Tuesday, 8 October 2013

Interpersonal Communication in Nursing:Sample Reflection Paper






Title Page Intentionally Left Blank











Introduction
Reflection is turning experience into learning (Boud, 1985). This is more applicable in the health service provision and care for it forms the core of a healing and therapeutic process. Reflection in nursing practice enhances effective care and therapeutic process (Parker, 2006).In line with this thought I shall reflect on an experience and discuss the communication skills used or should have been used during the encounter. In this context two of the five caring processes which are knowing and enabling/informing will be applied (Swanson, 1993). Communication forms the core part of our day to day life and is an integral part of human survival and growth.
Communication is important in nursing practice for it is said to weave together practice to ensure that care is continuous, consistent and congruous within and across practice settings(Johns, 2004). Communication is one of the essential factors to maintain a good quality of life because it allows humans to interact and provide comfort (Ashurst, 2010). The nature of the nursing profession makes it indivisible with communication for an effective nurse practitioner must get involved in daily communication. In this context I will adopt the five stages of reflective cycle as given by Gibbs(Jasper, 2003)
Description
I had just reported to duty at the hospital and since I was the shift leader I commenced the routine ward rounds. I was the shift leader and we were together with the other shift team. Suddenly, we heard an unusual noise from one of the wards on the adjacent block. This was unusual because wards are known to be somewhat quiet and serene because the occupants are sick and unable to shout.
We headed straight to the ward in question and on arrival witnessed a horrifying scenario. Two patients were lying on the floor, one unconscious and the other with a deep cut on the forehead and was profusely bleeding.
Certainly, there was no patient with a psychiatric case and the scene witnessed must have been caused by something. There were some relatives who had come to see their patients and some patients were shouting hysterically. Obviously, the relatives were in the wards at a wrong time for visiting time was far gone. There were many obvious lapses in this incident and the most conspicuous one was lack of proper communication and direction from those in charge for this would have brought sanity to the wards
 Outcome
We tried to calm them down in order to ascertain the cause of the commotion but our pleas fell on deaf ears. Some became abusive and even threatened violence. When I found out that our efforts were not yielding fruit and we were actually unable to communicate, I called for assistance from the security who threw the relatives out. The ward was in a total mess hence we embarked on resettling the patient. We called in the doctors who attended to the unconscious patient who later stabilized after six hours.
When dust had settled the hospital administration had to get to the bottom of the matter by ascertaining the cause of that ugly incident and immediate investigations were launched. The immediate outcome was that since it was Christmas season and the festivities were on, the  patients’ relatives smuggled alcohol to the ward to celebrate with the their kin!. The matter was reported to the hospital administration and all those patients involved as a disciplinary measure.

Feelings
I was angry with the patients and their relatives for such irresponsible act, but also remembered that the patients were ignorant of the consequences of their actions. Apparently the patients were left alone with their relatives for far too long and this must have greatly contributed to the said incident. It is a risk to have the patients all alone without any caregiver around to attend to their needs. These developments demonstrated total breakdown of communication and coordination of the healthcare services. The hospital administration had done little in communicating their protocol to both the patients and relatives.
 What happened in the ward was a portrayal of lack of information on the part of the client on what is expected of him or her while in hospital admission. A clear outline is given on patient-centered approaches to communication with patients and families in order to realize best results (Planetree, 2008). There are various practical tools that are supposed to guide both staff in all cadres, patients and families in order to maintain both best practices and obtain optimum results in healthcare provision.
In this given case the patients and relatives would have been given sufficient information upon admission and also be committed to sign some agreement to the code of conduct whilst in admission. There shouldn’t have been any assumption regarding the conduct of the patients and relatives hence proper guidance would have been communicated. Effective communication with the patients and families forms a cornerstone for providing quality healthcare (Planetree, 2008, p.78). This means that effective partnership is important between the caregiver, patients and families for effective and efficient healthcare delivery.
I felt that there were serious omissions both on the part of hospital management for lack of proper communication between patients and relatives on protocol to be followed whilst in admission.
 Evaluation
There a number of lessons I learned from the experience which include establishment of a communicative relationship between the patient, the hospital administration and families right from the onset to know how to handle any emerging situations during admission. The patient has a right to any information that will help him/her get along well with the caregivers while at the hospital. It is imperative to inform the patient about his/her obligations and the expectation of the care giver while in admission.
There should be a well-documented patient/client and the hospital and health care givers relationship which is brought to the attention of the client before admission.
Also there was apparent security lapse for the relatives to the patients were left in the wards for unnecessarily long time. This means that no one cared so much about the state of the patients for that long hence a leeway for the incident. There must be proper security and surveillance checks to ensure that the patients are safe in the wards.
The hospital’s policy on visiting relatives should be availed to and boundaries for interaction to be clearly marked and observed. All forms of communication both verbal and non-verbal should be observed in order to ascertain the level and extent of intervention.
 Last but not least as a caregiver I should be more sensitive and try to approach issues at an early stage before they get out of hand. This also important for it is only when practitioners can communicate consistently that communication is effective (Johns 2004, p.204).
Analysis
After the discharge of all the patients in the ward, I was left wondering whether there was anything I would have done as a caregiver that would have led to different results for this would have at least made me contented with my services. Definitely there’s something I would have done that would have enabled the hospital administration to make a different decision concerning the misbehaved patients and relatives. There was a great burden in my heart because the patients were discharged without having both their problems addressed.
Apparently the hospital management did not supply the patients and families with adequate information upon admission. On the other hand, as a caregiver, I would have interrogated the patients after they had calmed down in order to understand the background of the incident and try to assist in recovery and rehabilitation from alcoholism. Some patients had ailments that would be more severe if they would take alcohol, while others were under some type of medication that could not be mixed with any alcohol content.
In my opinion there was a rushed decision by the management in discharging the patients again failing to give them proper information to help them avoid such actions in future.
 As a caregiver I would have endeavoured to understand the background of the patients and their relatives in order to help them overcome such tendencies and take their health seriously. I would have also advised the hospital management to interrogate the patients and their families in order to give them necessary support.
It is at the hospital that a patient gets all-round health care services, and it is rather odd to have an ill-informed patient like the case above getting punished for lack of proper information which is to be given by the health provider.
As a health care giver I should have used the client-centered approach for it forms the cornerstone of collaborative association between the nurse and client in the quest to resolve healthcare problems (Arnold, 2003). By discharging all the patients without helping them solve their health problems, the management demonstrated an uncaring attitude and lack of sensitivity to their health needs. This is quite a contrast of what should be expected of a health care provider.
The event was an eye opener and it made me endeavour to be a good communicator in future and be a strong leader who can handle organizational policies without a hitch. I also learnt that I would initiate and implement a health education program in the hospital.
In this scenario there a clear demonstration that there’s total lack of communication or proper communication between a caregiver and the client or patient. It is much easier to manage a well-informed patient than the one who is not informed of both patient rights and obligation whilst in treatment. Good communication helps to build a therapeutic relationship which is central to nursing(Collins, 2009). It is further emphasized that effective communication is a tool that would allow the nurse to reassure a patient, empower the patient, motivate the patient, put a patient at ease, and convey understanding of the patient’s concerns(Webb, 2011)


Conclusion
Nurses play an important role in communicating with patients because they are always in close contact.
It is apparent that a nurse can play a key role in improving healthcare services by improving the relationship by communication (Wright, 2012). Having effective communication skills is therefore an imperative. Through the above experience I have learned that developing my skills in leading and confronting patient-related challenges through effective communication is a must. I must endeavour to acquire new communication skills and employ them effectively for best results in my practice. I would practice the key communication skills in order to be able to control the complex tasks that require high level negotiation(Bach, 2009)
We learn through experience and it is through reflection on such incidents like the above that we are able to develop better skills for effective performance. Effective communication is an imperative in the health practice for research has shown that ineffective communication among healthcare professionals is one of the leading causes of medical errors and patient harm(Leonard, 2004)
 As observed earlier, through reflection we discover different learning needs and this helps us become better practitioners. Unless given proper attention, communication aspect would either build or destroy a career(Pierre, 2012)



References
Ashurst, A. T., S. (2010). Communication, communication, communication. Nursing and Residential Care, 12(3), 140-142.
Bach, S. a. G., Alec. (2009). Communication and interpersonal skills for nurses. Exeter: Learning Matters.
Boud, D., Keogh, R, Walker D. (1985). Reflection: Turning experience into learning. London: Kogan Page
Collins, S. (2009). Good communication helps to build a therapeutic relationship. Retrieved from http://www.nursingtimes.net/nusring-practice/clinical-specialisms/educators doi:5003004
Jasper, M. (2003). Beginning reflective practice: Foundations in nursing and healtcare. Cheltenham: Nelson Thornes.
Johns, C. (2004). Becoming a reflective practitioner (2nd ed.). Oxford: Blackwell Publishing.
Leonard, M., Graham, S.,Bonacum D. (2004). The human factor: The critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care, 13, 85-90.
Parker, M. (2006). Aesthetic ways in day-to-day nursing. London: Sage Publications.

Pierre, A.-J. (2012). Transitions in nursing: Up-level your career, your income, your life.  Retrieved from http://transitionsinnursing.com/9-ways-to-boost-your-confidence-as-a-nurse/
Planetree. (2008). Practical approaches for building a patient-centered culture. Patient-Centered Care Improvement Guide. Retrieved from www.planetree.org, www.pickerinstitute.org
Swanson, K. (1993). Nursing as informed caring for the well-being of others. Journal of nursing scholarship, 25(4), 352-357.
Webb, L. (2011). Introduction to communication skills for nursing practice. Oxford: Oxford University Press.



42 comments:

  1. Syntax:
    Interpersonal Communication Skills
    This Blog published great information about Interpersonal Communication in Nursing:Sample Reflection Paper,thanq admin.

    ReplyDelete
  2. If you need to write an excellent essay but your knowledge is not sufficient to do it properly, this source is the best one to address and improve your writing abilities http://bigessaywriter.com/blog/how-to-write-communication-essay

    ReplyDelete
  3. This is the best nursing essay that can be a reference in my assignment

    ReplyDelete
  4. Thank you for sharing. Its informative and full of information.
    Nursing in Australia

    ReplyDelete
  5. Many thanks for sharing this very diverse opinion post where each expert has no doubt shared his best knowledge on the topic. Have more success in your journey.
    Get Assignment Help Sydney from Experienced Writers

    ReplyDelete
  6. Thanks for sharing this great article! That is very interesting I love reading and I am always searching for informative information like this. Visit: Nursing Essay Examples

    ReplyDelete
  7. This blog is truly extraordinary in all aspects. Visit: Nursing Essay Examples

    ReplyDelete
  8. Nice Blog! Experience the Best Assignment Writing Services at Assignment Help Sydney Australia

    ReplyDelete
  9. I truly like to read your post. This post is very helpful and costly. I am so satisfied to get this post article. I was anticipating get such a post which is exceptionally useful to us. Keep it up. I know something data, to know you can click here Custom Essay Writing Service

    ReplyDelete
  10. The blog or and best that is extremely useful to keep I can share the ideas
    of the future as this is really what I was looking for; I am very comfortable and pleased to come here. Thank you very much.
    college essay writing tips

    ReplyDelete
  11. Extraordinary article for reading since peoples and researcher also search this type of article. I am particularly inspired with your vision and comprehension. Hope so you will keep on posting an amazing post in future! Academic Writing Style

    ReplyDelete
  12. Thank You So Much For providing the important information.
    I am Max Willor, SEO Expert in a reputed company. All of your information is very useful to me.
    I am providing Assignment Help Australia service to students.

    ReplyDelete
  13. I loved the post, keep posting interesting posts. I will be a regular reader…
    I am offering Dissertation help to students in UK at low price.

    ReplyDelete
  14. Hey, I am Olivia Crew as an “Academic Writer” in Livewebtutors.The above post has given reliable and genuine information about Assignment
    Help Australia. Looking forward to avail their eminent services.
    visit now:- Assignment Help

    ReplyDelete
  15. Thanks for this informative content. It’s really good. Actually, I want to share some thoughts and reviews about an Australian assignment help company in Australia and the brand name is SAMPLE ASSIGNMENT. Here, I am working as an Academic Expert. To look at our online academic assistants who provide reference assignment including Accounting, Management, Finance, IT, Economics, Computer Science, Nursing, Marketing; all Academic subjects to University Students all over the Australia or even worldwide, Here is a big online assignment help providers who help students to get HD grades according to assessment guidelines and instructions. Those who are searching for assignment help Melbourne, Perth, Brisbane, Adelaide etc. get a touch with Sample Assignment - the No.1 Assignment provider. Any student really wants to buy an assignment at the cheapest price goes to our branded website and has a look and opts our amazing and informative services, you can avail of our convenient online assignment help and samples available on our website for free. You can download it if you want. Are you ready to get 100 out of 100 in your university assessment? We assign the best writer according to the subject for your academic problems and provide support in assignment writing services. Our Customer Care Executives are available 24*7 hours to assist you in the best possible manner. Phone calls and emails are the best methods used by online assignment maker.

    ReplyDelete
  16. Essay writing is really very hard for students and many students are really stressed to write it. So finding a best essay writing format is not easy. Anyway you can check any essay writing services and they can help you to find a good format to write the essay. I can recommend a site that has helped me. It's called DigitalEssay.net Good luck!

    ReplyDelete
  17. Student Assignment Help is foremost assignment help Australia firm, who provides top-class quality service that is the best writing solution to the students.

    ReplyDelete
  18. Here I am sharing a very useful resource for students looking for assignment help. ProAssignmentHelp providing all sort of assignment writing in various subjects like as : Electrical engineering assignment help , electronics assignment help , MATLAB assignment help , management assignment help , etc.

    ReplyDelete
  19. It’s good to share information with others. I am also sharing something very important for students seeking MATLAB Assignment Help. Visit MatlabSolutions and get best assistance in your MATLAB, Simulink Assignments and Projects.

    You can also get CDR Report Engineers Australia if you look to immigrate to Australia.

    ReplyDelete
  20. Here I am sharing wonderful platform for students in Australia , US and UK seeking for programming assignment help. This is Programmingshark.com , world's no1 programming help company since 2014. They cover almost all wide range of programming subjects, here you go:
    C Programming Assignment Help , C++ Programming Assignment Help , Python Programming Assignment Help , R Programming Assignment Help , and MATLAB Assignment Help . Visit now!

    ReplyDelete
  21. This is something very important to understand, I really appreciate your efforts to share such information. Here I am also sharing some information that might be useful for students looking for Assignment Help , in various subjects like, MATLAB Assignment Help , or Matlab Assignment Help Online.

    ReplyDelete
  22. This information can be used for analysis purpose in above field. Being a Matlab Helper, I provide Matlab Assignment Help to students all across the globe. We provide the optimistic results by team of our top Matlab Assignment Experts

    ReplyDelete
  23. i-LEND is an online marketplace connecting borrowers and lenders for loans. Although i-LEND verifies credentials of registered users on the site, it does not guarantee any loan offers by lenders nor does it guarantee any repayments by borrowers. Users make offers/loan requests at their own discretion with the understanding of the risks involved in such transactions including loss of entire capital and/or no guarantee of recovery. Please read our Legal agreements to understand more. Read more- p2p lending Hyderabad

    ReplyDelete
  24. I agree with the facts you stated above. You have a beautiful flow with words. For students who are struggling to write their assignments on their own, I suggest they choose the Proofreading Editing of LiveWebTutors It is a perfect and affordable platform that helps you to achieve top grades in your academic activities.

    ReplyDelete
  25. Loved to read your blog. I like the valuable information you provide in your articles. I impressed the way you presented your views and admiring the time and effort you put into your blog. Thank you so much for sharing this kind of info.
    assignment help

    ReplyDelete
  26. My Assignment Help offers affordable and reliable assignment help to students across Australia. We will provide proper guidance related to the assignment and facility among the students. We provide 100% plagiarism free work and the task will be completed within the time limit.

    ReplyDelete
  27. Contact My Assignment Help online website to get our assignment help service for all your academic tasks. Through a team of over 3000 subject experts we offer individual attention to every student making the assignment help experience completely unique and stress-free for students aiming to score high in every assignment.

    ReplyDelete
  28. Very informative and well written post. ABC Assignment Help has been a pioneer within the Best machine learning assignment help online services. Make an order now for professional work and delivered on time.

    ReplyDelete
  29. My Assignment Help offers affordable and reliable assignment help to students across Australia. We will provide proper guidance related to the assignment and facility among the students. We provide 100% plagiarism free work and the task will be completed within the time limit.

    ReplyDelete
  30. About 90% nurses feel that it is their aptitude to nursing that makes them succeed in this tough and competitive domain. This is true because the nurses should feel care for their patients and it is only then that they would be able to make the patient feel better. That being said, skills play an important role in determining how well the nurse does her role. online cna program ca

    ReplyDelete
  31. My Assignment Help online is the most recognized and preferred one stop solution for students to get professional my assignment help in any subject in Australia. Contact us now to connect with our experienced writers and score outstanding grades in your concerned subject.

    ReplyDelete
  32. The Hospital is operated by the globally known Taiwan group, BenQ. The hospital features beautiful gardens, sculptures and art galleries. BenQ Hospital has well equipped departments in every discipline including nutrition, dentistry, rehabilitation and traditional Chinese medicine. five guys diabetic fries

    ReplyDelete
  33. Hello,
    Absolutely an informative post, I am a student and share some valuable information for others to get /matlab-assignment-help.php across the Globe. I found this https://matlabworks.com/ which provides world class /matlab-project-help.php Help to students globally. Best of Luck!

    ReplyDelete