Lack Of Effective Communication In Nursing

Consistent, open, honest, and transparent communication is invariably preferred, and would have best suited this situation, however, given the collective bargaining agreement requirements, this proved an impossibility. Furthermore, the rules governing the negotiation process and that planning occurred without the nurse’s knowledge indicated deception in their judgement. An already frustrated nursing staff became angry at what they perceived as a personal affront and severe injustice. Although the nurses’ could grasp the staffing insufficiencies, the severe changes required to remedy the unsafe staffing conditions evoked serious emotions and injured the trust between management and the nursing staff. Nevertheless, the medical center was obligated to follow the procedures dictated by the

Communication is a process that occurs within physical and social contexts regularly. Whitehead et al (2008. pg. 63) .The aim of this essay is to discuss Communication as a concept of Professional Nursing Practice. Presently, communication is an area of benchmark the government is focusing on to improve the quality of nursing care. The Department of Health [DH] [2001] explained that communication comprises of a number of skills used to promote professional practice. These skills will be identified and used appropriately to promote the health of the patients. The writer will use some of these communication skills to demonstrate the impact on the care nurses provide in line with the NMC

One significant problem that must be addressed and resolved quickly is both the conflict and attitude of the doctor. It is well known that physicians’ has had complexes about themselves and have been put on a pedestal when it comes to hierarchy. They have always been hard to communicate to that they never appreciated nurses questioning their decisions. Today thankfully this is changing. MD’s are realizing that the nurses are the forefront of patient care and that they see things before they

Change is the stage where all the ward team begin to decide their uncertainty that things will be different (Cummings and McLennan 2005). This is when effective communication flow will be established with the ward team to be on board with the change especially the hierarchical stakeholders leaders or managers (Palfrey 2006). It will develop a good rapport between the change agent to managers in order to brain storm these managers to belief in embracing this challenge and chance to execute the cover for the catheter stand and short with suspensor pocket for the suprapubic catheter leg bag would benefit the patients and the team. This will allow the managers to engaged and support the junior staffs to adapt the new skill as they are seen as role models (Porter-O' Grady 2003). This transitioned of these hierarchical leader controlled structure of empowerment will require a champion who will advocate, lead and implement the change within the unit and others (Kerfoot 2006). For example, the manager will mentor and

One of the major problems in healthcare today is the ineffective communication among hospital personnel, patients and their families, and the effect it has on patient safety. Communication, as a whole, is very complex and is the root of teamwork and collaboration which aids in keeping patients safe in the hospital. Throughout the healthcare field today patient-centered care and patient safety seem to be major focus points. Unfortunately, ineffective communication can potentially cause patient harm and even death. The breech in ineffective communication between hospital staff and family was clearly portrayed in the story of Lewis Blackman. The lack of both communication, not just verbally but through

The mother had chorioamnionitis and needed to deliver the baby right away. Comfort measures were talked about with the family and they ultimately left the decision up to the doctor. The doctor decided to do everything he could when the baby came out because she had a heartbeat. This was controversial among the nurses due to her premature age and poor prognosis. The patient was intubated and placed on a high frequency oscillator. She also had a central venous catheter in the umbilical vein and a central arterial line through her umbilical artery. The doctors pushed the family for comfort measures the following day but they refused. This infant must have been in pain from all the tubes, lines, and needle sticks she was getting, but was she on any pain medication? No. She was my patient on her second day of life and at the time there was no pain medication ordered. It wasn’t until about a week after her birth that I overheard the doctors talking about starting morphine. This really bothered me because this infant knows nothing but pain. The chances of her surviving are very slim and she is not even comfortable during her short span of life. I feel very strongly about this topic that there needs to be a change in the hospital setting. Pain management in neonates needs to be reevaluated and

The three governing entities for hospitals-- the medical staff, the administration and the board of trustees—seemingly have the same goals of providing safe, quality patient care and to do so at a reasonable cost. Tension between the three often exists, however, despite the common goals. I believe there are three main reasons for this tension: Mistrust, unclear expectations and lack of communication. These three concepts are intertwined, with each one affecting the other two, so it generates a cycle that is difficult to break.

I Read patients chart to gather more information about the situation and received verbal report from another RN taking care of RB. I checked RB’s chart and I noticed that she has not been given any meds or been seen by the physician on duty, who is attending another emergency. My main priority was how best to assure that RB and her baby get appropriate and timely medical care. I also identified primary stakeholders in this situation:

This is an interesting topic to discuss. I worked at nursing skilled facility for about a year and half and I was on both sides: receiving and sending a patient. I think as a nurse, we have to respect each other whether you work in ED, rehab, nursing home or home care. Sadly, the study from Dr. King and Dr. Kind showed negative consequences from ineffective communication as you experienced it also. In your case, that was not only about ineffective communication, but also an attitude problem because you overheard what they talked. It is a different case if the ED nurse doesn’t know the patient, because as we know, in ED, patient come and go in 24 hrs. So, perhaps, it was on shift changed then, the incoming nurse barely knows about the patient

This paper will examine effective communication between the doctor and nurse working together to provide high quality, safe care. Nurses use a wide range of effective communication strategies and interpersonal skills to appropriately establish, maintain, re-establish and terminate the nurse-client relationship (College of Nurses of Ontario [CNO], 2009). While nurses and physicians are key members of the health care team facilitate quality care, many studies show breakdown in nurse-physician communication remains concern. This essay will discuss how ineffective communication can affect the overall health outcome to the patient and effective communication guide. The three barriers to nurse and physician communication are: traditional

Data collection regarding potential communication improvements on the acute psychiatric unit at the Alvin C. York VA medical center revealed an opportunity to improve nursing documentation. Specifically, the data collection process revealed an opportunity to improve the documentation of PRN effectiveness within the electronic medical record. PRN stands for pro re nata, which is a Latin phrase roughly translated as “as needed”. Therefore, prn medications can be described as medications that are taken as needed by a patient and are not typically administered on a regularly scheduled basis. PRN medication documentation is important to a patient’s care as the documentation of effectiveness provides useful insight for prescribers on whether or not a medication is useful and whether or not treatment should be adjusted.

Frequently, patients enter a hospital where they experience different levels of care. Certain situations, along with the environment that they are in, can leave lasting impressions on their visit. It is of great significance that all employees and staff provide the best level of care. My patient was at the hospital to deliver her baby. The following describes the events that took place throughout her stay and the interactions that she had with hospital staff.

Conversations between nurses often include medical terminology, even in casual speech. The environment encourages unofficial acronyms, medical slangs and jargons that are easily misunderstood. These methods of conveying information may occur in the form of written or verbal communication. There has been an increased amount of written abbreviated communication with the introduction of electronic communication. Consequently, studies have shown health care mistakes were more related to systematic errors such as ineffective communication than human errors (Kowalski & Anthony, 2017, p.1). Therefore, better communicate skill between nurses, other healthcare professionals and supervisory staff will contribute to a safer environment for the patients.

During my six weeks of clinical rotation I was able to observe a spontaneous vaginal delivery. My patient for that day was Ms. L.S who is expecting her first child. She is a twenty nine year old African American female, primigravida at 39 weeks and 3 days. In order to paint a complete picture of the scenario, information provided during my shift report from the patient’s primary nurse is incorporated into this paper. Ms. L.S. was admitted to the Labor and Delivery unit while experiencing active labor with uterine contraction every 5 minutes apart. During the obstetrician’s assessment her cervix was dilated to 4 cm. The patient had attended childbirth classes and was considered to have a low risk pregnancy. According to the patient, she wanted to have a natural childbirth without pharmacological interventions. She reported no complication during the pregnancy and also denied any other health related issues. By the time my shift started Ms. L.S. was in the second stage of labor, with uterine contractions every 2-3 minutes apart. Each contraction lasted 90 seconds. During this active phase of labor, the patient was supported by her husband at her bedside. However, she was really anxious and expressed doubt about her ability to continue because she was experiencing severe pain. This was evident by the way her body was shaking and the way she was hyperventilating.

Labor and delivery is a critical change, marking a beginning and end for mother, baby and family. It requires a significant amount of physiological and emotional coping mechanisms. Nursing care is needed regardless of the amount of child birth preparation or the number of times a woman has been through the experience. Nursing care focuses on assessment and support of a woman throughout labor and birth with the goal of ensuring the best possible outcome for everyone involved. The need for nursing care is emphasized by the policy published by the University of Connecticut Health Center, which was last revised in December 2011, addressing the protocols for nursing care of the laboring patient in labor and delivery. This policy outlines the etiquettes of patient assessment, patient teaching and patient care. Assessment begins with the first initial contact of a woman. The manner in which the nurse communicates with a patient can set the tone for a positive birth experience. Vital signs, pain, uterine activity, urinary output, and fetal heart are assessed as well as coping mechanisms, support network and discharge planning needs. Assessing the patient is pertinent for nurses to individualize the care given to a woman during labor. Patient teaching includes proving patient with breathing and relaxation exercises, reviewing a pain scale, and discussing analgesics for pain relief. Finally, patient care involves providing