In this paper, I will discuss a nursing situation which I witnessed, which emphasized the significance of communication and understanding opposing perspectives for developing a therapeutic relationship between the nurse and the family (See Appendix).
The scenario can be dissected at three different levels of inquiry: intrapersonal, interpersonal and contextual level. Understanding different range of perspectives can assist in creating a holistic care plan for the patient. At an intrapersonal level, one begins to communicate within themselves (Kozier et al., 2017). From the nurse’s point of view, they acknowledge the client’s inability to speak English and the need for an interpreter. At the same time, they know that they must assess for signs of inflammation and pain prior to applying medications. Proximally viewing the situation, the nurse feels the need to complete an assessment for the comfort of the client and to fulfill their task. However, as the interpreter walks into the scene and stops the nurse, the nurse may feel accused and decides to change their priority to solve the miscommunication in order to provide safe care to the client.
On the other hand, at an intrapersonal level from the client’s family’s perspective, the family may feel frustrated at the nurse due to their obligation to protect the patient and to speak for the patient due to the language barrier. As Kozier et al. (2017) state family members may feel compelled to be vigilant to protect the ill
Establishing effective communication with the patient is a critical factor in promoting patient quality care. Good communication is fundamental when providing safe and effective care at the beside in order to increase the quality of patient care. One of the many communicative barriers that exists between patients and the healthcare team are language barriers. Language barriers are considered an initial problem of translation or code-switching. Individuals who speak different languages require a certain code breaker in order to facilitate effective communication (Gregg & Saha, 2007). Furthermore, language barriers may hinder the quality of patient care and interfere with optimal clinical outcomes. According to Happ et al., 2011, nurses have the unique responsibility to engage in communication with patients and have control over the timing and method of communication. Evidenced based interventions such as communication boards are needed to improve nurses’ communication skills in order to achieve effective communication.
The interview was conducted with a registered nurse with more than 10 years’ experience. Her current role is working in the Medical Assessment and Planning Unit, in particular, the palliative care area. On a regular basis, her role involves providing safe and quality care to her patients, and more specifically end of life care. In doing so, two predominant skills of communication
Language is one social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. It creates the trust that exists between a patient and a doctor and their guardians. When using a translator, meanings may change and the desired communication result may not be achieved. The trust that should exist between the doctor and the patient and the guardians
I felt my strengths were communication and collaboration. I felt comfortable with the students, nurses, and the infants on the unit. I feel it’s important to have open communication. I encourage the students to ask me questions regarding lecture, clinical, and/or there medical surgical lecture. I feel the students also respect me and valve my input because they ask me questions each week. If I don’t have the answer, I’ll look up the question and email them.
Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.
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.
One example of conflicts that exist among providers and some of the people we serve are challenged with a trio of cultural, linguistic, and health literacy barrier. Nurses are the key people to facilitate the interconnections between patient’s
Providing medical care to patients with limited or no knowledge of the English language can be very challenging. Miscommunication, different believes and issues can interfere with a good relationship between the health care giver, the patient and very often the patient´s family. I chose to include the patient´s family because the majority of the Latino population gives a big value to the family which is always present when there is a need to take an important decision such as health treatments.
This assignment will critique the enhanced communication skills between a registered nurse and service user. For the purpose of this assignment the service user will be referred to as Iris. Confidentiality will be maintained throughout, as stated by the nursing and midwifery council (Nursing and Midwifery Council [NMC], 2015). The physiological assessment being observed was blood pressure and will critique the communication skills, active listening, non-verbal, verbal communication and dignity. Verbal, non-verbal, visual and written communication are the four main types of communication (Boyd & Dare, 2014). During this observation Iris was having her blood pressure taken prior to commencing haemodialysis. Rapid removal of fluid increases the chance of hypotension during and towards the end of dialysis (Cormier, Magat, Hager & Lee, 2012). This is why it is important to monitor Blood pressure before, during and after haemodialysis. I observed Iris’s Blood Pressure being monitored prior to commencing haemodialysis.
Patients and their families bring culturally specific beliefs regarding the ideas about health and illness, reporting symptoms, expectations for the delivery of health care, and views about medication and treatment. A culturally sensitivity individual recognizes the differences between cultures and accepts them. Healthcare providers are urged to recognize, respect, and integrate clients' cultural beliefs and practices into health prescriptions (Purnell, 2005, p. 8). A failure to appreciate these differences may cause a misunderstanding or miscommunication about healthcare. Language is the foundation for effective nurse-patient relationships and is important for interpersonal and cross-cultural communication.
Issues gained from this data collection, such as language barrier is one example how this process of care benefits the patient. A patient who does not have a strong understanding of the English language may need an interpreter to assist with their understanding of their illness, and explain informed consents for procedures, maintaining the patient’s autonomy and respecting their cultural differences is important throughout the care process. This data is electronically documented and can be retrieved for use by other healthcare professionals.
As a nurse we should provide best possible care no matter if we understand our patient or there is a language barrier, there are methods we can use to communicate such as non verbal communication or we can ask interpreter or family member to help us communicate efficiently with a patient. To be able to provide competent care for patients from different cultures we must understand they believes and we should make sure we would avoiding stereotyping or assuming what is good for one patient would be same acceptable for
Department of Health and Human Services, n.d.). Using a patient’s family member to interpret is not acceptable, unless they are trained in medical terminology and the patient has given consent for the family member to be given his or her health care information (Andrews & Boyle, 2016). In this video, the doctor and nurse learned about language access services, and their importance when conveying important information to patients and their families (U.S. Department of Health and Human Services, n.d.). Language access services, such as a bed side interpreter, has been shown to help decrease a patient’s admission to the hospital, as well as decrease the thirty-day readmission rate (Karliner, Perez-Stable, & Gregovich,
Oral communication in healthcare is a continuous process and is extremely important for all those involved. Nurses relay relevant information to patients and their family, they are also responsible for updating the physician about the condition of their patients as well as nurse to nurse reporting. This communication is a fundamental part of the nursing process and can result in either quality effective care or ineffective care caused by lack of information. Written communication between the doctors, nurses, patients, and patient families can occur in a number of forms whether handwritten nursing notes or electronic medical records. Both forms are permanent
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.