CONCEPT 3: BARRIERS TO EFFECTIVE NURSE-PATIENT COMMUNICATION IN HEALTH CARE. This concept is taken from Block 5, Module 3 which is entitled “Selected cultural parameters for nursing care”. Communication is simply the sharing or transferring of data of information. In healthcare, nurse-patient communication involves giving out and obtaining information which allows the nurse to know the needs or problems and feelings of the patients. 3.1 Personal concept In order to achieve great outcome of individualized or holistic care of patients, effective communication between the nurses and patients is required.
However, a certain level of generalization is valid to the extent that it provides clues of what the person most likely encounter. In conclusion, when it comes to culturally sensitive care, what's proper and correct in one culture may be ineffective or unacceptable in another. In reality, no culture is right or wrong, better or worse—just different. For healthcare workers, there is no single receipt for communication. The best approach is the development of an understanding of, and a deep respect for, the
As a nurse, you should introduce yourself to your patients and refer to the patient by name. These seemingly small gestures display an air of friendliness, caring, and approachability, which can go a long way toward making a patient feel safe. When you maintain eye contact with a patient, you continue to foster trust and respect as your relationship progresses. It's also important to respect a patient's boundaries. Some patients feel comforted when their hand is held or they are offered a hug, while other patients may find these actions uncomfortable.
Nurse have to remember to leave personal problems at home and never discussed them with patients (Shohani & Zamanzadeh, 2017, pp. 350-356). The goal is to provide high standards of practice and best care possible at all times. The nurse needs to provide a non - bias high-quality care to the patients of all ages, sizes, colors, races and cultural backgrounds. Her job is to see the patient as a unique individual without applying personal judgment or opinion (Shohani & Zamanzadeh, 2017, pp.
Also, there is a lot of diversity in the work area so being knowledgeable of the different cultures could help in strengthening the nurse-patient relationship. Lastly, having cultural background on the patient could help nurses be open-minded when treating the patient non-traditionally, such as with spirituality based therapies like medication (Nursing Theory, 2013, p.1-2). Leininger believes that there are three modalities that guide a nurse to provide the best care possible. The three modalities include culture care preservation, culture care accommodation and cultural care repatterning. These three modalities help nurses to make decisions with patients.
Nurses should respect for individual or group legal right about health care. The main aim of the above mentioned code of conduct is to avoid ethnocentrism in the nurses as if any health care practitioners lack cultural sensitivity and feel that their beliefs, ideas and practice are the best in practice and superior to the others then this will create a hostile environment among others and dilute the Nurse-patient relationship and develop inappropriate attitude towards minorities like. At times it has been notice that some patients are reluctant to take medical help/advice due to this cultural conflict. a. Superiority/Cultural dominance: Health care Practitioner believes that their own culture and beliefs is far superior compare to minority patients and try to impose their own personal beliefs on others. b. Incapacity/Cultural blindness: Health care practitioners acknowledge the culture difference but failed to show the cultural sensitivity towards the member of subculture group so they offer standard treatment based on the dominant culture.
Nurses can use the process, of diverse assessment, to gather information that identifies what is culturally important to the patient. Through anticipatory planning, the competent nurse can effectively work within the cultural context of an individual’s specific needs. This process can help the nurse to better understand, plan, and evaluate towards the overall health and wellness of the patient. Considerations such as lack of understanding, gaps in provisions of health insurance, lack of culturally sensitive care, and misunderstanding of cultural norms and values are all barriers that patients face routinely. Therefore, to help dissolve some of these challenges, community health promotion and maintenance programs can be researched, planned, and built to provide cultural competent care for a whole community (Andrews & Boyle,
It is vital for health care providers to incorporate a person’s specific cultural elements to provide patients with the same ideal care that is provided to everyone (Kodjo, 2009). For example, many cultures have gender-specific views and those in that cultural group may desire care from a health care provider that is of the same gender as they are. Thus any future appointment with the patient in the primary care setting the health care providers would need to ensure the patient’s ideals are respected and the physician of the same gender is overseeing their care (Purnell, 2008). This should never be taken personally, but rather as step in the direction of providing the patient with the paramount
This include everyone from physicians and nurses who perform patient procedure to administrative teams who handle documentation and patient billing. For optimal patient care to be achieved, each member of the health care workforce must work efficiently and effectively to develop collaborative relationship with each other (Saint Peter’s University, 2015). In healthcare industry today, there are changes in health policies as well as in patients’ needs. The healthcare organization need to grow in order to tackle these changes and collaboration is required among health care professionals. Effective collaboration in nursing requires respect, honesty, trust and good communication.
However, many nursing issues require individual nurses to take action in response. The image of nursing is certainly influenced by broad concerns, such as content in television, film, or advertising. But much of the image of nursing comes from the day to day personal contact that the public has with nurses and that the nurse has with other health care professionals in the workplace.After a review of the literature on the image of nursing and much discussion, we conclude no clear image of nursing that encompasses our diversity exists. As nurses transitioning into administrative roles, we know there is so much more to "us" than any of the images held by the public. Our one commonality as nurses is our commitment to quality patient care.