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Effective communication in nursing practice
Effective communication in the health care setting
Effective communication in the health care setting
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According to Bulman (2008), reflection is described as “reviewing experience from practice so that it may be described, analyzed, evaluated, and consequently used to inform and change the future practice”. I believe that reflection is a process that helps one to have a better understanding of a situation, which leads to better management in the future. Through this reflection exercise, I hope to have a better understanding on communication with patients, with a focus on stroke patients. Communication barrier affects the patient care. Effective communication with patients is fundamental to good health care (Borthwick, 2012).
My partner and I had only five minutes to rush through the case file due to poor compliance of process by another party.
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If the following continues, it may have a detrimental effect on the patients. However this can be prevented through proper stress management. Milliken (2007) states that proper education on stress management and self-soothing techniques that are directly applicable in nursing environment can be of significant benefit. Nurses would be able to utilize these skills to maintain their composure while at work thus having an immediate effect on them. Further examples of relaxation technique include stretching, music therapy, controlled diaphragmatic breathing and also exercising (Benson & Klipper, 2000). There are many ways in which one can de-stress and this could also be practiced out of nursing environment to further promote better stress …show more content…
The National Patient Safety Agency (2007) identified communication difficulties as a key factor affecting patient outcomes. The manner in which nurses provide information is equally important as the information conveyed. The message the patient receives may not be perceived in the intended manner thus causing misunderstanding. I was not confident in communicating with my patient due to inadequate knowledge and I was afraid that I would not be able to provide an accurate and satisfactory answer. In my opinion, knowledge correlates highly with effective communication and help build a good nurse-patient rapport. Surveys by Casey & Wallis (2011) reported that the lack of communication is “palpably felt and can lead to patients feeling increased anxiety, vulnerability and powerlessness”. The common reasons for dissatisfaction with communication were due to poor explanation and incomplete response (Parliamentary and Health Service Ombudsman 2011). It has also been proven that patients are more likely to accept health problems, understand their treatment options and adhere to follow up instructions when they understand information provided by the nurses (Patient-centeredcare.org, 2014). This further substantiates the point that knowledge is key for effective communication with
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.
Introduction 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 it is a fundamental part of nursing and the skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the perception of the quality of care that patient perceives they received based not on the care it’s self but on the patient-nurse communication.. Purpose/Problem/Hypothesis
“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.
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.
It may have been something you did differently that had a positive result and you may conclude you would do it again upon reflection. The most important part of reflection is making sense of situations and events that occur so that our decision making and any actions we take lead to good, effective practice. Nurses have to keep a record of their continued professional development. At annual reviews, nurses are able to present evidence of their development through a portfolio which should contain reflective accounts of their practice. These reflective accounts will help them identify strengths and weaknesses, highlight their performance, improve their skills and highlight any areas that could be developed.
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
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
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
A study conducted by academics found that undergraduate nurses feel reflection is the key to changing and improving their practice. (Bulman, Lathlean, & Gobbi, 2011). Reflection assists nurses to enhance their nursing abilities by encouraging them to reflect on negative experiences, in order to overcome similar experiences in the future. This essay will aim to demonstrate the importance of reflection within nursing, additionally providing me with a platform to reflect on my decision to become a nurse. I will begin by reflecting upon the factors that influenced me to choose nursing, followed by an explanation of the benefits that reflection has on nursing. The essay will conclude by summarising how I will put reflection in practice throughout
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.
Especially since nurses in the course of their day-to-day work need to be able to act autonomously and make appropriate clinical judgements (9). Reflection can be of value in making sense of difficult situations, as it allows one to clarify the situation for themselves and the outcome is to have a changed perspective which enables the nurses to improve his or her clinical judgement (2). Thus why, it is imperative nurses engage in lifelong reflection which recognises its value for professional growth and development and improvement in the quality of patient care (7). The Gibb’s model of reflection, for example is a great tool that nurses can use daily to help improve these skills.
...o take control of the conversation, if they desire. Making observations - articulating what is perceived and/or observed (Current Nursing, 2013). Reflecting – directing questions towards the patient based on the topic of discussion, to ensure the patient feels recognized and accepted. Attempting to translate words into feelings – by trying to put into words what the client is trying to express indirectly (Current Nursing, 2013). The nurse must be able to identify non-verbal communication – body language, such as the patients dress, posture, facial expressions etc. Identify the client’s problem - problem solving skills include: having a discussion based on the promotion of positive change, discussing procedures and techniques to cope with situations that are un-changeable, and encouraging the patient to implement the recommended procedures (Current Nursing, 2013).
To me, being a nurse requires a great sense of selflessness and courage to devote your time and being to helping others. Nurses work long hours and experience straining situations for the satisfaction and fulfillment of helping others. More specifically, experiencing life and death, as well as applying your full self--emotions, knowledge, courage, and strength--takes a toil on the mind and body, but the innate satisfaction, human connections, and experiences I would be able to live through prevails over any thought of stress. The quote “A nurse is one who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a high blessing to be the first and last to witness the beginning and end of life” further reflects