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communication in clinical setting
effective patient clinician communication
effective patient clinician communication
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Barriers to Effective Communication Communication is the process of sending and receiving messages between two or more people; this is something that we do all the time. It is important that nurses recognize that communication is the key to good holistic care, as patients need reassurance and information regarding their care. Communication is so much more than just talking to one another. It is how people respond to each other in many different ways (Langs 1983). Some examples of communication are talking, writing, signing, reading and body language, which is suggested, has several elements (Dimbleby and Burton 1992). Communication can be very effective but first it needs to be established, and then maintained. Nurses can do this during an assessment when a patient/client comes into hospital. However, it is argued that barriers to communication can prevent appropriate and effective care being given to patients. Communication can either facilitate the development of a therapeutic relationship or create barriers (Stuart and Sundeen 1995). Because of their diverse nature, communication disorders are difficult to classify (Crystal, 1980). You can discover problems simply by observing an individual. Observation can be used to establish which language is being used, if the client has any hearing difficulties or visual impairments, physical illness or disability, or if there are learning difficulties. Any of these issues could control how well a person is able to communicate with you. Therefore, for the purpose of this piece of work, I have chosen to explore two barriers to communication, and illustrate key points.... ... middle of paper ... ... Ellis, R.B. Gates, R.J. Kenworthy, N. 1995. Interpersonal Communication in Nursing. Edinburgh: Churchill Livingstone. Lewycka, M. 2001.Caring For Someone With A Hearing Loss. London: Age Concern Martin, M. Grover, B. 1986. Hearing Loss. Edinburgh: Churchill Livingstone McMillan, M. Townsend, J. 1994 Reflections on Contemporary Nursing Practice. Australia: Reed International Books. McQuail, D. 1984. Communication. 2nd Edition. United States of America: Longman Inc. Nolan, Y. 2001. NVQ Level 3 In Care. Oxford: Heinemann. Peplau, H.E. 1988. Interpersonal Relations in Nursing. Hampshire: Macmillan Education Ltd. Riley, J.B. 2000 Communication in Nursing. 4th Edition. United States of America: Mosby Inc. Syder, D. 1992. An Introduction to Communication Disorders. London: Chapman and Hall.
In healthcare one of the major obstacles employees attempt to overcome is the communication gap. The outpatient clinics in particular find it challenging to keep in contact with the hospital. In the healthcare market to have success you must have communication. Romano observed that hospitals are branching out; outpatient setting offer lucrative services that are rendered in a well-situated environment (2006). The outpatient sector is where the profit is made; this is clearly the way of the future. If prospective clinics are to fulfill patient and employees needs, a communication policy must be put into practice. By employing a communication strategy employees will be more productive, more informed, and administration could expect to see enhanced customer service.
Communication and interpersonal skills are closely related in the nurse-to-client professional relationship. There are several different types of communication in professional nursing. They are written communication, verbal communication and nonverbal communication.
Individual care needs are vast and ever changing. Each patient has their own set of experiences, backgrounds, values and beliefs that will affect their care needs. By understanding this concept, a nurse is able to reach the core of how and why a patient has come into their care, and implement interventions in alignment with the patients own background to ensure their return into everyday life. They make up the very fundamentals of nursing and so, there importance must be known. Therapeutic relationships and caring attributes are a strong theme within patient health needs, as they are built on the development of goal-directed relationships through communication at an emotional level. The development of therapeutic relationships and its importance to individual care needs will be explored in relation to the ANMC domain “collaborative and therapeutic practice” and video “Effective communication in nursing”. The topics of patient care, the nurse and professional image and behaviour and health outcomes will further assist in understanding the impact therapeutic relationships have on meeting patient needs.
Xu, staples and Shen define nonverbal communication as “facial expression and body language” and further mentions that communication is a reciprocal process between 2 or more people relaying understanding, ensuring the output is acknowledges and correctly conveyed. Video three’s interview indicates poor non verbal communication between 4:36 and 4:54. The Nurses’ body language is closed, leaning over the interview documents, not facing the patient, nor making eye contact. There are no hand gestures or head nodding to let the patient see visual signs that the communication is being clearly conveyed and comprehended. The Nurse is distracted, twisting her hair in disinterest. While the nurse does use vocal acknowledgement while scratching her head saying “oh yeah, ummmm”, there was no recall of what was said by the patient to confirm a mutual understanding. The nurse has effectively omitted 10 seconds of interview, causing a breakdown in communication, spanning content, observed reaction, facial expressions and body language which may have lead to required vital medical history. In order for non verbal indicators to be improved in this scenario, the nurse is required to provided undivided attention to the patient. Leaning toward the patient is a posture signifying empathy and a good attitude (Xu, Staples &Shen 2010). The nurse is required to make a commitment to be entirely engaged in the patients communication to ensure that the messages is conveyed accurately, refraining from performing other tasks such as writing or hair twisting while the patient is speaking. Facing the patient, and maintain eye contact, smiling, assuring nods, and touching will enhance the non verbal plane of patient- nurse communicati...
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.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
In this assignment, I am going to review four cases, which will require a number of different communication skills focusing primarily on; developing a therapeutic relationship, communicating assertively, communicating effectively with an individual with a disability/impairment and communicating with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient.
In health and social care effective communication a key skill all professionals should have when working with families, carers, children and young people. Having this skill helps to build trust it can also encourage the individual to use the services. Effective communication is essential when trying to establish and maintain relationships and it is a process that involves listening, questioning, responding and understanding. However there are many barriers that can effect how effective the communication is a few examples of these barriers could be: language, personality, visual or auditory impairment or a disability. In order to over come these barriers there have been many advances in the strategies that can help in situations where the communication is not effective, a strategy is a method or a plan that can help someone or something succeed in achieving a goal or result.
The main claim to this paper, is to prove, to have effective communication with patients and their
Nurses playing an important role in communication with the patient. ”communication is a life long learning process for nurse.’’(P & P). Nurses are working with patients and their families from their birth to death. It is mandatory to the nurse to maintain or create a therapeutic relationship, communication throughout their caring process. For effective communication the nurse should understand their cultural belief, and values, etc. One person’s personal beliefs, traditions and values can influence their recognition of their health and wellness. Based on that they will choose their medical care and treatment. (Nadline Caron). Aboriginal people are the original inhabitants of the Canadian land. Aboriginal peoples are living with their
Being able to communicate effectively is important for all life skills. Communication can be defined as the simplest act of transferring information from one to another, whether it is verbal or non-verbal. Effective communication between nurse and patient is often the main key to success. Communication is a process of exchange of ideas between individuals. It is the basis of nursing activities, especially in the nurse-patient relationship.
Emotional Intelligence And Reflective Practice Are Integral Component Of Building A Therapeutic Relationship In Nursing
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, messages are constantly being exchanged between individuals or groups of people (Bach & Grant 2009). All behaviour has a message and communication is a process which individuals cannot avoid being involved with (Ellis et al 1995).
Clearly, communication plays a significant role in every aspect of our life. Communication is the simply act of conveying information from one person to another by using voice (verbally), gesture or body language (nonverbally), books or magazines (written), pictures (visually). The better communication skills that one has is the better the information could be transferred and received. The ability to convey information successfully and clearly is a fundamental life skill and should not be underestimated. Additional, effectively communication is the key to solve problems in any situation. With good communication skills, you can absolutely improve your professional life as well as strengthen your social and family relation ship. Indeed, communication allows us to relate and understand each other. “It also provides us with a significant frame of reference and relational context that sustain our identities.” (Imberti, 2007)