Wednesday, December 4, 2019

Improving Communication in Nursing-Free-Samples-Myassignmenthelp

Question: Discuss about the Communication in Nursing. Answer: Compelling health communication is perceived to be a basic and critical part of healthcare at both the individual and more extensive open level. Good communication is related to positive healthcare results in medical practice and should be observed. The content of this essay applies communication frameworks as well as other nursing communication concepts to the second case scenario where an adult nurse expresses aggression to a fellow nurse. The case relates to personal experience where on the first day of placement, the senior nurse allows me to dress a patients wound. In the course of the patient care completion, the nurse comes in and challenges everything I was doing in manner that shows aggression. The nurses comments shows poor communication existing between physicians all over the hospital. The content of the paper therefore in relation to what happened in the case discusses various concepts, nursing communication tools as well as the framework which can be used to improve suc h kind of ineffective communication. There are various nursing communication concepts and frameworks which can be applied to the selected case scenario. However, assertive communication is the most appropriate framework which can be applied to the case scenario. As already mentioned above the senior nurse showed a sense of aggression which can best be corrected through assertive communication. Assertive communication is nursing communication framework which allows an individual to function effectively just as the other team members (Nouri Rudd, 2015). It is crucial in risky environment such as bedside patient care since it ensures that an appropriate environment is created for patient safe and recovery. Through adoption of assertive communication framework, medical practitioners are able to see problems and speak up to it in order to correction what is not right. Based on the comments of the nurse, assertive communication framework is the best way the aggression can be solved. This is because it will enable me as a nur se to speak with the fellow nurse regarding the issue in a more respectful way. The communication tool that can be applied to the case in order to improve the situation is the ISBAR which prescribes the most effective way of communication in a health care facility. Governance in nursing is quite different from other sectors even though senior nurses have authority and autonomy to make crucial decisions. In a nursing setting, there is a classical approach with an administration approach which is grounded on control of operations, hierarchical ranking and centralization of decision making. However, vertical decision making in a hospital setting is not recommended and nurses regardless of their position are required to apply share governance and collective decision making (Riley, 2015). The senior nurse in the case scenario would have approached me as a fellow nurse before making the overall decision to correct the techniques applied to dress the patients wound. Shared governance requires a leading nurse to include junior nurse practitioners in decisions making which helps them to grow in the field as well as prepare them for the future leadership. The senior nurse remarks are discouraging and does not provide safety room not only for me as a fell ow nurse but to the patient as well. Based on this the communication can be classified as ineffective. Effective communication between nurses and physicians provides room for development junior nurses practitioners as well as healing of the patient. Patient under medical care needs assurance and safety for quick healing, therefore the communication can be classified as ineffective because the patient involved felt unsafe and this may lead to increased healing time. Based on the concept of shared governance, the senior nurse should have call me as a student and showed me the correct and best way to dress the wound. However, the nurse did not show any sense of shared governance but expressed authority and vertical decision expressed in an aggressive manner which negatively influenced my morale and made room unsafe for the patient (Finkelman, 2015). Most of the problems happening in hospital settings occur as a result of ineffective communication between nurses and fellow medical health practitioners. Without communication frameworks, developed nursing communication concepts and tools, poor communication between nurses and other medical practitioners can be perilous resulting to resentment among staffs and errors affecting patient recovery. As evident in the case study, the patient developed an attitude and felt unsafe being treated by a student and this may have grave effects on his healing process. Therefore application of assertive communication is therefore important and can help solve the situation present in the case study (Williams, Kemper Hummert, 2016). Through assertive communication, nurses are able to communicate in a way that creates safety healing as well as environment that promotes personal growth in the organization. With assertive communication the nurses are able to express their thoughts and stand firm in de fending their rights in a more respectful, open and honest way which without any aggression. In case the nurse would have adopted assertive communication framework, he would have passed information regarding the dressing of the patients wound in a more respectful and honest way without aggression as he did. Based on the analysis of the case study, it is recommended for nurses as well as other health practitioners to adopt assertive communication framework which will enable them to stand up against aggression from cohorts and defend their rights in an appropriate manners without conflicts. Moreover, adoption of assertive communication will enable nurses to feel good and self-confidence as well as learn on how to deal with fellow nurses and how the colleagues will deal with you as a nurse (Mulder, Lokhorst, Rutten Woerkum, 2015). Apart from adoption of an assertive framework is also crucial for hospital settings to adopt ISBAR techniques. ISBAR as a communication tool in a hospital setting is crucial as it bridges the existing gap between two different approaches utilized by two different nurses while taking care of a patients. As evident in the case scenario, both the senior nurse and I had different techniques of dressing the wound. The existence of different wound dressing approaches resulted into a conflict which could not have existed with application of ISBAR technique (Hargie, 2016). Through identification, situation, background, assessment and recommendation as a junior nurse I would have all the required information to dress the patients wound as required by the senior nurse. Based on the case study evidence is therefore crucial for nurse practitioners to apply ISBAR in order to make information about patients under care available to all medical practitioners taking care of the patient. Effective communication in a hospital setting provides required environment which is crucial in healing and positive outcome in healthcare. Nurses within a hospital setting have the largest portion of the responsibilities relating to patient care. Thus without an effective communication between the nurses as evident in the case study, healthcare can be a problem and challenging to the patient. It is therefore required for nurses to communicate clearly in order to provide required healthcare for their patients. In order to achieve effective communication, medical practitioners must embrace communication techniques, concepts, communication tools as well as shared governance (Nouri Rudd, 2015). Moreover, tools like ISBAR, assertive communication framework, shared governance do not only enable effective communication but results into development of the required skills in medicine and patients care. References Finkelman, A. (2015).Leadership and management for nurses: Core competencies for quality care. Pearson. Hargie, O. (2016).Skilled interpersonal communication: Research, theory and practice. Routledge. Mulder, B. C., Lokhorst, A. M., Rutten, G. E., van Woerkum, C. M. (2015). Effective nurse communication with type 2 diabetes patients: a review.Western journal of nursing research,37(8), 1100-1131. Nouri, S. S., Rudd, R. E. (2015). Health literacy in the oral exchange: An important element of patientprovider communication.Patient education and counseling,98(5), 565-571. Riley, J. B. (2015).Communication in nursing. Elsevier Health Sciences. Williams, K., Kemper, S., Hummert, M. L. (2016). Enhancing communication with older adults: overcoming elderspeak.Journal of psychosocial nursing and mental health services,43(5), 12-16.

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