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Factors affecting communication in nursing
Factors affecting communication in nursing
Relationship between nurse and patient
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Social Judgment Theory First is the social judgment theory… This type of social decision making is governed by a rich complexity of factors, which makes it more dynamic in many ways (Juslin & Montgomery 2014, p. 247). A social decision typically involves a situation in which the decision outcome of an individual not only affects the individual, but also others like another person, a group of others, or society. Hence this form of decision requires considering also the objectives of others in addition to your own. Normally, in a social dilemma, the individual outcomes are not only affected by the person’s own choice but also how other members of the group or the society choose. Interdependence constitutes the social part. One factor that can …show more content…
According to the study, the underlying arguments for resistance included respect for life and belief while the arguments underlying acceptance included the quality of life and respect for patient autonomy. Therefore, the aspect of clinical judgment varies on the belief and personal views of the nurse. Another example of social judgment theory that can be used in practice is the nurse-patient communication. Nursing communication skills is essential in order to get the best outcome with adherence to treatments and satisfaction with care. Sheldon and Ellington (2008) investigated the different models of social information processing that describes the sequential steps in the cognitive processes used to respond to social cues and may be useful in describing the nursing process. Specific communication skills are important when distressed patients express sadness and anger, emotions perceived as difficult communication by nurses. Patients that are aggressive may told a nurse to go away and may said things that are too personal. In response, some nurses may avoid or weigh in on how to approach the patient. The patient’s behaviour, the nurse’s reaction and the nurse’s activity are the three concepts described in Orlando’s theory of …show more content…
For example, an organisation has policy of nurse to patient ratio of 1:4, there is no uncertainty in that matter since it was written in the law. But a social uncertainty prevails in that some of patients are high acuity than others and need more attention and care. The equality norm establishes strain between group members. This is one of the pros in this judgment theory. It promotes equality fairness within a group however the decision is based on the judgment of a human. One of the cons of this is that people are more likely to be driven by egoistic rather than fairness considerations and this is where nursing process should take place. “It is important to discuss the conceptual nature of cooperation, just as it is important to understand the impact of exogenous dynamics on the resource and the choices made” according to Juslin and Montgomery (2004, p.
- Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants.
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
The clinical setting can be terrifying for a nursing student. Nursing students are not only concerned about properly caring for patients, but they have just as much concern regarding the techniques of how to properly address patients and their families in a manner which conveys the care and concern they wish to possess when they become registered nurses. Certainly, heightened levels of anxiety may inhibit a student nurse’s ability to make sound judgment calls with regard to appropriate nursing interventions (Foley, 2016).
When there is a dilemma that affects a group of people, actions by the right people can be
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...
“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.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
To conclude, emotional intelligence and reflective practice are the integral components of building a therapeutic component of building a therapeutic relationship in nursing. Emotional intelligence is the ability, capacity and skill to identify, assess and control the emotions of oneself, of others and of groups. This quality plays an important role in nursing success whether they are working in management or at the bed side. We must understand and create a therapeutic relationship between nurses-client relationships. We must understand the client’s situation and help them to achieve their needs so that it provides a better care. Therefore nurses should always seek out techniques to assist in the caring of the client and provide them with all the support and their betterment to have a better therapeutic relationship with the clients.
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
Therapeutic communication is an important skill for a nurse to utilize when it comes to relationships between the patient and nurse. In Regina’s case, integration of empathetic and compassionate communication skills in combinat...
Self awareness in nursing refers to how glowing nurses comprehend themselves, their strengths, weaknesses, attitude and ethics in order to better transact with their patients. Self- awareness includes review of self, together with self confidence. Self -regulation express beyond one`s emotion and being trustworthy. For nurses to be able to empathize with their patients and treat them with compassion, they have to be self aware. When nurses are self aware, they are capable to adapt to, or certainly change their attitudes and deed in order to understand how unusual people take care of them hence improving the nurse- patient relationship. Nurses must reflect carefully on whether they can sustain in dependence in caring for a client and whether the relationship interferes with gathering the client’s needs. It is also essential to be sure that providing care to family and friends does not interfere with the care of other clients or with the dynamics of the health care group. Before making the conclusion, the nurse may possibly wish to discuss the situation with colleagues and the employer.
With the Social Judgement Theory; we take messages we hear and place them on an attitude scale in our mind. Our reading used the example of a man’s fear of flying and how someone might try to alleviate that fear. I personally know where this man is coming from; as I prefer not to fly unless it is necessary. This fear comes from seeing a plane crash personally and having to deal with the aftermath as a first responder. This theory goes into more detail of the message received by looking at how much does the person care and judging the message for content to decide if there should be a change or not.
She developed the theory through empirical study of the nursing practice (Sampoornam, 2015). It was published in her book The Dynamic Nurse-Patient Relationship and was revised in 1972. The key concepts of the nursing process theory are function of professional nursing, presenting behavior, immediate reaction, nursing process discipline, and improvement (Sampoornam, 2015). The key concept professional nursing is the nurses thought. Nurses need to evaluate if the patient needs help and how they can meet the patient’s needs. Presenting behavior is realization of the nurse that the patient has a problem. This can be done through complaints, questions, demands or statements. It can also be through emotions like crying, shouting or laughing. Immediate reaction is how the nurse perceives the needs and reacts to them. Nursing process discipline is how the nurse is going to use her knowledge to meet the needs of the patient. Improvement is to become better and increase knowledge to effectively treat patients and improve patient outcomes. The nursing process theory addresses each concept of the metaparadigm: Person, health, environment, and nursing. Person- each person has their own perceptions and feelings of their needs. Health- is the mental and physical discomfort of the person. Environment- is the way the nurse and patient view the surroundings, how they feel, and how they think. Nursing- nurse provides the care that their patient needs without judgement of the patient (Bender & Feldman,
It has become increasingly important in the practice of nursing to be able to show one’s genuine consideration as it demonstrates a caring nature towards the client. Perry and Sams (2004) stated that caring facilitates one's ability to understand a patient, recognize a patient’s problems, and to find and implement individualized solutions (p. 263). In order to be regarded as a considerate individual, one must have the necessary attributes to qualify, such as being selfless, empathetic, or accepting. There are also various approaches and techniques to show one’s consideration when interacting with other individuals. This includes being interested in the wellbeing of others, being concerned with the needs of others instead of oneself, or recognizing