Effective Communication Change In Nursing

Reflecting on learning the importance of nursing documentation/record keeping and written communication. I recognise it’s one of many skill sets imperative to communicating with others, and needed to be effective in my field. Gaps in communication can be risky to patient’s continuity of care, and can lead to detrimental errors such as incorrect medication dosage or treatments, impinging on their safety. Further breaching the (NMC, 2015, C: 13-16), where it is a requirement to protect the public and patients. Poor record keeping would affect my competence, duty of candour and my ability to raise concerns. Further putting patient’s safety at risk. Therefore it is crucial to for records to contain

It may be helpful to inform the staff of the reasons behind the change to IFuse to help lessen resistance. The change model that will be applied to the implementation of IFuse is Lewin’s change theory. Lewin’s change model contains three parts: unfreezing, moving, and refreeze. In the unfreeze stage, an individual or in this case a collective group, has become aware of the need for change. The high volume of errors in medication transfusions has prompted the hospital to become aware of the need for change. In the next stage, moving, the specifics and elements of the change are planned and then begun. All staff involved in the implementation of IFuse need to agree that the current situation, a high volume of medication errors, is unsatisfactory. All staff should recognize that the medication transfusion errors are a serious threat to patient safety and strive to become a change agent. If a nurse were to offer to teach and educate fellow nurses from their home unit after they have learned how to use IFuse, they would be considered a change agent because they are working to bring the change about. The last stage, refreeze, the changes are incorporated and maintained. The IFuse will have replaced all old IVPs and the staff is competent on its use.

Holistic healthcare demands interpersonal collaboration within the nurses and the community for the excellent care of the patient. For example, for a patient suffering from a mental disorder, it is necessary for the nurses to collaborate with each other as well as with the social workers assigned to the patient and his family, which is true if the patient is also a guardian. (Wagner, Liston, & Miller, 2011). The nurses will have to take medical care of the patient while the social worker tends to his social needs such as the welfare of his family. Therefore, it is imperative that the nursing and social work personnel have good communication skills. Communication enhances teamwork that will lead to the caregivers sharing insights and ideas with

The patient care administrator (PCA), the senior triage Registered nurse, senior Patient Care Secretary (PCS) supervisors under the PCA are all part of the change initiative. Supervisor makes frequent rounds to ensure lunch and break times are strictly followed .They also talk to employees during their rounds to address concerns that the employees might have and are readily available if an employee needs her. A pre-shift meeting is held before each shift prior to attending the calls and to go over do’s and don’ts of the job. PCA’s assist the supervisors and are also available for any additional help. Monthly meetings led by PCAs address progress and each month and employee is recognized and awarded ‘employee of the month’.

As stated by the Australian Health Practitioner Regulation Agency (AHPRA, 2014), when using social media, health practitioners should be aware that National codes of ethics and professional conduct apply. The British journal of Nursing (Farrelly, 2014) articulates that as a student nurse and future health professional, I have a responsibility to understand social media and confidentiality in the health care context. To become a successful nurse I will need to build trusting relationships with my patients, which will involve them being confident that their personal information will be protected by myself as a nurse. To achieve this it is essential that I adjust the ways I use social media and become more cautious of what I am posting online. For example, as a student and future RN, it is crucial that I do not discuss patients or post pictures, case studies or sensitive material which may enable patients to be identified. The misuse of social media may also have a negative effect on team-based patient care, for example if it is used as a tool to “cyber bully”

At my facility, 34 units are inpatient units and five critical care units. Initial surveys can be given out to assess the staff’s understanding of CAUTIs, experience with Foley insertion and the rate of nurse driven discontinuation. This will give vital information on how different units use and manage Foley catheters for educational purposes. Additional education needs are reported to the clinical educators to confer on per department and online educational material can be assigned to staff members. Collaborating with the physicians, unit managers, nurse practitioners will be important because they have influence on early Foley discontinuation. They can ask the question of whether the patient’s Foley is still needed or can be discontinued? In addition, collaborating with the nursing research team will be essential in gaining more information on evidence-base practice on latest research on Foley catheters. Volunteers to serve on the Foley rounding teams will need to make daily rounds through the facility and track the occurrences of CAUTIs that is reported to unit managers. At the next meet, managers can discuss with the staff the progression of the project, encourage efforts toward a zero occurrence of CAUTI and give credit to staff member that continuously

D-The patient was placed on HOLD and this writer cleared the HOLD. This writer addressed with the patient about her recent AWOL, referring to yesterday. According to the patient, she missed her medcab and did not have any other form of transportation. The patient was in tears as she also reported that she used crack cocaine (smoking) from 8/1/2016-08/4/2016. When asked as to how much she used, she says, " I spent $300 worth......I was doing so good, so good. I didn't want to use. It's too much." This writer asked the patient to what happen recently because during the last individual counseling session, the patient was clean from illicit drugs for a week and 3 days. According to the patient, her son had turned against and lied to her sister

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 order for the initiative of bedside handover with the use of ISBAR framework to be implemented and work efficiently, a change management theory can be applied. One change management theory that is commonly used amongst nurses in different specialty areas is Kurt Lewin's change management theory. This theory is of particular relevance to my initiative as in the last stage of the theory involves sustainability which is of great importance when it comes to delivery quality care. Lewin’s change management theory involves three steps; unfreeze, change and refreeze. From Lewin’s perspective, the process of change begins with creating the perception that change is needed, then moves onto the actual desirable level of change and lastly, solidifying the new behaviour as the new normal (Burnes, 2004). In Lewin’s first stage, unfreezing is about encouraging people to think about the current situation and helping them realise the need for change (Kassean & Jagoo, 2005). The first move is therefore is to raise awareness for the need for change by communicating the proposed change to all those who are going to be affected by the initiative, such as the patients, charge nurse and nurses. Making research articles about the benefits of bedside handover available for people to read is another way to raise awareness. Lastly, displaying posters of the new initiative around the ward can be done as another tool to help implement the change. For the change

My patient, C.R., came into the hospital due to chronic renal failure (CRF). He was scheduled to have his second round of dialysis done on the intensive care unit (ICU). Dialysis nurse was present in the room, setting up the machine for continuous renal replacement therapy (CRRT) and noticed that the patient went into symptomatic supraventricular tachycardia (SVT). Being thrown into SVT causes the heart rate to speed up over 150 and can cause the patient to have pain in their chest, feeling lightheaded and fatigued, and have shortness of breath. At the same time, C.R.’s nurse walked into the room and the patient’s rhythm converted into ventricular tachycardia (VT). At the time the patient converted to VT, he became

How often does a registered nurse effectively communicates the medication and the rationale and or importance for taking the medication to their patients? I chose goal nine from the fifteen Patient Safety Goals created by the The Joint Commission on Accreditation and HealthCare Organizations. Goal nine, or NPSG.03.06.01, focuses on maintaining and communicating accurate patient medication information. Whether it is from the physician to the nurse or the nurse to the patient. Lack of proper communication often leads to medications errors. In fact, in 1999, the Institute of Medicine estimated approximately 7,000 deaths are caused by medication errors annually. This can be a mixture of not being competent with medications, not effectively communicating

Communication is about interacting with people and therefore is at the core of nursing practice. For nursing care to be safe and therapeutic for the patient, the communication skills used by nurses need to be effective, positive and patient-centered. This requires a continuing awareness by nurses of their contribution to patient safety through interactions that they have not just with patients but also with relatives, friends, other healthcare professionals (McCabe & Timmins, 2013). With this in mind, this essay will briefly overview communication and highlight its contribution to patient safety. Then, in Part A, the examination of 2 communication strategies used by nurses, the SBAR tool and bedside handover, will be explored and their use in enhancing patient safety discussed. Finally, in Part B, following on from the discussion of the SBAR technique and bedside handover, 2 support mechanisms will be considered that could assist staff to adapt to the implementation of these communication tools and techniques within their own practice and work environment.

Communication is a major life skill needed in all aspects of life, this skill is used to collect and exchange information. Being able to clearly communicate with someone means connecting with them, understanding them and their needs. Communication can be hard sometimes. There are a lot of barriers that can effect a nurse or patient when trying to get a point across. When you communicate with a person properly they start to feel comfortable with you.

In the health field knowing how to communicate clearly is critical. In this essay I will be discussing the different struggles an administrator will have to solve through effective communication. Social media such Facebook and Twitter will either benefit or harm this process because a company has decided to buy out the nursing home. They are going to be putting verbally challenged resident out on the street. Hopefully by spreading the word across the network people will lend a hand and join the fight. So now it is time to take action and open up new avenues for the nursing home.

Lack of effective communication, the absence of attitudes centered on patient safety and inability to work effectively as a team are the major problems that need to be addressed within the scenario. Simmonds (2008) identifies “institutional policies, the ‘culture’ of the unit, and power dynamics existing between members of the health care team” as factors that constrain the ability to effectively advocate for patients from a nursing point of view (p. 363). The inability of the bedside nurse and the physician to discuss, collaborate and agree on a plan of care for the patient were the primary problems that led to secondary medical interventions that included an emergent delivery and subsequent fetal metabolic acidosis.