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Communication in the clinical setting
Essay on communication strategies for effective communication in healthcare settings
Essay on communication strategies for effective communication in healthcare settings
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Introduction A ward handover is a continuous and effective process to circulating essential information about a patient which is necessary to ensure the promotion of safe patient care. Ward handovers require effective communication to ensure correct clinical care delivery to all patients. This takes the form of both verbal and non-verbal communication and requires valuable leadership skills. Following a specific communication model or framework can result in a successful handover and therefore, continuity of care for each individual patient, overall ensuring high quality patient care. Ward handovers are essentially used to improve communication through the sharing of patient information between professionals, improve patient safety by certifying reliable care and improving quality and productivity, this will help reduce inaccuracies in information sharing and the quality of patient care. There is also a growing recognition within ward handovers that enhanced training to ensure effective handovers are crucial in maintaining high standards of clinical care. To ensure that an effective handover takes place all healthcare areas must have a handover policy and compliance to this policy must be ensured. Rfjhskdgnd (???) said a ward handover… MORE ON WARD HANDOVER SBAR SBAR (Leonard, et al., 2006) is a communication framework which can structure conversations within healthcare settings, particularly those which require immediate action and which may require another member from the multidisciplinary team. (Bomba and Prakash, 2005) revealed that 95% believed that there were no set procedures to assist a ward handover, this is where a communication framework such as SBAR should be brought in to ensure that handovers are produced in... ... middle of paper ... ...e process, using SBAR to prepare the ward handover could help noticeably as it can ensure that the team have based and formatted the handover information correctly. However, information which could be considered relevant should also be used, although this should not overwrite the most essential material which needs to be communicated. Implications for communication in a team Within a team communication can be hindered, this means that within a ward handover communication can be really affected. During a ward handover there is very little time to communicate what information needs to be delivered to each team member, therefore, an understanding and a consensus of this is needed. Conclusion Communication within a ward handover is imperative as this is a designated time to communicate information about patients which could be vital for nurses on the upcoming shift.
This method uses a correct transfer of medical vital information of the patients during shift change that needs immediate attention, SBAR is achievable for nurses and identification of any error in information transfer process can be possible easily. This technique enhances the communication between health professionals and increase patient
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multilingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharge is by providing a direct checklist for patients and families to follow. One must understand that these approaches will help the staff, nurses and other health care providers to develop the safe patient transition to home.
rofessionals from different disciplines collaborating to provide care to patients. Effectively coordinated and collaborative inter-professional teams are essential to the care and treatment of patients (Rowlands & Callen, 2013; Doyle, 2008; Ruhstaller, Roe, Thürlimann & Nicoll, 2006; Simpson & Patton, 2012, p. 300). Communication is a process of conferring information between individuals through use of speech, writing or various other means, and is critical to the success of a multidisciplinary team (MDT) (Higgs, McAllister & Sefton, 2012, p. 5; Rowlands & Callen, 2013; Sargeant, Loney & Murphy, 2008). An MDT must use multiple strategies to enhance communication and ensure their success (Doyle, 2008). An effective MDT generates opportunities that benefit healthcare, which is the reason for the recent dominance of inter-professional care in health practice (Simpson & Patton, 2012, p. 300; Rowlands & Callen, 2013). Many barriers prevent effective communication within inter-professional teams. Lack of communication within MDTs presents challenges to their success, leading to numerous consequences, including the failure of the MDT (London Deanery, 2012; Sargeant et al, 2008). Communication between professionals is the key factor underpinning the potential success or failure of inter-professional teams, the outcome of the functioning of MDTs will either benefit or impair care of patients.
...an be seen that effective communication during handover is essential to providing reliable care (Smith & Pressman, 2010) tailored to a patient's individual needs. As healthcare professionals who can make a difference in life and death for patients, it is therefore crucial to promote active dialogue and exchange of relevant information.
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
Some research includes routine communication interactions between healthcare professionals as part of clinical handover, while other research restricts the term to particular clinical settings. The clinical handover process is also sometimes described by a range of other terms, for example, hand-offs, shift reports, patient transfers. This review also confirms that good handovers do not happen by chance and that they require the support of significant structural and organizational efforts (AMA, 2006). The literature also highlights the importance of leadership, time commitment, human resource commitment and appropriate structures and processes being in place for effective clinical handover to occur (AMA, 2006). Above all this literature review highlights that clinical handovers involve a complex set of dynamic processes (Yee et al, 2006; Turner et al, 2006; Yonge, 2008) that need to be taken into account in any interventions aimed at improving clinical handover (Wong et al,
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.
“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.
Once the SWOT analysis is complete, my healthcare team of managers will have to address the findings and create an action plan. A strategic plan will be put together to conduct an assessment
Healthcare is a dynamic, ever-changing environment. The complex circumstances around daily conversations that encompass life-threatening decisions are critical. In order to deliver high quality care, individuals must be able to communicate effectively. In the perfect world of communication, everyone receives the exact same information and is able to respond the exact same way. Unfortunately, communication breakdown is a prevalent issue among hospitals. On any given day of the hospital arena, multiple interactions take place. Some of the dialogue is planned, and some is not. While hospital departments are living in different silos within the same organization, the cultures may vary among the employees. Hospital leadership fosters the importance of collaboration within the organization and depends on the employees to ultimately drive the process. In order to overcome communication barriers in the workplace, conversations must occur. Engaging in daily face-to-face meetings with employees increases positive work culture, morale and overall productivity.
It is essential for a nurse to be able to demonstrate and practice professional communication skills, provision of information and handover to provide a holistic approach to treating and caring for patients. Professional communication skills not only allows the nurse to provide different methods and tactics to communicate with patients of different needs and ages, but it enables the nurse to understand and to give the best possible care and outcome for the patient. Provision of information and handover is another major point for nurses and relates to professional communication. Nurses need to be able to get a detailed diagnosis from the patient through communication, and therefore allows for the nurse to handover vital information to other doctors or nurses who take over to provide the correct and best possible treatments and care. The nursing profession requires a nurse to uphold professional communication, provision of information and handover in order to care for the patient with the right treatment, and to provide the best health outcome.
It helps to improve the communication channel between the staffs and the patients and to increase the nurse accountability (Baker, 2010; Kent, Stevens, Patterson, & Plunkett, 2010). However, I realised that bedside handover may significantly increase the handover duration. Therefore, I started my research in this aspect and I found out that bedside handover did not increase handover duration (Bradley & Mott,
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
Goal: Improve nursing handoff during change of shift with incoming and outgoing nurses by providing a standard hand of flow sheet, to improve patient safety and quality of care
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd