As a Nurse, I believe that effective patient communication is integral to competent patient care. The patient to nurse communication sets the tone for the patient’s stay and how they are going to feel about the care they receive. It furthermore improves their care because patients are often quite knowledgeable about their bodies. Just a few months ago, I cared for a patient with medical device I was unfamiliar with. My unit had a nurse call out, and our patient to nurse ratio was higher than usual. I did not stop to research my patient’s notes as I usually do. Typically, when I have a patient with an unfamiliar medication, device, or condition, I have them explain it to me in their own words and I research it myself. On this day however, I decided to “go through the motions” and try to get a head start on my busy day. I attempted to get started on my assessments and medication pass as soon as possible. My patient had what is known as a left ventricular assist device. A surgical device worn by patients with severe heart failure in need of a heart transplant. The night nurse had already informed me that the patient had some extremely liable blood pressure readings overnight, but not to worry, it was normal for the patient as she needed a heart transplant. The patient care tech brought me the vital sign sheet. Wow! Blood pressure 60/40? “This cannot be accurate at all” I thought to myself. I decided to assess this patient first, considering her blood pressure reading was so
Type 1 diabetes (T1DM), which accounts for 10%- 15% of all diabetes, is increasing in prevalence globally. According to Diabetes Australia (2015), diabetes becomes the fastest growing chronic condition in Australia among all other chronic illness such as heart disease or cancer. Although T1DM cannot be prevented or cured at the present as the exact cause of the disease is not yet fully understood, it can be managed with insulin injections or insulin pump (Diabetes Australia, 2015). However, a person with Down Syndrome (DS) and moderate intellectual disability (ID) will face more health challenges managing his chronic illness than those without ID or genetic condition. ICF model will be used to analyse this person’s activities limitation and participation restrictions in the essay. Finally, an effective nursing communication intervention will be applied by the community nurse to educate this 45 year old male to reduce risks of developing complications associated with T1DM.
One of the OR nurses, texted the surgeon to notify him that the bleeding from the chest tube site appeared to slow down. The surgeon texted back with an image of “thumbs up”. The nurse interpreted the text message as to bring the patient into the PACU recovery room. The surgeon when back to the operating room only to find out that the patient was transported into PACU without his consent. The patient was still bleeding in PACU, therefore had to be transported back to the OR for re-exploration of bleeding. The surgeon was extremely upset with the nurse for misinterpreted the text message symbol. Lack of communication is often caused by making an assumption. This case is a clear example of how a lack of communication could have been deadly. As a development of a leader, it's extremely important to clearly communicate with co-workers, surgeons, and patients. Taking the time to gather and share all necessary information can make a world of difference in the outcome of a patient’s
The Nurse in Scenario one made it clear to the patient that she was busy and had other patients to tend to. Effective communication is not demonstrated here because the Nurse has not respected or placed herself at the service of the client (NMBA, 2008). As observed in the video the Nurse speaks quickly and interrupts the patient.
Achieving the goal as a successful nurse is not easy as it requires not only a broad knowledge but also clinical skills (Raya 2006). One of the crucial factors leading to that is learning to create therapeutic relationships between health care professionals and patients through professional communication. This is long-term training since nurses must know how to apply different communication methods to help their patients with kindness and sincerity (Varcarolis 2005). The purpose of this study is to assess knowledge of how diversified communication types are used and their efficiency in building a therapeutic relationship.
Understanding that part of the success in recovering the patient lies in a good communication and it makes part of the success in recovering the patient. Starting the work with the patients, the first one that I consider the vital importance is in the form in which we establish a verbal and non-verbal communication. The first and most important thing I can do for a patient beginning the day is just to smile using a calm and welcoming voice. Then, as a patient care provider, it’s when I begin to develop a close nurse-patient relationship
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.
Identify two means of communication that you use or have used in your nursing practice.
Communication- It’s a topic every individual is familiar with but not everyone fully understands. To be a successful communicator you need to be certain what the message is you are trying to convey, who is the receiver, and who is the sender (Anderson, L.). Many individuals fail at successful and proper communication due to the fact they do not take other individuals culture, knowledge, or background into consideration. Successful communication is not about seeing how fast you can relay the information and move on. Successful communications involves answering questions, being honest, showing your active listening, and even providing support. With that being said, the concept this paper is going to cover is how good communication is going to help an individual become the best nurse he/she can be.
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.
One of the many concepts that were interesting was the Nurse Role as a communicator. Good communication skills are essential to every professions, careers and very important to developing a trustful Nurse Patient Relationship. We as nurses communicate with diverse of people every day, as we deliver or provide care, educations and information to our patients and their family. We must be able to provider information’s that are accurate and in a nonthreatening manner. Patients and family may have questions relate to their care, be it vaccine in this case, it is important not to only discuss the benefits but the risk of vaccines. Good communication will help the nurse not to be defensive when they question. Patients, family members and parents, might have being misinformed or received misinformation about vaccines however with good communications skills nurses get their massages about vaccinations across more clearly and effectively. In additional to developing quality-targeted communication to specifically address and improve vaccine uptake, vaccination and communication is an essential
On Monday April 3 2017, I spoke with Claudia via text messaging about splitting her a Monday shift with Dana as she did jot have the hours she was promised full time. Claudia stated she would let her work the last part of the shift. I explained to her that Dana had testing for certification the next day and could work the first half. She declined letting her work that shift. Stated she could work her Sunday. I declined as Dana was all ready working that Sunday. This seemed to upset Claudia and she stated umm no she doesn't. She never did let me explain to her that Dana works weekends in Atlanta which she would not see on the sch. This evidently brought up a very sore subject for her as she was upset that she works two weekends a month while
As nurses at times we found ourselves in complicated dilemmas. In this scenario the wife is asking to basically do the job with not patient interaction. It is hard for a nurse to offer the best care without interaction with the patient. I am a firm believer that patients should not be lied when it comes to the treatment even thought is the the last stage of live. In hospice is essential to gave a good communication with the patient because the patient is the one that knows hows comfortable he or she wants to be (Walker & Breitsameter,
Physicians and patient family communication is integrated together when determining EOLC for the patient. Communication is defined as the basis of human connection, and allows for each side (patient/family and doctor) to understand the values and concerns of the other (Foster et al., 2010). Physicians also need to support parents and other family members, by providing a bridge to close the gap between the disease and the patient (Himelstein, Hilden, Boldt, & Weissman, 2004). This applies especially for children with cancer, communication between physicians and the family is crucial because it is ultimately the choice of the parents who decide how to proceed with the illness. Parents are more likely to have preferences, depending on their
Communication takes place when one person conveys a message and someone else picks it up and interprets it (Webb, 2011). Webb (2011) highlighted the significance of communication and interpersonal skills when delivering high quality nursing care. The NMC (2015) suggested health professionals should communicate using terms that people in their care and the public can understand, take reasonable actions to meet people’s language and communication needs also checking peoples understanding often to avoid misunderstanding and mistakes. The key communication skills in nursing are planning and preparing, listening and observing, assessment and decision making, questioning and probing, giving feedback in addition reflection and evaluation (Darley, 2002). In relation to my scenario, the health professionals displayed good communications skills to provide effective care, they worked within a multidisciplinary team and maintained professional practice throughout the event. The NMC (2015) suggests health professionals should maintain effective communication with their colleagues, to work with their colleagues to assess the quality of work and preserve the safety of the patients.
The purpose of this report is to examine the article “Improving nurse–patient communication with patients with communication impairments: hospital nurses ' views on the feasibility of using mobile communication technologies”. It will do this by focusing on the way in which the article was located, legal and ethical considerations undertaken by the researcher, the methodology used to get the results, whether it was quantitative or qualitative in design, key components of the research design including the sample size and exclusionary criteria, how the data was collected and the analysis of the data. The report will also discuss the findings and its implications on current or future nursing practice.