This reflective assignment will focus on a complex communication scenario regarding a patient who refused to engage in all aspects of his care. The importance of effective communication and teamwork in delivering patient centred care will be addressed and how it can influence the engagement of the individual once establishing a therapeutic relationship.
It 's an NMC requirement that all nurses must use excellent communication and interpersonal skills and therapeutic principles to support patient centred care and engage in professional caring relationships (Nursing and Midwifery Council (NMC) 2010). In this particular scenario, nursing staff were faced with an individual who was difficult to engage, which lead to problems in establishing whether his lack of engagement was having a detrimental effect on his health. The service user had a queried diagnosis of borderline personality disorder and spent the majority of his time in his bedroom and refused to interact with staff and peers on the ward. He refused to attend ward rounds and did not want to see other members of the multidisciplinary team. This made it difficult for the nurses to monitor his mental state whilst respecting his wishes to be left alone. Although observation can provide crucial information for nurses during the decision making process (Heron 2001) it is also necessary to intervene and to try and build a therapeutic relationship with the individual in order to understand and address his social, spiritual and psychological needs.
In order to address this issue and increase the service user 's engagement with the nursing team, staff followed the psychological framework of the humanistic model in order to promote relationship centred care. Humanistic psychology embodi...
... middle of paper ...
...ffectively communicated back to other members of the multi-disciplinary team. It 's important that critical information is effectively communicated as it 's an essential component of risk management. Similarly, effective thorough handovers are essential to nursing practice in terms of continuity and quality of patient care. An example of miscommunication or missing information contributes to a number of patient safety incidents (British Medical Association 2004). The nursing staff on the ward delivered both verbal and written handover at the end of the shift to the new team, in order to ensure vital information surrounding the patient 's wellbeing were passed on as research suggests that a typed sheet with a verbal handover results in minimal data loss which is therefore likely to reduce patient safety incidents and improve patient centred care (Pothier et al. 2013).
This systems limits patient involvement creates a delay in patient and nurse visualization. Prior to implementation of bedside shift reporting an evidenced based practice educational sessions will be provided and mandatory for nursing staff to attend (Trossman, 2009, p. 7). Utilizing unit managers and facility educators education stations will be set up in each participating unit. A standardized script for each nurse to utilize during the bedside shift report will be implemented to aid in prioritization, organization and timeliness of report decreasing the amount of information the nurse needs to scribe and allowing the nurse more time to visualize the patient, environment and equipment (Evans 2012, p. 283-284). Verbal and written bedside shift reporting is crucial for patient safety. “Ineffective communication is the most frequently cited cause for sentinel events in the United States and in Australian hospitals 50% of adverse events occur as a result of communication failures between health care professionals.” Utilizing written report information creates accountability and minimizes the loss in important information during the bedside shift report process (Street, 2011 p. 133). To minimize the barriers associated with the change of shift reporting process unit managers need to create a positive environment and reinforce the benefits for the procedural change (Tobiano, et al.,
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.
Nursing staff from an array of specialized backgrounds have identified underperformances and barriers within the handover process which resulted in staff reporting problems and decreased confidence from poor handover practices. The PACT Project, a study conducted in a large-sized Victorian private hospital evaluating handover, identified a clear scope for improvement in the way handovers occurred within the nursing cohort. Key results from the study entailed that only 32% stated that they always received information needed at handover, 94% identified that different nurses give handover in different ways, 85% felt a clear room for improvement in the way nurses communicate, and 60% stated that they would like to deliver handover more effectively. The core underperformances and barriers identified specific to Mater consisted of poor patient identification and lack of discussion within handover, time constraints which placed significant stress, and a more formal and assertive approach in handover training. While, the Mater’s handover process ‘SHARED Framework for Clinical Handover’ is a comprehensive, appropriate and safe clinical communication tool irrespective of clinical setting, several concepts can be integrated to expand on the tool to meet NSQHS Standards and improve patient
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.
Clinical handover is a form of communication in the clinical setting which allow nurses to plan and prioritize patient care and manage their workload effectively. Clinical handover encompasses the exchange of patient information from one shift to another and it has been known for benefits such as being a platform for exchange of opinions amongst nurses, expression of feelings, teaching and learning. Bedside clinical handover was reported to be a patient-centred initiative that enhanced the standards of healthcare and reduced adverse events in the healthcare setting. The implementation of bedside clinical handover was found to be time-effective, reduced the risks of error and enabled nurses to spend more time with their patients.
Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but to every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete, conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles.
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
Interpersonal skills are the life skills we use every day to communicate and interact with people. “To effectively communicate we must realize that we are all different in the way we perceive the world and use this understanding to guide to our communication with others.” (Anthony Robbin). It is important for the nurse to be aware of the effects of their personal values and beliefs can have on their patients. For example working in a surgical ward a nurse was discussing with other colleagues about a certain patient who was in the holding bay, talking negatively about her lifestyle choices, when approaching the patient for the first time when arriving into the suite, she refused treatment from any of the nurse staff on the shift as she was upset at the things the nurse had said. First impressions influence people’s judgments of others...
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
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...
There are many different benefits to having diverse dynamics within a team. Communication seems to be the key to making the dynamics of a team work. A team is very much an interpersonal relationship with many potential benefits as well as pitfalls. The dynamics can often cause conflict within that team which can negatively affect the team's performance. It is common for people on a team to try to ignore or bury problems due to a desire to not create a scene. This can be very destructive because the issues do not get resolved. There are some specific steps that can be taken to resolve that conflict. When it comes to resolving an issue, the methods of doing so can be as dynamic as the team itself.
Nurses are well aware of the time constraints that often impact not only the time they have to spend with individual patients, but also the quality of their documentation (Hemsley et al., 2012). Nurses often choose time with patients over proper documentation. When this occurs, there is a high risk that crucial information will not be relayed to staff on other shifts (Casey & Wallis, 2011). There needs to be understanding between nurses and managers about how information is relayed and recorded between all members of the health care
Teamwork is defined as, “the process of working collaboratively with a group of people in order to achieve a goal.” (Business Dictionary, n.d.) Ultimately, it provides us with a sense of accomplishment and a feeling of unity amongst each other. It allows us to create healthy relationships, and bond further with our peers, and generally, it’s a necessity for our lives. Teamwork aids us with developing imperative life lessons and skills. It also helps us gain a new perspective, and discover our strengths and weaknesses. Personally, I believe that I work well in a team, and I possess the skills of a good leader. Regardless, some individuals
Communication is one of the most important factors in our lives. It dictates the relationships formed with the individuals in personal and professional lives. Effective communication provides a foundation for trust and respect to grow. It also helps better understand a person and the context of the conversation. Individuals often believe that their communication skills are much better than what they actually are. Communication appears effortless; however, much of what two people discuss gets misunderstood, thus leading to conflicts and distress. To communicate effectively, one must understand the emotion behind the information being said. Knowing how to communicate effectively can improve relationships one has at home, work and in social affairs. Understanding communication skills such as; listening, non-verbal communication and managing stress can help better the relationships one has with others.