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Patient clinician communication 7 principles
Effective communication in healthcare setting
Effective communication in healthcare setting
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Synergy in Patient Care Each patient encounter allows an opportunity to influence the care and treatment of the patient and their illness. Multiple nurse characteristics, described in the American association for critical care nurses (AACN) synergy model, combined with coaching, can impact the care provided to patients creating a synergy. This paper will describe a patient situation, identify three nurse characteristics demonstrated in the situation, discuss coaching concepts, and describe how nursing characteristics and coaching drive patient outcomes.
Patient Situation
A 67 year old female, B.H., was admitted with intractable nausea and vomiting. She decompensated quickly and was intubated for respiratory distress and sent to the intensive care unit. B.H. was found to be in multi- system organ failure. Her liver had been damaged by years of alcohol consumption and hepatitis. Her failing liver caused an excess accumulation of abdominal fluid leading to the respiratory distress. The toxins within her body also caused her kidneys to fail resulting in dangerously elevated kidney lab values. Despite medical management, her kidneys did not respond with an increase in
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In the patient situation described, the nurse characteristics enabled improved patient care, by ensuring the family understood the true nature of B.H.’s medical status and her prognosis. Experience enables CNS’s to create strategies to provide specialty based anticipatory coaching (Spross & Babine, 2014). The use of caring practice created a trust with the patient and the healthcare team permitting the CNS to coach and guide the family to change B.H.’s code status to include withholding resuscitation. Collaboration allowed the family to be involved in B.H.’s care and clinical judgement allowed the CNS to coach the family into accepting a facility transfer for an opportunity for improved care
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
In the Intensive Care Unit (ICU), patients are being monitored very closely while their vital signs, their neurological status, and their physical status are being managed with strong medications, lifesaving machines, and the clinical knowledge and skills of trained ICU nurses. Outside of the ICU, it is essential for staff nurses to identify the patient that is clinically deteriorating and in need of urgent intervention.
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
Williams, M. (1998). In C.M. Hudak, B.M. Gallo, and P. Gonce Morton. (Eds.) (1998). Critical Care Nursing. A Holistic Approach. 7th Edition. Philadelphia: Lippincott-Raven Publishers.
Mindful communication is one of the most powerful tools a nurse can use when delegating responsibility to an unlicensed assistive personnel (UAP). In order to effectively delegate patient care to the UAP, the nurse must use the right communication. The right communication provides safe, quality outcomes for the nurse, the UAP, the patient, and the facility. The processes at the core of communication that are suggested to improve synchronization of a care team are effective, patient-centered, timely, and equitable care (Anthony & Vidal, 2010, p. 1). The registered nurse (RN) must assume responsibility for delegation, as well as client outcome. This makes it important for the RN to foster an open, truthful, and trusting environment with coworkers. Even the smallest piece of information left out of, or misinterpreted in
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
Nursing is a unique system that requires good collaboration with others and working together to reach the goal of providing good quality care based on evidence-based-practice. “The role of a colleague is a vital one in any profession. The status of colleague within the care generates pictures of nurses, doctors, pharmacists discussing, on an equal basis, problems and concerns related to healthcare” (Zerwekh & Zerwekh Garneau, 2015, p.144). If nurses can’t get along with other healthcare providers that will jeopardize the patient’s recovery and can take a huge turning point and guide nurses away from providing high quality
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
The many concepts are very complex and have many dimensions. Concepts developed by Leininger, Watson, Gaut, Benner and Wrubel, Ihde, and many more were discussed and how they relate to ICU nurses and their caring practices. It is stressed in this article that ICU nurses have an important role of making sure they have insight into their specific behaviors so that nursing practices can be developed. Once these nursing practices are developed, ICU nurses can successfully care for their critically ill patients. Wilkin (2003) claims that caring is a, “dual component of attitudes/values and activities, which create an ongoing challenge for the ICU nurses” (p.
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
For a nurse, trying to provide individualized care for a patient is extremely difficult to do, due to dealing with up to 20 patients a day. Assessing a patient’s needs and problems is first and foremost the most important thing for a nurse to do. Nurses are always caught between taking their time with a patient, and sorting out who needs care the most or whose condition is more severe. According to research done by the National Institute of Nursing found on nursingworld.org, patients who received 80% more of their care from RN’s had an 18.7% lower odds of readmission. Under the same circumstances, 1.9% had a shorter length of stay. Additionally, when there is a 10% increase in hiring of nurses, there is also a 10% decrease in the practice’s mortality rate. Some establishments are actually given higher pension compensations for quality of care based on statistics of their patient income and recovery time. This can be based on doctors and their performance, but there are some that are based solely on RN’s as well as the entire nursing staff and their performance with patients. In a private interview, registered nurse Whitney Sharp says “personally, as a charge nurse and a registered nurse, I make sure that the patient is comfortable, is receiving the right treatment and that the patient is monitored at all times. A patient can have a heart attack, loss of breath, or
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
In my medical career, I have been privileged to work alongside some of the most professional, dedicated, knowledgeable and compassionate nurses. I have seen first-hand the difference that they can make in a patient’s life and their family, during those unfortunate times when sickness and injury can be so overwhelming. The appreciation and respect that I have for nurses, as well as their indispensable contribution to the health care system, is what encourage me to pursue nursing as a profession.
Nursing contributes strong emotional support for patients and family members especially severely ill patients. The presence of a caring and sympathetic nurse is extremely required and beneficial to the overall prognosis. Patients need a bedside nurse who listens to them with warmth and understanding without prejudice. And nurses are educated and able to stain a great deal of medical information and knowledge, which used to be physicians’ inherent territory before.