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As part of my HNC study, I have been asked to write a reflective account based on a particular incident where I overcame the barriers of communication with a service user. To respect and retain confidentiality as outlined in the data protection act 1998 and within the organisational policy, I will refer to the individual as Mrs X. (Gov.uk, 2016). To assist me in my process of reflection, I will be using Gibbs (1988) Reflective Cycle; this six stage model will help by giving structure to my reflection.
On my first day of the placement, Mrs X was introduced to me by a senior member of staff, he explained to me that Mrs X is an 83-year-old lady, and has Glaucoma, and Presbycusis, commonly known as an age-related hearing loss. Due to the deterioration in her sight and vision, she found day to day living on her own becoming more challenging, therefore, this resulted in her coming to live in the care home in 2013. He went on to explain that; Mrs X displays behaviour that challenges: shouting, hitting out, and refusing any assistance. Furthermore, the behaviour she displays is aimed at the newer members of staff.
The first stage of Gibbs (1988)
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When looking back on the event, I can now acknowledge how unprepared, and unsupported, I was when first introduced to Mrs X. There are many barriers to communication that can lead to the message becoming distorted, and I feel my lack of knowledge and understanding, played a big part. Therefore, as mentioned by Lishman (2009) in order to achieve effective communication, it is important to be aware of the physical, psychological, and social barriers, that could affect the communication process. Being able to effectively communicate, is an essential skill in providing person-centred care. Therefore, it involves learning to communicate effectively even when various barriers to communication are
The person’s care I have chosen to analyse is that of a 65 year old female, for the purpose of confidentiality she will immediately be known throughout as Mary (NMC 2008). Mary was admitted to the continuing care unit where I was placed. Although Mary had come into the unit as a new admission, she has been known by the trust the unit resides in for over 10 years. Mary has only one known relative, her next of kin whom was married to her deceased brother. Mary was admitted as an informal patient, meaning she had not been sectioned under the Mental Health Act (1983). She was also deemed as having full capacity in regard to the Mental Health Capacity Act (2005).
I will be using the Gibbs, G. (1988) model of reflection to reflect upon for this essay, as this six stage cycle will guide me through the process of description to the action plan, as I find myself to be an active/reflective learner and feel that I can relate to, and learn something that is of value to my practice, and future career and lifelong learning skills through this model of reflection. Throughout this reflective account I will refer to the patient as Mr X, in order to respect confidentiality and maintain his anonymity (NMC) (2008), and local trust policies and guidelines (2009).
This year I am most excited about learning how to better communicate with children and being able to see how communication changes depending on their stage of development. I’m excited to learn how to accurately take blood pressure and other vital signs like pulse and respiration. As well as, being able to identify any values that are abnormal. I am also eager to learn how to appropriately express these abnormal finds to my young patients without igniting fear.
This assignment focuses on an incident which was experienced during a community placement. The patient suffered from bowel cancer, my mentor and I were visiting her to change her dressing. The names of people have been changed to ensure confidentiality Nursing and Midwifery Council (NMC, 2008). Gibbs (1988) cited in Jasper (2013) will be used as the reflective model because it is simple and, easy to understand. Through the model’s six key stages I will describe my experience and how I maintained dignity while giving personal care to patients in the community. Writing a reflective account makes one relive their thoughts and, feelings and make appropriate changes when required (Howaston-Jones, 2013).
As stated in a Communication in Nursing Practice article: “Barriers to effective listening include making assumptions before one hears the communication; non-interest in the topic or issue, history of problems with the sender; and feeling as if the sender is dictating to the receiver.”
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
I am a qualified solicitor and in this role I have developed my communication skills. On one occasion I was representing a mother who was a victim of domestic violence. The father wanted to see his children but the mother was not allowing it due to the domestic violence. I acknowledged her concerns regarding the contact and explained that I understood why she would not want contact to take place. I also explained to the mother the courts view in terms of contact and domestic violence cases. I highlighted the fact that if she allowed contact without going to hearing she would still retain a level of control. I suggested that contact take place at a neutral location and be supervised by a friend or family member until she was comfortable with this arrangement. The client was reluctant but highlighted that the court would want some form of contact and she would have to adhere to this. However, by reaching an agreement outside of court she is not bound by it and will be in control. The client agreed to
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.
The Open University (2010) K101 An Introduction to Health and Social Care, Unit 8, ‘Developing Skills in Communication’, Milton Keynes, The Open University.
In order to engage in meaningful communication and develop effective communication skills, nurses must engage in the process of reflecting on how communication skills are utilised in practise. Reflection allows the nurse opportunity to gain a deeper insight into personal strengths and weaknesses and to address any areas of concern in order to improve future practise (Taylor 2001). A further aim will be to reflect on how communication skills have been utilised within nursing practise. Various models of reflection will be examined, and a reflective account of a personal experience which occurred during placement will be provided using a model. This reflective account will involve a description the incident, an analysis of thoughts and feelings and an evaluation of what has occurred. Fin...
Hispanic immigrants living in American are regularly faced with communication problems. When one’s native culture varies from the norm they are often the one expected to eliminate the disparity. Language barriers present for the Hispanic population living in America and their physical therapists can cause significant problems, not only for communication in general but also for diagnosis and treatment. In order to overcome communication barriers in the field of physical therapy, providers need to become more linguistically and culturally competent.
Communication plays a vital role in all areas of healthcare, yet its importance is often overlooked. Whether it is a doctor talking to patients about treatment options, or strangers comforting one another in a waiting room, communication is happening everywhere and almost always, we underestimate how important it is and how it truly affects our medical experience. In the movie The Doctor, this is exactly what happens, causing a whirlwind effect of emotions and learning.
There is expectation to demonstrate core communication skills and the capacity to develop them and ability to engage with people in order to build compassionate and effective relationships (The College of Social Work, 2014). Communication skills are fundamental in social work; every aspect of their role involves communication. In order to communicate effectively, social workers need to be aware of the forms of communication, i.e. non-verbal, verbal, body language and written and understand communication barriers. (Thompson, 2009). In light of this, when communication barriers occur, i.e. someone not understanding English or wanting to discuss their issues, having these skills allows social workers to overcome this, i.e. asking the right questions or putting in place an interpreter. Having effective communication within social work provides a strong base for good professional relationships. Trust is able to be built, providing confidence in both the social worker and service user in meeting, discussing and building upon solutions (Koprowska, 2005). I promoted such skill throughout the interview as I remained aware of my body language, ensuring I was open, faced the carer and remained good eye contact. I was also continuously aware of the carer’s body language, to inform me of how she was feeling. Being mindful of her eye contact, facial expressions and position of body enabled me to realise she was not being responsive in the conversation (Banks, 2006). Being able to identify this, allowed the barrier to be overcome by asking probing questions and engaging her back into the conversation. I provided active listening skills by summarising what the carer expressed, responded accordingly to what was being discussed and nodding to show ...
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
Now the communication class is almost over I have realize how important is to have good communication skills, and how it is key to life. I have learned many things in this class for example ways to approach strangers. Another thing that I have learned how to handle conflict and how sometimes it could be good it not always bad and many others. The way I look things have change to have reach my goals. This class was has also taught me how to look in the “other” perceptive, and not being selfish by just seeing one side. All that I have learn will help me and other around me to be able to communicate better.