My Clinical At Holton Community Hospital

in the clinical placement, I developed and culturally applied appropriate communication with clients each week I was there. As I would walk down the hall and see a client I always greeted them. As I would enter the rooms that I would be doing client-centered care I greet and introduce the client that I am a nursing student at Humber College doing my clinical placement. If you welcome yourself into a room without introducing yourself that makes the client not feel safe and feel vulnerable, but by saying hello you build respect and develop a trusting relationship with a client. This demonstrates trust-building strategies to develop a nurse-client relationship, introducing yourself and calling the clients by their preferred name. And providing

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

Communication is any form of expressing and receiving of messages between individuals. The importance of Communication in the nursing profession is to maintain high quality care for the patient but also maintain effective collaboration between professionals. Boykins, D (2014) states that the “registered nurse is expected to communicate in various formats and in all areas of practice”. Various formats include speaking to patients and coworkers as well as utilizing appropriate protocols and systems to effectively communicate regards to patient’s status.

Communication with patients and other doctors is a key aspect in keeping a nursing job. Since a nurse is often a patient’s advocate as well as a link between family members and hospital staff, the ability to effectively speak and listen is critically important (New to Nursing).

As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.

In this scenario the nurse is and can be faced with having to communicate with any given person on staff to ensure appropriate quality care. Being part of the interdisciplinary healthcare team and learning how to communicate effectively within this team and encourage others to do the same is one of the many vital responsibilities that a nurse must be able to handle well.

The Hospital environment can offer some practical challenges that could be barriers in communications. Many patients have individual needs and this can impede on a nurses time and emotions. Nurses put in long hours and have a high patient/nurse ratio or shortage of healthcare workers. Nurses/personnel have to deal with emergencies in an already challenging and busy hospital setting. Dealing with patients takes mental acuity and emotional support and sensitivity. Hospital guidelines might not have sufficient communication practices among personnel in place.

In this paper I will describe the client scenario from my first six days of clinical practice at the medical ward of Eagle Ridge Hospital. I will reflect upon the salient learning experience received during the first 6 shifts at Eagle Ridge Hospital. I will explore the personal meaning of my clinical experience and will identify the plans for the next set of shifts.

As a nurse, I am able to communicate concerns effectively with the nurse and my peers, through giving report on my patients. I am able to communicate with the patient and their family, by initially gaining rapport with the patient and their family. My charting and documentation was clear, and I was able to respond appropriately to abnormal findings. My abilities to communicate concerns effectively, build rapport with the patient and their family, chart correctly, and respond appropriately to normal findings are ways in which I am able to promote professionalism. The use of communication in nursing is important to promote adequate patient care, and it allows for me to achieve a higher level of professionalism in the work environment; overall, I feel that I have met the requirements to be competent in

Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.

My clinical experience was provided by the Abbeville Family Practice Center in Abbeville, Alabama. Dr. Meadows is head of the office, serving as the D.O., and Mrs. Meredith is the Nurse Practitioner. I made an agreement with both of them to be done in three days’ tops in order to get the real feeling of working as a nurse full-time. The first day I worked eight and a half hours. The second day I worked eight hours, and on the third day, I worked four and a half hours. Each day showed me how much work is put in by doctors and nurses to ensure total recovery of their patients. I observed many things that differed from the job done by Dr. Meadows, Mrs. Meredith, and the nurses. I came to the realization that each person fits into a certain

As a student aspiring to pursue a medical career, I knew it was imperative to attain a firsthand experience in a medical setting. Therefore, my experience volunteering at the Volunteer Healthcare Clinic, or VHC, was profoundly significant as it allowed me to learn how the profession was in practice, which strengthen my desire to become a doctor. This experience, engaging with patients and physicians, exposed me to a different side of medicine through which I learned the crucial role of interpersonal communication; and, it also led me to discover a new aspect of medicine that captured my interest and motivated me to seek a profession within this field of study.

As the only child of two full-time physicians, I often found myself tagging along to hospital rounds on the weekends and clinic hours during the summer months. My passion for hospital rounds was initially rooted in the fresh bagels and biscuits in the doctor 's lounge. However, as hospital budgets dwindled and fresh bagels became stale crackers and dried carrots, I increasingly found myself sitting in the far corner of patient rooms during the consultation. Sometimes we 'd be in the intensive care unit, telemetry, oncology, or even the psychiatric ward. I encountered a truly fascinating array of patients and families. I 'd always sit silently pretending to putt around on my Mom 's PalmPilot or whatever latest gadget that was on the market. But I attentively listened to every word of interaction between the patient and the doctor. I 'd often even get anxious thinking of follow-up questions for the patient that were never asked. The medical terminology was often beyond my years. And the hospital rooms were tropically moist and exhibited foul odors. But none of these details deterred me because I was so intrigued with the patients ' lives. Everything from apathetic gang members in the Western suburbs of Chicago to weirdly spunky senior citizens. This exposure to people from all walks of life each with their own unique and individual story provided me with an astonishing perspective. I was exposed to an entirely new reality of the world that many children are never subjected to.

This week in clinical I had two patients on Tuesday and a 1PO c-section on Wednesday that I also had on Tuesday. On Tuesday I had a teenager first time mom and a mother in her late 20’s with already two children before the pregnancy at the hospital this week. I found it interesting going between the two rooms as it is very different environments and the care provided was different through the teaching and overall day went. I think it is great how the nurses are able to go from all different types of situations on this floor and to be able to be the unique nurse each requires.