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Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family.

Suzy Black is the epitome of the “new breed” of HR managers that Snell and

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

Sharing information about the patient’s health status helps to create continuity of care between the medical staff and family members involved in the patients care. As stated in the textbook Leddy & Pepper 's Conceptual Bases of Professional Nursing (2014), “Patient-centered care was created in efforts to improve quality and safety in nursing and healthcare emphasizing the importance of patient-centered care, during which nurses use a holistic care approach considering each patient’s personal preferences, values, family situations, religious and cultural traditions, and specific life- style”

An important aspect of nurse practice is communication as it is the process of transferring information, feelings and ideas (RCN, 2015). It also provides knowledge based on identifying behaviour patterns, establish a relationship between nurse and patient and it is also

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.

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.

The most relevant theory in this situation is the preservation of integrity for the patient and in my practice. In order to preserve integrity and social justice I want to attain a respectful nurse-patient relationship. The nurse-patient relationship in high acuity as written in Module 1 BCIT High Acuity course “is one of the central aspects of high acuity nursing practice” (Bungay, 2005, p. 40). I feel confident this theory is the central aspect of all nursing practice. All patients, including the one I’m referring to in this journal, has her own unique beliefs, history, and experience. On top of these, the patient is now, due to critical illness, experiencing an actual or potential physiological crisis (Bungay, 2005, p. 42). It would useful and respectful of me to acknowledge that on top of her present concerns, all concerns she had prior admission still exist. I did not give her the opportunity to express her concerns. I never asked her if she had a cat she was concerned about, was missing Saturday’s farmer’s market, wanted a Sherry, missed her friend, or disliked men. There could be a myriad of things that may be concerning her at the time. All real and potential factors support or challenge having a positive relationship with the patient (Bungay, 2005, p. 41).

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.

Effective communication through person centered care are essential for health profession, specifically in nursing care. Mueller (2016) noted that it occurs mainly through transaction modes where the patient and the nurse are on common grounds through mutual understanding. The competent communication practice of Person centered care allows the nurse to recognize patients as people and not by their illness. Moreover, person centered care satisfies patients by providing informational support to them and their families. In addition, to form a client -nurse relationship, therapeutic communication accentuates the care provider, through non-verbal, verbal and cultural norms. Lastly self-awareness allows the nurse to be aware of the patient’s

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.

In summary, professional communication is a very core for the therapeutic relationship. In detail, knowing how to create a successful communication will show the sincere intention of the nurse to patients’ concern because they are not only sufficient to assist patients’ data but also convey the message that patient can trust then accept. Therefore, choosing to be a nurse means increasing interpersonal communication knowledge and skills. Nurses should always remember this as a basic qualified standard to reflect of how they sympathize with

Nurses must assess a patient’s communication needs with respect to their age, gender, culture, developmental status and be able to modify their care related to these needs. This also is a consideration when communicating with those around us daily.

Within nursing, there is a very delicate balance between a nurse and her patient that must be maintained if the patient is to receive the care that he or she is entitled to receive. The patient must feel comfortable trusting his nurse to hear his needs and respond to them appropriately and in order for this to be the case, the nurse must first provide therapeutic communication effective enough to elicit such a response in her patient. There are both verbal and non-verbal components within the nurse-patient relationship. These components greatly influence how a nurse and patient will relate to each other and, ultimately, greatly influence the care that the patient receives.

Therapeutic Communication has a huge impact on patients, whether, we, as nurses, see it or not. It is very important for a nurse to gain a patient’s trust. Many patients are already filled with sadness, nervousness and unsure thoughts of their current situation. Such thoughts may make a person scared to trust or open up to a nurse or doctor. Developing a close rapport with a patient can help to create a safe, warming environment, resulting in a positive experience throughout their time in the hospital or even nursing home. In “Therapeutic Communication”, Anna Lauria opens saying, “What we say or do not say can influence whether a client is able to quiet his mind, relax his body and initiate a healing response” (Lauria). Being a nurse, we automatically have the opportunity to create a strong influence on patients’ lives during, and even after, their hospital experience.