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Cultural diversity in nursing practice
Why professionalism is important in the nursing profession
Using relevant examples to nursing,explain the barriers to communication
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Recommended: Cultural diversity in nursing practice
Nursing is known as one of New Zealand’s most trusted professions (Ministry of Health, 2011). Nursing theorist Hildegard E. Peplau (as cited in Lakeman, R., 1999) defined nursing as “A significant, therapeutic, interpersonal process.” The idea of a helpful nurse-patient relationship and having a connection between nurse and patient aiding the healing of the patient is one nurses actively follow, and is written into the Nursing Council of New Zealand’s Code of Conduct (pg 5). Cultural differences play a part in the development of this relationship and can place barriers that can hinder the development of the nurse-patient relationship.
Stein-Parbury (2009) stated that because each nurse and each patient are individuals, the way they communicate and interact with each other will be different in each nurse-patient relationship. Hence, it depends on the participants and context what characteristics will be most effective. One characteristic of a helpful nurse-patient relationship is maintaining a professional relationship; others are mutuality and reciprocity.
Maintaining a professional relationship, and knowing the difference between a professional and a social one, is essential in a helpful nurse-patient relationship. This relationship is set around the physical, mental, and spiritual needs of one participant, the patient. All interactions between patient and nurse are made being mindful of the patient achieving well-being in all senses (Webb & Holland, 2011). In contrast, a social relationship is not formed around a goal, nor restricted to a certain setting. Using friendships as an example, a social relationship is different from a professional nursing relationship in that it is not one-sided, the nurse should meet their ow...
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...ssessment and intervention (6th ed.). St Louis, MI: Elsevier.
Nursing Council of New Zealand. (2012). Code of Conduct. Retrieved March, 2014, from http://www.nursingcouncil.org.nz/Nurses/Code-of-Conduct
Stein-Parbury, J. (2010). Patient and person (4th ed.). Chatswood, Australia: Elsevier.
Statistics New Zealand. (2013). 2013 Census: New Zealand as a village of 100. Retrieved from: http://www.stats.govt.nz/Census/2013-census/profile-and-summary-reports/2013-census-infographic-nzvillage.aspx
Wearn, A., Goodyear-Smith, F., Everts, H. & Huggard, P. (2007). Frequency and effects of non-English consultations in New Zealand practice. The New Zealand Medical Journal, 120(1264). Retrieved from: http://journal.nzma.org.nz/journal/120-1264/2771/content.pdf
Webb, L., & Holland, K. (Eds.). (2011). Nursing: Communication skills in practice. New York, NY: Oxford University Press.
...., Johnson, D., & Thomas, C. M. (2009). The sbar communication technique: teaching nursing students professional communication skills. Nurse Educator, 34(4), 176-180.
The application of the therapeutic nurse-client relationship is absolutely essential to providing the appropriate care to clients (College of Nurses of Ontario, 1999, p. 3). The therapeutic nurse client relationship consists of four components; respect, trust, professional intimacy and empathy (College of Nurses of Ontario, 1999, p. 3). Though, I have not been able to establish a nurse-client relationship yet, I have established customer-client relationships. Customers react similarly to clients when respect is established. One experience in particular really helped me make this comparison.
As a first year nursing student, it is important to understand the impact that making connections with your patients has on their overall health outcomes. Before one can understand the importance of making such connections, it is imperative to explore how these connections are made. The purpose of this paper is to establish the importance of making connections in the nurse-client relationship, to recount my personal learning of a course concept, and to explore how the course concept is integral in the formation of connection in the nurse-client relationship. The course concept that I will explore is that of trust. I will explore this concept as it relates to making connections with the help of current nursing literature. Throughout the paper
“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.
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).
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...
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
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.
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506.
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.
Relational Practice is being mindful of your own actions, environment, and situations. It goes beyond treating the disease and focuses on the patient as an individual with his or her own unique needs. In order to establish and maintain a concrete nurse-client relationship, nurses must utilize a wide range of effective communication and interpersonal skills. The ability to communicate effectively is an important skill that not only proves to be imperative as a nurse but also in everyday interactions. That said, for the purpose of this paper, I will evaluate an interaction I had with a close family friend, where he disclosed his history of alcohol abuse and how it affects him every day. I will discuss the style and skills that I fulfilled during
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 purpose of Pepau’s theory of interpersonal relationships in nursing is to focus on nurse-patient relationship and identify different roles nurse take when caring for patient. Consensus exist that theories are made up of ideas called concept and statement about...
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.