Communication Between Nurses And Nurses Essay

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

Handoffs during shift change between nurses is one of the most important ways to communicate essential information related to the patients’ care and their safety. This is an evidence-based practice that improves communication among nurses and patients since the handoffs are conducted at the patients’ bedside, face-to-face, with the computer using SBAR. The patients are involved in the update of their care with the incoming nurse, enabling them to share concerns and to add valuable information, which increases patients’ satisfaction. Additionally, during the handoffs, the nurses with the patients are able to review and update the patients’ white board with the goals, activities, procedures, labs, consults, and symptom management for the incoming

The shift report is an integral component of patient care due to the fact that it advances patient safety and maintains continuity of care. Shift reporting promotes best practices through communication among nursing staff, therefore, promoting professional socialization. Furthermore, shift report influences staff retention and quality of patient care by improving informational, social and organizational functions. The expertise and knowledge in shift reporting can be used to promote interdependence and teamwork. When compared to traditional reporting, bedside shift reporting has such advantages as enhancing time management, social interaction, peer support and procedural training. Shift reports taken and given at the bedside benefit patients as well. Many patients have expressed improved satisfaction and nursing accountability with bedside shift reports. For instance, an orthopedic unit manager, who dropped the traditional staffroom reporting and handover and replaced it with a patient-led system, reported increased patient satisfaction because her patients felt that they were in control.

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.

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 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.

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.

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.

Recognizing that patient participation is vital to their personal medical care, healthcare organizations are conducting nursing staff shift reports at the bedside in the patient’s presence. Bedside reports aim to avoid communication failures by exchanging real-time information at shift change. Bedside reporting is a new alternative to the customary change of shift report that traditionally takes place in a unit hallway or at the nurse’s station. This provides an opportunity for questions before valuable information is lost or overlooked. In this literature review of bedside shift reporting, three studies were compared in order to show that a patient’s perspective is valued as they can see and hear from the team of professionals who are providing their care. Bedside shift report also improves the nurses’ understanding of the patient’s condition as the nurse is able to visualize the patient and share relevant information.

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).

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

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).

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).

According to Ballangrud (2017), Teamwork is described in terms of behavior, cognitions and attitudes that make interdependent performance possible and is defined as the interaction or relationship of two or more health professionals who work interdependently to provide care for patients. The critical components essential to patient safety are effective teamwork and sufficient communication. When we see the absence of these two components within a unit or facility it often leads to an increase in adverse events for patients. The World Health Organization (WHO) estimates that between 3 and 16% of all patients treated in hospitals are affected by adverse events. The absence of a collaborative unit is an independent cause of multiple failures

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.