 178 hospitals sampled indicated they have or are an... ...
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
The World Health Organization (2010) defines interprofessional collaboration in health care as occurring “when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” (p. 7) and IPE as occurring “when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” (p. 7). Interprofessional collaboration is contingent on IPE; education promotes collaborative patient-centered care by strengthening communication skills and teamwork. This paper discusses the importance of interprofessional collaboration in healthcare by examining
Stroke not only affect the life of the patient but also their significant others, especially the caregiver. Caregiver is identified as the “hidden patient” (Andolstek et al, 1988). Families maintain the primary care responsibility for elderly with chronic illness and disability (Montgomery et al, 1985). The effects of caregiving span across physical health (Grafstrom et al, 1992; Kiecolt-Glasier et al, 1991), mental well-being (Cochrane et al, 1997) and social life (Luterman, D. ,2008; Bakas et al, 2006).
This module has enabled the author to understand the concept of vulnerability, risk and resilience in relation to stroke. Therefore, it will contribute to her professional development and lifelong learning (NES, 2012). Additionally, the author has gained evidence based knowledge of person-centred care, compassion and self-awareness; all of which can be used to inform future practice (Miller, 2008). Consequently, she will be able to provide the appropriate level of care that can make a difference to a person’s recovery.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
A very important concept that needs to be implemented world-wide is collaboration. Collaboration can be defined as “working with other individuals or groups to achieve a common goal. It differs from cooperation which involves groups working together to achieve their own individual goals’’ (Tomajan, 2012). This concept is critical in making the nursing image as clear and accurate as possible while also properly representing the profession. Worldwide, if nurses can represent themselves in a particular way, having the same ideals, morals, and knowledge, there would be little room for people to criticize the profession. Collaborating also allows for the formation of new ideas and discoveries, strengthening the knowledge of nurses and creating the opportunity for more authority. The entire profession as a whole need to help everyone understand what nurses really do for patients. Nurses are the invisible hand behind the success in every hospital or health-care facility. From a quick visit to the doctors to an emergency room visit, the ones the patients interact with and grow a relationship with are the nurses. The nurses know the ins and outs of every patient and have the direct connection with the patient along with tremendous knowledge and skills. This needs to be addressed in the media rather than challenging the nursing image. Giving
In order to facilitate patient empowerment, we must first be in position of self-empowerment. This requires us to self-reflect on our own values, beliefs, and ideas of power. “Nurses must also surrender their need for control, developing instead attitudes of collaboration and mutual participation in decision making.” (Burkhardt & Nathaniel, 2014, p. 517) We must understand that patients have the right to make their own decisions even if they differ from our own. Mutual respect for their thoughts, feelings, and decisions creates a trusting relationship. We must be able to openly listen to our patients needs and communicate effectively in order to empower our patients. They need to know that we are listening, that we understand, and that we are going to provide them with the knowledge and information needed to make their own choices. We must first be...
Empowerment is about decision-making and autonomy, personal and professionally. Nancy should have empowered her staff’s nurses with the opportunity to be involved in the organization decision-making process. When nurses can influence and control their nursing practice, their autonomy, confidence, and commitment to the organization increase (Manojlovich, 2007). Organizations that empowered nurses to act and guide their everyday challenges using their professional skills, knowledge, and own judgment, shows positives patient outcomes, and less nurse turnover, burnout, dissatisfaction, stress, and powerlessness among their staff (Rao,