The Importance Of Communication Of Nurses

The Importance Of Communication Of NursesThis essay leave explore the importance of converse in nursing define dialogue and look at the contrasting modes of communion and barriers to communication. A reflective model volition be utilise to describe how communication impacted on care delivery in reading. Although each person will bring their own experience of ship carriage to communicate, it will discuss how educatee suck ups poop develop their skills that will advocate them to ensure excellent communication and as intimately how qualified arrests continue to check into communication doneout their profession.Baillie, (2009) indicate that It is predominantly imperative for a deem to strike and develop actionive communication skills. A cheer will reach play with a wide range of individuals during nursing this includes the long-suffering and their relatives and in all case members of the health care aggroup. (Thompson 2003, cited in Baillie 2009) indicates t hat communication is non only necessary whilst transferring information from one person to other, it plays a signifi roll in the hayt role in relationships.Kenworthy et al. (2002) indicates that Communication comprises of three fundamental component parts the sender, the receiver and the message. Successful communication privy be defined when the receiver is able to interpret the senders message whilst reflecting on their impressions and whimseys and the message received is almost accurate to that of the sender. There are dissimilar modes of communication that a nurse may use. For example, face to face contact, sound calls, emails and letters. (Kenworthy et al. 2002)Daniels et al. (2010) explain that communication has two parts a communicative and a non literal message. Verbal communication is associated with voice communication and usually heard through the persons ears, however para communicative cues for example, pitch, lecture, inflection and volume erect be associa ted with verbal messages ever-changing the word meaning. Different cultures may bring forth spoken manner of speaking to be knotty to control because paraverbal cues may differ from one culture to another. However, paraverbal cues much(prenominal) as a happy friendly smile or crying with grief are associated with divergent cultures and may help with a hea then(prenominal)ish barrier. (Daniels et al. 2010) The way in which a nurse speaks and the tone of voice force out be very tranquillise to a long-suffering, however a enduring can also misinterpret the tone as be mortifying or they may even hold up frightened. Another very key factor suggested by Corner and Bailey (2008) is the way in which a nurse may choose words ensuring that a enduring of will empathize and not be confused with any medical examination jargon.A nurse requires excellent awareness of communication theories whilst giving verbal hand everywheres in twain hospital and community settings. A report w ill only be coiffure sound during handover if the nurse has a confident attitude, along with true(p) verbal and non verbal skills creating an ideal environment for communication mingled with the healthcare squad to ensure continuity of care.(Thur wide-cut no date )Nurses are responsible for maintaining confidentiality. (NMC, 2008) Confidentiality is imperative in a therapeutic relationship with information only being shared between appropriate great deal. (Sundeen et al. 1998)nonverbal communication is made up of all types of communication, with the riddance of total verbal communication. Nonverbal communication is usually observed through the look however, other senses in the remains can compliment this. (Kenworthy, 2002) Nonverbal aspects of a message can include kinesis, facial expression, gesture, touch, movement, body language and eye contact. (Baillie, 2009) Nonverbal communication can be divided in three ways sign, action and object. Sign nonverbal communication can in clude hand gestures and sign language, action nonverbal communication can include how you move or so, involving body movements that do not offer on the nose signals. Object nonverbal communication can include furnishings, hairstyles and c rushhing. (Sundeen et al. 1998)Written communication is certainly a significant method of communication and is crucial in a healthcare setting. The (NMC, 2008) states that it is imperative that all records are kept illume and accurate. This moldiness include all information on sagaciousnesss, discussions, treatment and the effect of them. Unfortunately, (Bailie, 2009) points out that penitentiary communication is an area that is often ignored, stating that sound written communication is vital to protect the uncomplainings welfare, encouraging high standards of continuity and clinical care, ensuring healthcare team members receive accurate information.Bailie, (2009) suggests that there are different barriers that may prevent a nurse from comm unicating that may bech fort the development of a therapeutic relationship, arguing that Physical barriers may by chance include the surrounding environment, a diligent who is in need of ache management or any speech, hearing or visual problems. Bailie, (2009) indicates that mental barriers may include the emotional take such as fretfulness or personality issues such as a person being introvert or having different beliefs and social barriers can be caused if a person lookings that their own social status is categorised by hierarchy, unearthly or culture beliefs.Students are encouraged to keep reflective journals of experiences whilst on clinical placements. Reflective journals modify savants to learn from their experiences, enhancing their communication development. However, education should be a lifelong experience in that qualified nurses are also encouraged to keep journals. Journals are k presentlyn as reflective practice and studies have shown that using these can le ad to better practice. (Sully Dallas, 2005)I now plan to use Gibbs model of reflection (1988). This model of reflection is fair to follow for a first piece of reflective writing (please bring rase appendix 1). The patient who has been used in this scenario will be referred to as Mr Jones. The reason for not using the patients real name is to evaluate the patients confidentiality. (NMC, 2008)On my second day of placement Mr Jones was transferred to the ward from the Accident and Emergency Department. During handover the nurse explained that Mr Jones had been referred from his general practitioner since he was complaining of pain in the pharynx area. As previously mentioned, Thurgood, no date states that a handover will only be fortunate if the nurse has good verbal and non verbal skills. Mr Jones general practitioner was also c erstwhilerned as he had not eaten anything and drank very little over the previous two days. Past medical history revealed that Mr Jones had been diagno sed with mouth and throat cancer three months ago and was currently receiving chemotherapy treatment at another hospital. However, the nurse described that Mr Jones had be dumbfound kinda angry at quantify and that he removed his venflon out of his arm and refused fluids.My learn asked if I would helper her whilst taking Mr Jones observations. The observations involved taking the patients temperature, pulse, respiration and blood pressure. Comparisons were then compared to the patient baseline and plotted on a chart. Baillie, (2009) suggests that all nurses who observe patients should have the necessary skills and knowledge to understand the measurements and take appropriate action.The medical team distinguishable that the way forward with medical treatment was by first ensuring that sufficient fluids were given to Mr Jones. The doctor asked Mr Jones for consent to insert a venflon in his hand whilst explaining the importance of fluids in the body, yet he kept vibration his h ead. The (NMC, 2008) states that we must gain consent before any treatment and respect the patients choice. The doctors decided that they would prescribe Mr Jones a supplement drink. (Cancerhelp) suggests that Supplement drinks can be used if a patient has a poor appetite and not able to take in enough nourishment into the body. The medical team decided that the nurses on the ward should encourage Mr Jones with oral fluids over the hobby twenty four hours and assess from there. Mr Jones became quite angry with the doctors and started pushing his harness away, prompting them to leave.Once the medical team had left I volunteered to cod down with Mr Jones as he appeared to be quite countermand. I introduced myself as a student nurse. Mr Jones seemed a very pleasant man however, I soon realised that Mr Jones found it very hard-fought responding to my questions due to his speech. Mr Jones became more than upset and at this point he started to cry, I reached out for a tissue and pas sed it to Mr Jones, I also held his hand to comfort him. As mentioned previously, Bailie, (2009) suggests that non verbal communication such as touch can be reassuring to the patient. I matte up quite nervous at this point, being a student and not experienced, I was not sure what to talk close to next, so I stood up and told Mr Jones that I would be patronize in a minute. I walked to the toilet and became upset, I matte absolutely delusive not knowing what to do and more so, to see a readablehanded man similar to my own dads age crying. I put a small amount of cold water over my face and wiped my eyes before I went back on the ward to prevent people from seeing that I had been upset.I spoke to my learn and discussed with her that I thought Mr Jones was struggling to communicate with me as his speech was very poor and how upset he had become. (Maguire 1978, cited in Hanson 1994) states that a patient with cancer may find it difficult to communicate to show any worries that th ey might have. My mentor explained to me that speech more often does become deteriorated when people have mouth or throat types of cancer. I asked my mentor how she mat if I offered Mr Jones a pen and notepad to enable him to write things down or if that at any magazine he felt he could not communicate by speech comfortably. Baillie, (2009) indicates that speech problems can cause a physical barrier to a patient. My mentor verbalize that she thought it was a good idea and that I could try if I wanted to.I returned to the bay and found that Mr Jones had pulled the curtains near his bed. I can understand that Mr Jones wanted privacy from the other patients and maybe staff as he was clearly upset. I popped my head around the curtain, smiled at Mr Jones and asked if he was happy for me to come and sit down with him. Mr Jones smiled and started tapping on the chair, gesturing for me to sit down. I sat down and asked Mr Jones if he found it difficult to communicate with his speech an d he nodded. Speech distemper, (2009) suggests that Cancer of the throat can cause loss of the individuals voice and speaking ability. This can be problematic for a patient who would normally use verbal communication. I then continued to show Mr Jones that I had brought a note pad and pen, offer for him to use if he wanted. Mr Jones smiled at me and wrote down thank you. Mr Jones then started to open up, writing down that he felt secluded and on clock felt patronised by the doctors because he used to live in Pakistan. I reassured Mr Jones and asked why he did he feel this way, he replied by saying that he was confused, there with things he did not understand, the doctors do not listen, he was very scared of dying and asked me if he spillage to die. Corner Bailey (2008) indicate that doctors choose to use closed questions as contrasted to open questions, concentrating on the biomedical model and not the emotional needs of the patient. I explained to Mr Jones that I would ask a member of the team to come along and have a chat with him and try to coiffe the questions that I felt I could not answer being a student nurse. At this point I asked Mr Jones if he would like to have a sip of water and he gave me the thumbs up. I felt really good with myself at this point, I was not experienced however, I had encouraged the patient to drink a small amount of water.I then discussed this with my mentor who agreed that this patient absolutely needed to be able to understand what the medical team were explaining to him and equally important that the medical team must listen to the needs of the patient. Corner and Bailey (2008) argue that it is important for a patient to have a balanced relationship, along with good doctor-patient communication to enable a patient to have faith in their professional opinion. My mentor asked me to be present with her, whilst she had a chat with Mr Jones and I agreed. My mentor came down to the patients level to ensure good eye contact an d allowing the patient to answer many open questions, to enable us to get a good under stand of how he was feeling. Wiggens (2006) suggests that open questions will gain an enhanced assessment of the patient, allowing them to speak freely. Mr Jones felt much more at ease once my mentor had finished explaining the importance of fluid and nutritional intake that the body needs. Mr Jones was able to write down on the notepad any questions that he felt had been unanswered and anything that he wished to have a better understanding of. Gurrero, (1998) suggest that nurses must be willing to use other means of communication aids, for example white boards, writing pads and pens.The hospital had kept a aliment chart for Mr Jones since he had been admitted into hospital, clearly showing a very token(prenominal) amount of fluid intake and no nutritional intake. My mentor decided to show this to Mr Jones, fortunately he understood and consented to have a immature venflon put back in his arm. Mr Jones continued to write down that he felt he was unable to swallow properly and that he would prefer to have fluids this way. My mentor phoned the doctor to come to the ward and Mr Jones happily consented.I felt totally powerless when seeing the frustration that Mr Jones showed towards the medical team during his first assessment on the ward. I could see that there was nothing that the medical team could do to encourage Mr Jones to have the venflon put back in. I believe that because of the breakdown in communication from the doctor, Mr Jones became very distressed. As previously mentioned Corner and Bailey (2008) argue that a doctor-patient relationship is needed for good communication. I felt very inexperienced and accepted the fact that the medical staff knew what they were doing however, I hoped that the doctors would have done nearthing more, even though I understood that the patient had a right to say no to any form of medical treatment that was offered. I was concerned that Mr Jones would die if he did not eat or drink. The other nurses on the ward did not seem to be as anxious to the situation as me. This resulted in me becoming quite distressed over the whole situation, even doubting myself if nursing was for me.I discussed how I felt with my mentor and this left me feeling very positive. My mentor was a very experienced nurse who explained that nurses quite often find themselves in similar situations and most definitely feel the same way as I do. My mentor said that she felt I had done everything that I could have done with the patient and peculiarly how I noticed that the patient was feeling angry and frustrated because he was having difficulties communicating. I found that my lack of confidence as a student nurse left me not knowing what to do if a patient is refusing treatment, eating and drinking. When Mrs Jones came to see her husband during visiting time, she told me that her husband had told her that he felt much happier that he now un derstood what was going on. Mrs Jones also said that the note pad was a fantastic idea for her husband to write things down and be able to communicate.If the situation arose again with a patient who has mouth or throat cancer, I would certainly ask during handover how well can the patient communicate, to ensure a good environment is created for the healthcare team and the patient.To conclude, I believe that there is nothing else that I could have done to help Mr Jones. However, I do believe that during the handover it would have been adept for everyone involved in the care of Mr Jones to be made aware of his difficulties with verbal communication. Nurses certainly need to communicate effectively with patients to provide safe and effective care, taking into consideration that there is difference and diversity and looking at every individual needs. Nurses who work with different cultures have a trading to learn the differences in cultural behaviour and patterns within these groups t o prevent a cultural barrier. Listening, along with smiling at appropriate times, showing a positive and genuine interest towards the patient, and have good eye contact will help to prevent barriers in communication. Another important factor is the way in which a nurse positions themselves when talking to a patient. If a patient is sitting, it may be appropriate for a nurse to come down to their level as not to seem to be standing over them, as this could be very disturbing and disrespectful to some patients. Touch and gestures can also go a long way into reassuring a patient. Just by touching a patients arm if they are upset and frightened can mean a lot to a patient. Along with this goes body language and showing respect that will hopefully continue to trust.ReferencesBaillie, L., (2009). Developing Practical Adult nurse Skills. third ed. capital of the United Kingdom Edward Arnold (Publishers) Ltd.Cancerhelp,(2009).Coping with cancer online. easy at http//www.cancerhelp.org.uk/ coping-with-cancer/coping-physically/diet/managing/weight/high-calorie-drinks (accessed 13.01.2009)Corner, J., Bailey, C., (2008).Cancer Nursing. Oxford Blackwell publication confine.Daniels, R., Grendell, R., Wilkins, F., (2010). 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