The care setting I visited whilst on work placement was a nursing home. It residential accommodation with health care, particularly for elderly people.
I respectfully disagree with you. In your post you stated “I believe that as a nurse I might have more knowledge of what is best for the health of the patient.” I don’t believe that a medical professional always “has more knowledge [or always knows] what is best for the health of the patient”. The Josie King story is a good example of the nurse thinking she “had more knowledge” and knew what was best for the patient. Mrs. King questioned the nurses several times throughout the care of her daughter, and if a nurse had listened to her, we might not be having this discussion today.
Thank you very much for your post. I also agree with you that both ANA and AMA has same goal of providing qualitative, affordable, and best care to the public and promote their health and well-being. As you mentioned that AMA has a strong opinion of providing care by a physician –led team, however I believe that both physician and nurse practitioners and even physician assistant can work collaboratively as a team to accomplish the common goal. The AMA should not really be threatened by the advanced practice nurses because we are not here to replace or take away their position. I feel that the AMA is still worried about losing their authoritative position. There is a great need to open communication and education among other health care professionals
In addition to working as a Clinical Research Associate, I wanted to gain exposure to other medical fields, not only emergency medicine. Positioned outside the ED’s research work office was the emergency department’s psychiatric unit. Having taken courses like Looking back on Growing Up and the Science of Happiness, I wanted to gain exposure to psychiatry, particularly the effects of early childhood trauma on the incidence of psychiatric disorders during adulthood. Motivated by my interests, I joined the Initiative for Social and Psychiatric Initiatives (InSPIRES) at the Bellevue Hospital Center. While working at Bellevue Hospital gave me the opportunity to interact with a diverse array of patients, ranging from homeless to underrepresented patients, working with the InSPIRES team, I got the opportunity to meet and interview inpatients and outpatients diagnosed with schizophrenia, bipolar disorder, or schizoaffective disorder. My experience interacting with psychiatric patients helped me emphasize my interests in medicine and expand my understanding on the importance of patient communication. Seeing the in-unit psychiatrists sincerely talk and joke with each patient demonstrated the unique, intimate relationship forged between patients and doctors, but also what being a doctor really meant, beyond the medical aspect. Similar to my experience at Mount Sinai, during my time working in the 18N inpatient unit at the Bellevue Hospital Center, I met a patient, whom played a
Within this exercise, I have learnt that it is important to understand how non-verbal messages are conveyed and how active listening is quintessentially important to building a therapeutic relationship (reference). However, it is important to have knowledge of all communication skills as this allows them to be used interdependently. This allows the HCP to provide the appropriate, respectful conditions that enable a positive change to happen (Stickley and Stacey
Communication plays an important role in establishment of good relationships between the healthcare provider and patients. Good communication affects patient satisfaction, patient compliance and patient health outcomes. It is the one of the essential attributes of healthcare providers, and mastering in effective communication is necessary skill to provide quality patient care. (McCorry and Mason, 2011) The most asked question for terminally ill patients is “How long I will live?”, and answer gives them time to make decisions about end-of-life care. Therefore, healthcare providers should be able to respond properly to help patients address their concerns and promote shared
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
Most positions of employment now available usually require a high amount, or at least some basic skills in communication. Healthcare workers are required to build a high level of trust with both the people they work alongside and also those they care for, for this trust to build they require a high quality level of communication. Multidisciplinary teams need to trust the communicational input of their colleagues in order for them to work alongside each other in a professional, effective and safe manner. The patient needs to be able to trust the care they are receiving from the healthcare provider; is in their own best interest and not fear they will be harmed by the healthcare provider, the best way to
Communication is described as the interchange of information, thoughts, and feelings between individuals using dialog or other methods (Kourkouta, & Papathanasiou, 2014). Communication between patients, nurses, and other healthcare professionals can influence the patient outcome subsequently, understanding what establishes an effective communication will be beneficial for nurses and other healthcare professionals. Having the skills to articulate efficiently exists beyond having verbal skills. According to Wright (2012), to establish effective communication, a nurse should develop the use of nonverbal cues such as body language, demonstrating active listening skills to facilitate assurance that the interaction remains successful, and having
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.
Communication is difficult task, one person is sending a message and the other person is receiving that message. However, is the receiver getting the message that the sender intended? Unfortunately, in many cases miscommunication in conversation occurs whether it is verbal or non-verbal communication. People think differently about the way they speak, the way they position their bodies as they speak, and whether they are making eye contact or not with the receiver. Because people are raised differently, coming from different back grounds they are all brought up to have different beliefs as well as different ways of expressing themselves. For this reason it is essential for all people to learn proper communication
93% of the patients (65 out of 70) said that the physician did not give them enough time to interact and was in a hurry to get over with the session, while 84% of the patients (59 out of 70) said that they could not discuss their matter at length with the physician since the felt too shy to talk about it and felt that their privacy might be breached. 80% of the patients (56 out of 70) said language was the barrier in their interaction with the
For my senior project, I observed surgeries and clinical visits at Oregon Urology Institute. I selected this area of study for my senior project because I have always had an interest in the practice of medicine. I wanted to learn why modern medicine is perceived widely as safe and reliable. Going into this project, I had some idea about what a surgical environment would be like. For the last two years, I have been volunteering in Mackenzie Willamette’s emergency department. I helped around and talked to a lot of people in the medical profession and I observed how they communicated with each other. I saw the benefits of good communication and how it can positively improve the work environment. And I saw how negative communication can distract from what really matters; providing safe and reliable care for the patients. So coming into this project I wanted to take what I had observed and
Emotional – To try to understand Linda’s emotional state we should look at Erikson’s fifth stage of development which is ‘Identity v Role Confusion’. This is related to how teens see themselves through identity and self concept. High self esteem is linked with teenagers who are close to their parents. Plenty of support and compliments along with promoting a positive image of Linda will hopefully raise her confidence and self