The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
For example, some anesthesiologists find it satisfying to be able to calm paranoid patients at their most vulnerable state. Anesthesiologists select their career path due to technical, academic, and practice aspects of the occupation as well as the persuasive role models in human consciousness. The several traits of a good anesthesiologist are: the clinical capability, the personality, the doctor-patient affiliation, the tactic to anesthetic care, and the outcomes. The major causes of stress are: maintaining balance between clinical care and teaching, unanticipated critical events, and administrative topics. The main professional values are: responsibility, goal-directed care, humility and control.
The mnemonic SOLER is used to remind healthcare professionals that how to that Reducing proximity, maintaining eye contact and using open postures can show they are listening and concentration on what is being said, and making the speaker feel more comfortable (KRASEZWSKI & McEWEN 2010). Active listening often involves using paraphrasing, summarising verbally what a patient has said to ensure a mutual understanding of the messages send by the patient to the healthcare professional (WALKER 1990). However paraphrasing too often can suggest the healthcare professional finds the words the interviewee uses unacceptable, causing frustration (MOSS 2012). In an evaluation of my strengths, weaknesses, opportunities and threats I highlighted my understanding and use of paraphrasing and active listening as strengths and facial expressions, gestures and touch as weaknesses (Appendix 1). I created an action plan to develop my understanding and use of touch in practice (Appendix
Hi Mia, It is interesting to read how SBAR is utilized in other areas. AT YRMC in Yuma we use SBAR, but is relayed face to face or via phone. I agree with you that although it is a convenience to have the patient’s information faxed from the ED to the floor the patient is going to, I can see where this can pose a problem. There are many obstacles that the nurse may face in receiving or relaying a patient hand-off, these being “communication challenges [which] can be a result of human factors, such as poor communication skills; lack of resources to support communication training; lack of support for active communication in the clinical setting; or an inappropriate environment for handoff due to interruptions” (Cudjoe, 2016, p.1) all factors
It is important for the nurse to consider the fact that neonates do feel pain. This is important as the misconception about neonate pain is still prevalent in the medical community. If the nurse considered the neonate as capable of experiencing pain, they could easily identify behavioral cues. The nurse should be adept in the use of standardized pain assessment scales specific to neonates in order to assist in her understanding of pain, and to confirm her observation during the assessment of pain. Some scales involve evaluation of crying time, but crying can mean a lot of things and not only pain.
Often patients can misinterpret information that clinicians tell them especially where there is a language barrier present. When a clinician is giving medical information to the patient such as in the video ‘interpreting the message’ where the doctor tells the patient of possible treatment, Kelley (2015) argues that ensuring that the physician acts as a filter/conduit of information and assessment of risks and benefits is of utmost importance to patients. It is of equal importance for the healthcare professional to ensure that the patient understands and interprets correctly the information that is being relayed to them. If there is a language barrier present between a patient and their clinician interpretation is made more difficult and this can often lead to misinterpretation. Gregg and Saha (2007) describe language as “a simple shared system of grammar and words”.
Of the limited literature available, recent valuable insight is offered by an ethnographic study which explored the nurse’s role on an acute medical unit (Griffiths, 2010). The study highlighted the nurse’s focus on rapid assessment and management with the need to maintain a flow of patients from A&E through the AMU, whilst managing patients who were potentially unstable and often critically ill. In terms of the levels of patient acuity, dependency and activity, nursing patients in the AMU is very different to nursing practice in a general ward. Griffiths (2010) identified that the level of demand for acute medical hospital beds and the weight of clinical work in the AMU resulted in ‘superficial and short lived relationships between patients
We are in charge of patients and many other duties within this Medical Service and we are not either well treated or payed. We need to speak out so we can get the respect nurses have in other countries. We need respect and equal treatment by everyone. Yes, I want to learn more about audiology now that I got to know you as a patient an as a service provider for my child. I think what you do is hard, and being the only audiologist trying to get your voice heard must be as hard as what we are suffering now in the system.
There are different forms of communication such as verbal and written communication. Verbal communication between staff is important during patient care. Staff have to communicate about the procedures, the patient and other requirements needed for effective patient care. Communication is a two way process therefore it needs to be clarified and reinforced and reflected back by repetition to show understanding. For example, in theatre the scrub ODP will count instruments aloud and the numbers of instruments are confirmed by another ODP to show the agreement of everything they will use or have used.
Case Managers are a very important factor throughout a patients stay in the hospital. Case managers work with a very wide range of people who differ in age, health issues, and even in difficult situations. Case managers must decrease the hospitalization of the patient and also decrease the over use of services, while still keeping in mind that the patient has everything they need to have a successful and positive outcome after being discharged. A case manager has many roles, one might say that “when implemented at its finest exemplar, is the nursing process on steroids” (Zander, 2002). Case manager must also have certain skills, like organization skills, time management, communication skills, compassion, and problem solving skills.