Nursing

Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during

Hildegard Peplau’s middle-range theory, Interpersonal Relations, established in 1948 and highlighted the nurse-patient relationship as the groundwork of nursing practice. Peplau supports each role individually, the nurse and the patient, by ensuring that equal participation is implemented to reach a mutual goal. For example, the role of the patient reflects vulnerability and the expectation to be open to the health care providers throughout care and treatment plan. Subsequently, the nurse is supposed to facilitate a reciprocated relationship by noting the client’s behavior, defining the client’s illness, creating the most proper care for the client, understanding the physician’s treatment plan and confirming it, and intervening when required (Sue Penckofer, 2013).

P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has

The World Health Organization recommends the standardized communication process, called SBAR, an acronym which simplifies a patient’s situation and background and the patient care provider’s assessment and recommendations (Wacogne & Diwakar, 2010). The situation, background, assessment, and recommendation (SBAR) protocol is a technique that provides structure for

Staff reacted quickly and appropriately and when safe transferred the patient into the resuscitation area. I witnessed good communication between staff with the use of SBAR, giving structure to the information being provided by ambulance staff and by nurses to medical staff. Communication between staff and the patient promoted a good therapeutic relationship. Communication is vital in the nurse patient relationship to build trust and gain information (Webb, 2011).

This theory describes the different phases that a nurse-client relationship goes through. The phases that my patient and I will most likely be working in are the orientation and the identification phases because our relationship will be new. Our interaction will focus on building a mutual trust and understanding, as well as answer basic questions as to why my patient is here and things that she has been struggling with. Depending on how long my patient has been in the program, she may be open to exploring more of her feelings and sharing more about herself with me. Focusing on developing a good nurse-client relationship will help me during my interaction with my patient and will help me understand her needs better.

The interpersonal theory of nursing by Peplau was examined in accordance with Chinn and Kramer (2011). The purpose of the theory was described to improve the

The multidisciplinary team meeting is an example of the process in action. Many clinicians are present. Most will be in a position to help formulate the most appropriate management for the patient. The doctor directly responsible presents the present situation and the relevant background. The assessment will include a discussion with the clinician to clarify the clinical findings and a joint review of the results of all relevant investigations. Recommendations will be agreed by all present. These will be documented in the patient's records for implementation.

The RN who is the gateway to patient care looks at the patient’s situation (current status, code status, level of uncertainty, recent changes and response to treatment…), background (comorbidities, previous episodes, current medication, family history…), assess the patient’s overall health condition and communicates vital information to all team members that are directly involved in the patient’s care during an emergency (Hood, 2014). During the course of my learning experience as a nurse, I realized that the main components in nursing profession is prioritizing information before initiating it. The use of SBAR when communicating patient’s condition to physicians, specialists, dentists, nurses and other healthcare team has improved my communication skills and has also helps physicians to determine the order of treatment for the patient thereby improving the overall patient’s

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

Acute care nursing is by far the most interesting and exciting field I have yet to encounter. There are a couple areas for improvement, and there a couple areas that I have exceeded in. With that being said, the first area of improvement is knowledge of the pathophysiology of the most common diseases seen in the emergency department. The second area of nursing that needs improvement is the titration of intensive care unit medications. Two strengths that I can identify are as follows: patient safety, such as hygiene, and patient safe communication. I enjoyed being in the forefront of the hospital, it was truly an excellent learning experience. I am very thankful to the staff in the emergency department at Las Palmas Hospital, they facilitated

By giving nurses a sense of identity, nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service (Draper 1990).Hildegard Peplau, one of the role model of nursing theorist, established a theory of interpersonal relationships in nursing. Her reason is the goal of the nurse-client relationship is to give a quality nursing care moving forward to health promotion and maintenance. The purpose of this paper is to conduct a basic assessment of her theory.

Not only was I nervous about simply calling, I also had a brief moment of self-doubt. (What if I am wrong? What if the value is where they want it? Kind of thinking) I explained this to a co-worker that simply asked if I learned SBAR in school, which of course I had. The hospital does not usually use it, but for the times where you are unsure, my advice is to use the SBAR tool for communication as needed. According to Lucy Hood, SBAR stands for situation, background, assessment, and recommendation (Hood, p.105). When used correctly this communication tool can assist the nurse in relaying information to providers. Article author describes the SBAR as, “… is a technique for communicating critical information that requires immediate attention and action concerning a patient’s condition” (Article author, year). I find that personally the most important key in communication regardless of what is to be communicated is self-confidence. Having confidence in yourself and your knowledge will provide a comfort unmatched by any tool or strategy. However, for when it is needed, there are many strategies and tools like the SBAR to help ensure your communication is as effective as

Peplau’s theory of interpersonal relationship or nurse-client relationship revolves around interactions with clients. Previously, patients are merely view as objects that could only be observed by nurses. Nowadays, patients are view as individual who participate and interact actively in their care through communication by expressing their thought and concern (McCarthy & Aquino-Russell, 2009, p. 34) with the aim of supporting a client’s well- being and health.

Peplau’s theory of interpersonal relations is focused on the nurse-patient relationship that is geared toward a common goal of meeting the needs of the patient (Liehr & Smith, 2017). This theory is useful in providing guidance, direction for the nursing practice, education, and research through critical thinking.