Communication Between Nurses And Nurses Essay

The main claim to this paper, is to prove, to have effective communication with patients and their

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, messages are constantly being exchanged between individuals or groups of people (Bach & Grant 2009). All behaviour has a message and communication is a process which individuals cannot avoid being involved with (Ellis et al 1995).

The webinar titled “Succeeding as a Nurse Educator” was presented by Diane Billings, EdD, RN, FAAN. The three objectives for the webinar were to be able to “differentiate between the roles of faculty appointment: teaching, service, and scholarship; implement strategies for working smarter, not harder; and develop a career plan for success as a nurse educator” (Billings, 2013).

Effective communication is crucial aspect of nursing yet too often is placed low on the priority list, especially at shift change. Information related to the care of patients is frequently disseminated at a crowded, noisy nurse station with several nurses rushing to leave and others attempting to get the information necessary to plan care and limit the constant distractions. It is this interaction that allows for information vital patient safety information to be communicated including the acuity of patients.

Traditionally, nursing shift-to-shift reports were organized methods of communication between only the oncoming and leaving nurse, designated to a location such as the central nursing station or nook of a hallway. Shift reports can be considered the foundation of how the day is going to plan out because it introduces the patient, diagnoses, complications, medications, consults, upcoming test and the entire plan of care. These reports are full of complicated and vital information and while set in certain locations that are vulnerable to interruptions, such as the nursing station, medical errors and miscommunication are more likely to be made. The Joint Commission’s 2009 and 2010 National Patient Safety Goals (Joint Commission, 2015) included two patient safety standards, first to encourage patients to be involved in their health care plan and second, to implement a standardized communication process for handoff reports between providers. Soon after in 2013, The Agency for Healthcare Research and Quality under the United States Department of Health and Human Services introduced a set of strategies to improve patient engagement along with safety and quality in patient care. Within these strategies the new method of nurse bedside shift report was developed, which suggests nurses to conduct shift-to-shift reports at bedside in the room of each patient, rather than out of the room. The benefits of this new method were

Communication is a tool that nurse leaders should master to send information, perception, and understanding to achieve work activities and goals. Effective communication involves clear and direct messaging of thoughts and ideas. The three elements that leaders utilize when creating and enhancing effective communication are trust, respect, and empathy. For this paper, I will discuss some of the issues found in chapter seven’s critical thinking exercise. Nurse Olivia Witte, who is in charge of an interdisciplinary team, faces several issues regarding communicating with the organization’s physicians about a critical pathway development for ventilator-dependent patients, the dietician who wants to integrate dietary protocols for the pathway, and a home health care representative who is absent from meetings because of accreditation survey work.

The standard of bedside clinical handover is including patients and family in the process transfer patient’s critical information from the outgoing nurses to the next oncoming nurses at the end of shift exchange. Literature show patients play a vital role in handoff report. Patients provide input and verify inaccurate information to make a safe transition report (Lu et al. 2013). However, bedside clinical handover is not well established or persistent practice in many hospitals. Nurses provide handoff at the nurse’s station or in the hallways, often causing patients’ vital information to be lost, which contributes to medical malpractice, patients’ injuries or death (Lu et al. 2013). Using descriptive qualitative research to explore patients’ perceptive in bedside nursing handover, the study included thirty patients in three different hospital wards. The Interpretive Phenomenological Analysis (IPA) is used to analyze the data (Lu et al. 2013). Overall, results found nurses continue applying bedside clinical handover practice to enhance patient-family centered care. Patients felt

This essay will highlight one of the key concepts of nursing .The concept that will be discussed in this essay will be communication, the reason for this chosen concept is that communication plays a vital role in everyday occurrences which defines how a situation is perceived by yourself, others and how communication is effectively handled . There will be a definition on what communication is also an evaluation of the chosen concept will be explored throughout this essay.

According to the first step of Lewin’s theory Unfreeze phase is about helping nurses to recognize the need for change and encourage them to think about what the current process of end of shift reporting, what the disadvantages are, and how it can be improved. According to Sand-Jecklin and Sherman (2014), significant percentage of a nurse’s communications occurs during end of shift handoffs, and the safety of the patient can be compromised at this time. Nurses recognized that patient handoffs as a factor regarding near miss incidents. According to the Joint Commission (2011), miscommunication is one of the factors that leading to sentinel patient events, therefore, it is a requirement of Joint Commission National Patient Safety Goals. Nursing handoff report is the time, when responsibility and accountability for the care of a patient would be transferred from one nurse to another. Ineffective handovers, such as when not all required information is provided, can be risky for patients and staffs. According to Novak and Fairchild (2012), the method for delivery of shift report varies among hospitals, units, and nurses. These handoffs occur at busy times with multiple distractions and time constraints. This makes shift-to-shift report a time with high potential for the occurrence of errors related to communication. Reports done away from bedside hinder the patient’s participation in their care, which results in a decrease in patient satisfaction scores.

Recommendations The authors showed that the article revealed that implementing bedside shift report is needed at the patient bedside and within institutions. The nurse can impact and be a mediator between the patient, MD and care that is given. The recommendations are to use bedside shift report but find that the different types or views of the nurse giving report needs to be included and further reviewed. The article states that (Smeulers, Lucas, & Vermeulen, (2014) reduced errors are needed over all for patient safety, written bedside shift report should be improved not just copied and better communication between nurse to nurse and MD to nurse.

The shift report or handoff is the communication process when responsibility and accountability of care is transferred from one nurse to another at the change of shift with the intention of transferring essential information for safe, and patient-centered care. Traditionally, this shift report has been done at the nurse’s station, or the staff’s room. Usually there is no patient involvement during shift report. Therefore, information regarding the patient’s care was not shared with the patient, leaving them out of their own care plan. However, contemporary studies and development of Patient Centered Care Philosophy have objected this belief of giving a report away from the patient.

This qualitative research study was performed in acute care setting using an interview approach to guide their study. Participants were asked questions regarding their experiences and perceptions with the implementation of nurse to nurse shift handoff reporting. They were asked to describe positive and negative outcomes related to the face to face interaction with team members and patients. A total of 43 interviews were conducted, all female participants. The study is focused on enhancing nurse surveillance of the patient, increasing the nurse accountability, and increasing patient safety when nurses are participating in bedside reporting.

Mr. Comer was admitted to his local community hospital for respite care. He has suffered multiple, acute strokes in the past, which has left him with severe disabilities. These include paralysis rendering him immobile, aphasia (speech loss) and dysphagia (swallowing difficulties). He relies on carers for all normal activities required for daily living (Roper et al 1996) and is advised to have a pureed diet and thickened fluids.

In just one day the average person will speak approximately 16 000 thousands words - I know what you’re thinking, that’s a lot of words right? Yet, what if I told you that those words only make up a small part of our day-to-day communication? Good morning class. So much of our communication happens outside of just what we say, it happens through how we say it, when we say it, what our bodies are doing and in many more ways. Today we will be taking a look at the communication between a nurse and a patient and examining some of these verbal and nonverbal aspects of communication. Specifically we will be discussing the nurse’s tendency to avoid the patient’s concerns, as well as her poor speech delivery and how the two affect the nurse’s ability to assist her patient.