...also tell the Dr you are not qualified and refuse to do it. Do NOT ever ever ever ever do a proceedure you are not familiar/confident/competent to do as chances are youll **** it up and hurt someone = black mark on your record. If a doctor gets you to do something (especially if hes a houseman) tell him to go do it himself or even better to SHOW you (after all these guys should be competent by now)... OK so they dont have masses of time to go round teaching nurses but it doesnt hurt to be a bit cheeky :P What do you think makes good teamwork in the NHS? 3) Good communication. Having good feedback from patients. This is the number one factor that you can use to determine if youre doing it right. If the patients recover and have a reasonably good hospital experience then theyll (most of the time) thank you for it. The only way this is going to happen consistently is by having a good team, good organisation, good communication for handovers and by everyone realising their part in the game. Obviously its totally essential. If theres a patient lying there you need to not only be able to talk to them about what you...
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...Why is Communication in Nursing Important? Communication is the transfer of information between or among people. The practice of nursing utilizes constant communication between the nurse and the patient, the patient’s family, the nurse’s co-workers, supervisors, and many others. Communication in this profession can be a complicated process, and the possibility of sending or receiving incorrect messages frequently exists. It is essential that we know the key components of the communication process, how to improve our skills, and the potential problems that exist with errors in communication. 3 Major Components for Successful Communication: A sender, a receiver, and a message. We frequently have a great deal of information to send to others in a short period of time. To do this effectively, we need to know that there are factors which could influence how our message is interpreted. We must consider the setting in which the communication occurs, the past experiences and personal perceptions of both the sender and receiver, the timing of the message, etc. Breakdown in communication can cause negative outcomes. We all know how important it is to give a thorough patient report to the oncoming nurse at shift change. In situations where this does not occur and important information is not conveyed, treatments, medications, etc. may be missed. For example, in one situation, an oncoming nurse was not informed that a patient had fallen on the previous shift...
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...What? Observing and understanding qualities used by others in professional medical situations can help develop my skills as a nurse when handling various situations in the work place. After watching the 'Pregnant Stroke' video related to the Doctor Emergency Department, and using Driscoll's method of reflection I believe that one of the key factors to an effective nurse-patient relationship is therapeutic communication. “Therapeutic communication occurs when the nurse uses communication techniques and processes in ways that effectively promote understanding, are therapeutic for the patient and developmental in relation to the nurse-patient relationship” (Kozier & Erb, 2012, p532) . In the video, even though the patient is unable to speak, the nurse actively engages the patient through speech, touch and movement. The nurse informs the patient that they will be seen by a doctor shortly, and that she needed to take some blood from the patient. She also informed the patient as to the whereabouts of their family member. Whilst explaining all of this to the patient, the nurse used clear and concise language that the patient is able to understand. She also leant closely to the patient so they were eye both at the same eye level whilst touching the patient's shoulder. The nurse also touched the patient's arm to explain that she would need to move the patients sleeve to draw some blood. When the doctor enters the nurse announced to the patient that the doctor had arrived. After briefing...
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...Introduction Active listening responses are skills we all possess and are essential for you as a nurse to understand and use while also encountering and learning how to overcome communication barriers with your patients. In this essay we will be looking in depth at three types of Therapeutic Listening responses I have used with one of my patients Mrs Johns and also ways I overcame obstacles that affected communication between myself and Mrs Johns. Therapeutic Listening responses when caring for Mrs Johns Paraphrasing First we will look at three main types of Therapeutic Listening responses that are sometimes used in the field of nursing, the first response we look at it paraphrasing. Paraphrasing is taking what you have heard and repeating it in your own words, paraphrasing is important because it is a way of validating that you have understood accurately what was said and allows the patient to verify their statement (Lippincott Williams and Wilkins, 2008, p. 54). It is more to the point and shorter than the patients initial statement allowing you to focus on the main features of the first statement (Arnold and Boggs, 2011 p. 186). Times when you would use paraphrasing would be just after a patient has told you a statement about feelings or thoughts and you need to confirm what you are hearing is correct, it is important to paraphrase correctly so the patient dose not think you are trying to change what they have said or think you are putting words in their mouth. Below are...
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...Being able to communicate clearly, timely, and precisely is one of the most important aspects in nursing care. On average, about 1,000 patient die per year as a direct result of miscommunication (Lancaster, Koloswky-Hayner, Kovacich, & Greer-Williams, 2015). These breakdowns in communication are also responsible for increased hospital stays and medical errors, along with decreased employee satisfaction (Dingley, Daugherty, Derieg, & Persing, 2008). Not only does this negatively impact the health and wellbeing of our patient, but it also has a negative effect on the associated facility, as executives do not have the correct information needed for the facility to have continued success (Garon, 2011). Effective communication decrease treatment...
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...Assessment Task 1 Reflection on Video Vignette At the first when the video started, I observed that the interprofessional communication between the paramedic staff and the nurse was really impressive, as they started by introducing themselves and the involved client who was on the site and it went to give all the information that has been received by the paramedic staff to the nurse who was actually going to look after the client subsequently. But suddenly after a little while, being a student of nursing my attention went towards the therapeutic communication done by the nurse in regards to her client in the video which was very remarkable and I thought it is very significant to observe this video as I was going to learn more about the therapeutic communication which is my chosen path for the future as I planned to be a healthcare professional. Initially, the nurse introduced herself and her roles to the client by lowering her body at client’s eye level which I thought was really well, then again acknowledging that her client could not verbally talk at that time, the nurse asked her client to nod her head for yes response and for the negative response the nurse asked her client to move her head side to side which I thought was fantastic as her client felt comfortable on this and the client nodded her head to nurse. Added to that, the nurse also gave all the information what she was going to do next and also she told her client that she was going to call the...
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...Late in life, elderly adults begin to experience changes in their communications skills. Physical disability often means they must move to the nursing home, too. Part of the onset of disability is the deterioration of hearing and vision. Therefore, it becomes necessary for nursing home staff and visitors to learn to communicate compassionately and effectively with elderly and disabled residents. Some elderly adults may not have exercised communication skills recently due to diminished contact with relatives, friends, community activities, and the working world. Furthermore, age-associated disability and their treatments - i.e. medications - can seriously limit communication skills among the elderly and disabled. Whether minor or serious, these changes in basic communication skills pose a potential obstacle for optimal relationships with nursing home providers. If compassion and understanding are not applied by the nursing home community, then the opportunity to maintain the elder's self-esteem and satisfying communication decline. Tips for Good Communication in the Nursing Home The following recommendations will improve communication with the elderly, disabled and hearing impaired; not only in the nursing home, but in any setting: Body language is very important. Try to position yourself at eye level with a cheerful countenance. If the elderly resident is upset or confused, try to respond to the emotion that you see. Let them see in your eyes and hear it in your voice...
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...Journal Number Two: An important primary goal of nursing is to facilitate the development of trust and to build upon a therapeutic relationship between the patient and members of the health care team. Demonstrating the skill(s) of effective communication is key. Assessment of a patient’s ability to communicate includes gathering information about the ‘contextual factors’ that influence communication itself. A context includes all the factors that influence the nature of communication and interpersonal relationships. This includes the patient’s internal factors and characteristics (psychophysiological) the nature of the relationship (relational) and the situation prompting communication (situational). Psychophysiological context refers to the patient’s internal factors and characteristics. First, monitoring some of the even basic physiological status such as pain, hunger and weakness. Second, paying attention to one’s emotional status and treating/preventing conflicts with anxiety, anger, hopelessness and even euphoria. Last but not the least, the growth & development status of the patient; simply not only looking only age but to the developmental tasks as well, perceptions/personality and the patient’s self-concept and self-esteem all play a vital role in communication itself. Relational context refers to the nature of the relationship between the participants. Is the relationship social, helping or working? As a nurse, I must pay close...
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...Communication and Therapeutic Relationships in Nursing/Midwifery A therapeutic relationship can be described as one that offers support and care without being judgemental and can provide trust and a feeling of safety from threatening situations(Mc Klindon et al1999). In contrast to a social relationship it differs greatly in that a therapeutic relationship consists of collaborated goals which are identified when the relationship is initiated and once these goals are fulfilled the relationship is terminated in a therapeutic way(Nurses Association of New Brunswick2000).There are many communication techniques that can prove to be useful in certain situations for example verbal and nonverbal communication as well as being aware of body language and tone of voice which can benefit the therapeutic relationship. It is essential to learn how to be assertive as it can promote fairness and efficiency at work(Hodgetts 2011). One must learn how to communicate effectively with clients from different cultures who speak different languages in order to ascertain the clients needs and in order to build the therapeutic relationship. Developing a Therapeutic Relationship In order to develop a therapeutic relationship it has been found that a number of skills are required for example conveying empathy and understanding, accepting individuality, providing support, promoting equality, demonstrating respect, maintaining boundaries, self awareness and being there for the client in a genuine manner(Dziopa...
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...Why is Communication in the Nursing Profession Important? Meia BrownCM/107Kaplan University Communication in the nursing professional is complicated process and the possibility of sending or receiving incorrect messages frequently exists. It is essential that we know the key components of the communication process, how to improve our skills, and the potential problems that exist with errors in communication. Good communication skills should be considered a basic requirement for any person irrespective of the profession the person is engaged in. Communication helps a person to relate well with the people he is interacting with. The nursing profession is not an exception since a nurse should use good communication skills to be able to relate well with the patients. A nurse deals with different kinds of patients each suffering from different types of ailments. As a result, the nurse should be able to approach each of the patients differently. This means that, a nurse should have great communication skills. I believe good communication when I become a Medical Assistant, will help me relate well with my patients. Bearing in mind that I deal with different patients suffering from different ailments, some more serious than others, I have to use my great communication to know how to pass whichever information I have across. Sick people need encouragement in life and for this reason, I use my good conversationalist aspect to show my politeness and that I care about them...
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...The way in which communication styles and perceptions may influence clinical practice decisions clearly depends on who your patient is. I work in a family clinic which caters to a community that includes a variety of ethnicities, patients whom may have disabilities including physical and/or emotional, the elderly, and children. Communication has to be geared towards the person you are giving care to in order for the patient to get the full benefit of what you are relaying to them. “Understanding how people communicate is a first step for you to take in learning how to teach clients more effective methods of listening, self-awareness, and self-expression, and how to identify barriers to communication” (Chambers Clark & Paraska, 2014, p. 77). Effective communication is key and is not always that simple if you do not take the time to understand who your patient is. Collaboration as a team is extremely important for good staff and patient outcomes, because if you are not able to get on the same page with one another everyone loses. Positive communication between staff is definitely a key element for good patient outcomes. The linkages between positive interprofessional health care team collaboration and communication can be seen in good patient safety outcomes by being able to communicate effectively between one another and remembering that the patient is the main focus. A communication breakdown within a team of health care professionals can definitely...
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...APPLY EFFCTIVE COMMUNICATION SKILLS IN NURSING Practice INTODUCTION: I am going to talk about Cerebral Palsy which is a nervous system disorder. In this disorder clients have dysarthria, a speech impediment, that makes it difficult for them to communicate. In nervous system the ability to communicate may be impaired by factors that include: * Damage to the speech centres in the brain, * Damage to the temporal lobes, which hinders the perception and interpretation of stimuli, * Damage to the cranial nerves responsible for movement of the lips, tongue, pharynx and larynx, * Limited motor function that hinders non-verbal communication gestures, * Visual or hearing deficits, * Altered levels of consciousness or mental status. ( Maureen farrell et al:(2005) Australia, Medical Surgical Nursing “Neurological Function” (see pp1896-1910), * Funnel, koutoukidis, et al:(2005) Australian, “Neurological Health” (see chapter 43, pg745). CEREBRAL PALSY: Cerebral Palsy comprises a group of neuromotor disorders resulting from prenatal, perinatal or postnatal cerebral hypoxia or damage. Thesedisorders is highest in premature infants or in infants who have experienced a difficulty birth resulting in cerebral damage. There are three common types of cerebral Palsy, although some individual may have symptoms of more than one type. The three types of cerebral palsy are spastic, athetoid or dyskinetic, and ataxic. CEREBRAL PALSY...
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...Efforts to improve the quality of life for nursing home and assisted living residents has been the focus for a number of years beginning in 1987 with the Omnibus Budget Reconciliation Act (OBRA). OBRA 1987 addressed many physical and emotional areas, but did not include effective communication or interactions with residents. One of the simplest methods to better assess residents is to communicate with each individual and ask for their input. In a study of communication between residents and staff, Williams (2006) found that effective communication is an important contributor to quality of life, and it enhances life choices for elderly residents. Effective communication does not belittle or marginalize elderly individuals. Effective communication...
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...Philosophy of Nursing Jasmine R. McLendon University of North Carolina at Charlotte As one enters into the profession of nursing, it is important for them to identify and understand their own personal values and principles that will guide them throughout their nursing career. Nursing is the compassionate care provided to an individual by someone who understands their disease process and who is able to construct an effective plan of care for that individual. Apart from knowledge of medicine, there are vital characteristics that a nurse must possess in order to be effective in their plan of care for patients. My philosophy of nursing incorporates three characteristics that I feel are vital to superior nursing care. In this paper I will express the values I feel are necessary when providing care for patients. In order to be an effective nurse, I feel that one must have remarkable communication skills, they have to be a good listener, they must have an inordinate sense of empathy, and they must possess patient advocacy. If one lacks in any of these areas, then their knowledge of just medicine is meaningless and their patient care will be ineffective. In regards to the nature of human beings, people rely on trustful and understanding relationships. These relationships require a nurse to have remarkable communication skills. According to Whitehead, communication is integral to a nurse’s ability to develop a therapeutic relationship with patients/clients. Communication is defined...
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...Topic: The Art and Science of Nursing Name: Course: Instructor’s Name: Date: This paper seeks to explore Nursing practice in an attempt to demonstrate the change in perspective of the practice over the years from a traditional view to a more contemporary and realistic view. It will seek to achieve this by performing a literature review of two articles that not only talk but also define and distinguish nursing as both an art and a science and explore a nurses’ experience of being in patient/nurse interactions. Data used in the literature review was gathered through a random sampling of twenty-eight sophomore students, who were at the first year of learning nursing clinical experience with patients. The literature reviewed will help the reader in not only exploring the concepts of nursing but also assist them in exploring the perception of nursing, communication and also interaction. Nurses are continuously seen as the glue that holds the system of health care together. This is because unlike doctors or patients they are always available every time, every day. Nurses expend a lot of energies to ensure that patients get excellent health care, but their duties and roles are at times not clearly defined or undervalued. The concept of nursing is based on people, health and the environment. Nursing can best be defined as specialized care that is well-cut to satisfy the needs of individuals. Nursing is not only an art but also a science, as a science, it is based...
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