The main weakness of this study is the fact that the study is exploratory. There was no control group to compare scores of the PROMIS or PSS-NICU. This study just shows how scores went up with length of NICU stay. However, this does provide another instrument that can be used to assess parent health. Parent-Staff Communication Wigert, Delienmark, & Bry (2013) explored the strengths and weaknesses of staff communication in the NICU. They gave 270 parents a 16-question survey with answers using a Likert scale. A common statement from most parents was that they had received information from nurses and doctors and when they did the information was easy to understand. Some parents felt the staff did not understand their situation. There was a significant difference at the .05 level between parent communication with nurses versus doctors (Wigert, Blom, & Bry, 2013). There was also some poor information giving between nurses, showing a lack of communication between nurses. Doctors and nurses were continuously seen as professional. This study had a decent size sample and a consistent survey for all parents to take. There was a look at communication between hospital staff regarding patients. As well as, a comparison between doctors and nurses. This gave this study some unique factors not seen in other studies. When looking at doctor versus nurse communication and communication between hospital staff seeing what parents felt while at the hospital with their child. Doing a
Patients have needs unrelated to their illness or injury. Having spent my entire career in pediatrics, often my focus is on developmental needs and what activities can be provided that support normal development. Some needs, however, seem to be universal. The need for play, learning, and social contact are not restricted to children. Meeting the emotional and psychosocial needs of the patient without compromising the physical needs demanded by the illness or injury is occasionally a delicate balancing act, and is where the art of nursing meets the science of nursing. By collaborating with our patients and families and respecting their values, a plan can be reached that both supports their needs and involves them in their own care.
Communication is one of the basic survival skills of human and also a fundamental part of nursing. Effective communication would help to promote a positive nurse-client relationship which is crucial for the delivery of quality nursing care (Sheppard, 1993; McCabe 2003).
Communication is usually taken for granted in our every day to day living as we use it without thought. Good communication skills are needed in the workplace and especially with nursing staff to and from patients when giving first hand care. Good or bad communication can make there experience within the health care setting a positive or negative one and can leave a lasting impression. A good health care provider can use there communication skills to put a patient at ease with a few comforting words or gestures, a lack of positive communication in the health care setting could leave the patient feeling neglected, ignored and not valued as a patient.
Another big role in a pediatric nurse’s job is telling the parents disturbing news when it is necessary. Telling the family any bad news is more of a process than anyone might think. The pediatric nurse responsible for this task must first think ahead, plan for the worse, and plan for the reaction of the family. The pediatric nurse must set time apart from their busy day to be able to spend it with the family of the patient. One is never sure how the family will react or how long it will take to explain all the details and answer all the family’s questions. , According to Crawford in his journal “It is also helpful in many cases to have a witness to what was actually said as sometimes, despite all the care and attention to detail, mixed messages can be conveyed” (Crawford 3). In the article, it also states that the pediatric nurse should give open and honest information to the family. The nurse should start the conversation off letting the family know that they are here to support and encourage. The nurse should be straight forward from there on out and should refrain from using elaborate or confusing words with the child’s family. The nurse should avoid not only confusing the family but also excuses, jargon, elaborate reasoning, and the temptation to speed through the bad news without making 100 percent positive the family understands what they are being told. When the nurse has properly told the family the bad news, he or she must
1) I will observe how my preceptor and other nurses on the unit demonstrate patient and family centred care, and I will do a literature review on the importance of providing family centered care in nursing practice when working with paediatric patients (Harrison, 2010), (Kuo et al., 2011). (Roberts, Fenton & Barnard, 2015).
children and families cope and adjust to the challenges of hospital visits. Although a child life
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
-A succinct philosophy of family nursing is seen in The Association for the Care of Children’s Health standards stating the expectation for healthcare providers to facilitate family/professional collaboration at all levels of care, and to recognizing family as the constant in the patient’s life whereas the healthcare providers will fluctuate (p.40, 2003).
Communication in nursing is important in patient teaching, patient understanding, and patient care; it is important to have the ability to communicate with the healthcare team, the patient, and the patient’s
On my first day of clinical, the hospital was very busy with almost every room filled. There were two RNs on staff and one CAN currently on the floor. Unfortunately I did not get to see any nurse to nurse communication but did get to see how one of nurses interacted with the patient. The patient was very ill and uncomfortable and the nurse spoke softly and calmly to her while at the same time starting her IV and making sure everything was hooked up correctly and assessing her needs. On my second day of clinical I was able to see a lot of interaction between a doctor and her nurse. Both persons were very respectful of each other in receiving information and implementing the plan of action they had both discussed and agreed on for their patient. One thing that I saw in the family practice that I thought was a great way to communicate is how they charted. When they were charting, they would both be charting in the same patient but would each be communicating their assessment of the patient to each other.
Problems with verbal communication in the healthcare setting emerge from the fact that nurses and others in the healthcare setting receive little education on how to communicate effectively with each other.
On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine
There are fewer interactions between nurse and patient due to nurse patient ratio. In public hospital it can be overcrowded leading to increase in nurse workload resulting in time limit and not communicating with patient. Some nurses are there physical but not mentally due to lack of motivation or personal problems . To be a nurse you need to love it in order to provide high quality care. Esmaeili and her team also found out that some physicians self centred they do not think of the patient and for the nurses to provide good quality care their need the whole team to participate.They also found out that some patient are not satisfied with care due to poor quality scope of the nurses as they can not provide solutions to some problems. There is lack of holistic view as this includes focusing on patient and their family’s needs also resolving patient’s issues during hospitalisation and after discharge. Other nurses needs to up date their knowledge and practice (Esmaeili, Cheraghi and Salsali, 2014). Hills found out that sometimes communication can not happen due to tight schedules of nurses, working with difficult patient and staff shortages There is still some health team members who still believe in hierarchy so they do not think its necessary to share or communicate with low ranking staff resulting in errors being
The article “Spouses Needs for Professional Support: The Spouses’ Perspective on Communication” was a qualitative study. Since this was a qualitative study, there was not a hypothesis. There was no hypothesis for this study because a qualitative study does not contain any variables. The purpose of this study was “to investigate spouses’ experiences with their partners’ hospitalization and the spouses’ relationship with nurses and physicians” (Laursen, J., Danielson, A. K., & Rosenberg, J., 2015, p. 326). The authors of this study also investigated “spouses’ needs for well-planned communication and the importance of a professional relationship with health professional” (Laursen et. al, 2015, p. 326).
Communication: During my shift today, I communicated more so with patients than any of the other days I had been on the floor, since most of time consisted of performing the newborn weights. Many of the babies had lost some weight since, birth and almost all the parents asked me if that was normal, or why was it that their baby had lost weight and I explained to them that it is not an unexpected finding for babies to lose some weight a few days after birth. However, they should regain their birth weight within ten to fourteen days after birth. While I was in the rooms I also asked the parents how the baby had been feeding, if they had any questions or concerns, and when was the last time the newborn had a void and/or stool. Furthermore, when I was in the nursery I was able to observe how different members of the healthcare team such as the nurses, the physician, respiratory therapist, lab and x-ray