Ineffective Nursing Communication

During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

During my long-term care experience last Friday, I was exposed to many forms of communication. There was non-verbal communication, where you could just see that a patient was maybe anxious or content. I witnessed verbal communication between nurses, certified nurse's assistants, bath assistants, and even student nurses. However, the best example I can give about communication and how I utilized communication was during my first insulin injection. First, us students verified with the nurse as well as our clinical instructor on how the procedure was performed using verbal communication. Next, we used written

One to one communication: One to one communication is a conversation between two people; which does not include a third person. This type of conversation has a start; which means the conversation has to start off with a greeting, one to one communication al so includes a middle section, which is when you and the person discuss the topic or of what your both going to be speaking about. This particular type of communication also needs an ending, for example when the conversation is coming to an end you can end it by saying “good bye” or “see you later”.

Optimal patient-provider communication is built on learning to communicate effectively, and communicating in ways that allow both the patient and provider to be heard. This study shows that face-to-face communication benefits everyone involved, allowing for a more intimate, communicative, and productive experience. Also important, the study shows that this type of healthy communication can be taught, which can increase health literacy and decrease the need for medical professionals in certain

This week I had the opportunity to work with an occupational therapist during morning care. This gave me the chance to work and collaborate with other team members. It also presented an opportunity for me to learn about the occupational therapist role with different patients.

Communication can be defined as the transfer of feelings, ideas and information (Flin et al 2009) this information can be exchanged and shared between people, through verbal and non-verbal communication (O’Carroll and Park 2007). However within a healthcare setting, communication also involves recognising feelings and the ability to reassure the service user that their feelings are known. (Reference needed).

This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication. Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication.

According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. The ability to communicate

Effective communication is a central part of the work which must happen in the health sector, helps to form relationships and establish boundaries. It also creates a better environment to work in; e.g. being respectful and being patient the way you listen and respond to people within your organisation will encourage them to trust and communicate with you. Also ensure that everyone has the same understanding as if there is less communication between other will start to cause a lot of problems in the work

Communication therefore is a vital in nursing and in all areas of activity and in all its involvements such as health promotion prevention of illness diagnosis, treatment, therapy, rehabilitation and in every other day to day activity. Nursing process has a scientific method of exercise and implementation and this is achieved through dialogue, verbal and non-verbal way of communication

According to Flicek article multiple barriers exist that hinder nurse- physician communication. A continuous flow of interruptions and multiple patient handoffs affect the ability of nurses and physicians to connect effectively, and establish a trusting and collegial relationship (Tschannen et al., 2011). Time is also a major factor in communication breakdown. Because nurses a n d physicians can independently busy, finding time to communicate properly becomes a pressing issue (Burns, 2011). Work environments

According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.

Interpersonal skills and effective communication among healthcare professionals are at the core of quality patient care. Interpersonal skills are defined by Rungapadiachy (1999, p.193) as “those skills which one needs in order to communicate effectively with another person or a group of people”. It includes verbal communication, non-verbal communication, listening skills, negotiation, problem-solving, decision-making, and assertiveness (Skills You Need, n.d.). The National Joint Committee for the Communicative Needs of Persons with Severe Disabilities (1991) defined communication as, “Any act by which one person gives to or receives from another person, information about that person 's needs, desires, perceptions, knowledge, or affective states.

Poor communication can lead to injuries and complications through miscommunications and factors that impacts on the quality of care being delivered. Reduced team cohesion which occurs with poor communication is particularly detrimental to patients with chronic conditions as they are effectively treated with different health care professionals. An example of this are several deaths due to “unsafe discharges” caused by poor communication during handover (Royal College of Nursing Great Britain, 2014). Through effective communication the disease’s effects can be reduced through a quick response to a deteriorating patient and efficiently provide co-ordinated care to provide the correct treatment

Miscommunication can arise between patient and physician when physicians ask patients to report on their symptoms but fail to listen to patient concerns (25). What constitutes a concern for the patient may not be clinically relevant to making a diagnosis. It has been shown that patients may misinterpret this as a lack of personal concern or trivialising what they believe to be important (25). This miscommunication is significant, as when patients fail to receive requested information, they feel less satisfied and are less likely to adhere to medication (25).