Discuss about the Communication Skills in Nursing for Healthcare Professionals.
- According to Cunico et al., (2012), verbal violence, aggression and verbal abuse are common in acute healthcare settings and almost each of the healthcare facilities nurses and physicians has to face such issues while serving for patients. In this case, David is a cardiac patient and is quite aggressive while talking to healthcare professionals. Therefore, prior to chat, it will be important to observe the time of the day when he stays calm and will be able to open up regarding his such nature. Further, staying calm and empathetic is the only option the healthcare professionals will have while chatting with him. In such situation questions such as “are you comfortable in this healthcare setting?” or “do you think the care plan or intervention applied for your improvement is successful to improve your condition?” will be asked.
- The open-ended question requires detailed answers from the patient hence after the patient answers the close-ended questions, the open-ended questions will be asked (Cunico et al., 2012). The patient might become impatient and aggressive, however, he will be confirmed that this process is to make his hospital stay comfortable and hence he should answer these questions. Further, the open-ended question will be targeted in the area of care and comfort in a hospital facility. Such as “Do you have any problem related to the hospital process?” and “can you please provide some suggestions related to our faulty process so that it can be improved?”.
- Active listening is an acquired skill that required constant practice and patience level and because of this aspect, mastering in active listening requires time and patience. In this process, the listener should implement its complete concentration to listen to the speaker. Therefore, from its definition, it is evident that active listening involves listening using all senses and provide the speaker complete attention. This is important as failing in that will send a message to the speaker that the information he or she is sharing is not interesting to the listener. In this case study, active listening skill will be used to understand David’s issues related to his aggression so that he understands that the health care facility cares for him (Hutchinson & Janiszewski Goodin, 2013).
- Effective communication nursing should be consisting of six important aspects and according to it,
- The nurse should speak slowly with the patient. This helps to convey the message in a positive sense to the patient and hence, the purpose is fulfilled.
- The nurses should focus on clarity rather than loudness. While caring for older patients like David, loudness in voice can affect their mental stability, hence, nurses should speak clearly instead of high pitch (O’hagan et al., 2014).
- The nurses should not use slang or disgraceful language while communication, as it can affect their communication skill.
- The nurses should use body language and reflection practice so that they can understand their shortcomings and convey messages more clearly.
- The nurses should stop, listen and then provide an answer as it can provide a message to the speaker that the healthcare facility cares for their views.
- The nurse should aware of the roadblocks and should be aware of situations, in which he or she cannot reply to the patient (O’hagan et al., 2014).
- De-escalation is a strategy which is used to escape any conflict as well as it is also used for the process of conflict resolution (Garnacho-Montero et al., 2014). In this situation, when David has become violent due to my presence, I will use de-escalation strategy. I will stay calm and will listen to his allegations silently. I will not react to the situation, further after watching his removing his intravenous cannula I will ask the physician or healthcare professionals having experience in such situation to control the patient. This strategy will be applied I case of David as it has been seen that in the presence of two people, the aggressive nature generally dissolves (Garnacho-Montero et al., 2014).
- The debriefing process is the conversation oriented session that helps to identify the shortcomings of the process and figure out the ways through which these problems can be resolved (Decker et al., 2013). In this process, de-briefing was conducted so that the aggressive nature of David can be assessed and interventions for the issue can be carried out. Further, another benefit of de-briefing in nursing process is that if any patient is unhappy with the service or care, then the process can be rearranged as per the demand of the patient. In this case, it was an important aspect as it provided an opportunity to understand the aggression-related issue of David and the facility also became aware of his condition (Decker et al., 2013).
- when I am being offered a general feedback with respect to the performance improvement, the two suggested communication strategies that I will use are: listening attentively to the what the patient wants to say, and the next strategy will be politely replying to the patient’s quarries and questions. In order to understand the other person’s suggestions, it is always better to listen to the other person attentively in order to make the other person feel that his views are respected. At the same time, it is good to reply or communicate politely so that the other person can understand and feel a connection. Only through effective communication conflicts can be reduced and avoided (Hemsley, Balandin & Worrall, 2012).
- when a balanced feedback is given, the 3 steep communication technique that is recommended are: praise, criticise and praise. This process of communication is also called the sandwich method of communication and it includes the praising or providing a positive feedback at the beginning, followed by a constructive criticism and then ending with a positive note. In the second stage, it is best to be brief about the criticism and the criticism must be clear and thorough. It is best to provide a maximum of 2 points of criticism, however providing more than that can be too much for a person to handle. In the last stage, it is always best to reiterate the initial complement of the feedback and it is always best to talk in general terms about the progress upon whom the feedback is provided (Ramani & Krackov, 2012).
- The two strategies that will demonstrate the appropriate language and respectful manner when giving or receiving the feedback are the strategies of politeness in writing decently and listening attentively. The respectful manner through a person a can effectively provide or give feedback is to use words that are not abusive and offensive. When providing feedback, a person must take in to account the other person’s perspective and the hard work done on a particular work. Thus, such hard work must be appreciated and the mistakes must be criticized in a constructive way. another part is to listen attentively, this part also plays a major role in the providing a valuable and an effective feedback (Kritek, 2015).
- The ethical principles that I will consider will relate to the privacy of a person. The posting of information on the social media directly violates the privacy of the concerned person and this is against the will of a person who has not provided a consent to the act. Thus posting information on the social media without the consent is an ethically wrong (Chretien & Kind, 2013). Secondly, the person committing such a crime of posting information of the aggrieved person on a social media is a direct violation of present in the country and thus such a person can also be subjected to the regulatory measures.
- advocacy is a term which depicts that it is to ensure people, that are especially the most vulnerable sections of the society. An advocacy for such people is required that are not able to raise the issues that are important to them, people that are not able to safeguard their rights. In this situation, I will personally meet the patient and convey the situation because I was supposed to look after the patient if I was not having the break. Thus, I will approach the hospital authorities for the advocacy of the patient and will pose the information to the authorities on the grounds of violation of privacy (Obar, Zube & Lampe, 2012).
- The friend who has posted the information of a patient on the social media is a gross violation of the ethical and the regulatory measures. The 4 strategies based on which I will be providing the feedback are as follows:
- The first strategy will be analysing the information and the contents that my friend has shared over the social media.
- The second strategy is that I will see whether my friend has adulterated the content of the information in comparison to the original information.
- The third strategy will be based on the effect of the information sharing on the patient. I will more weight to this aspect.
- The final strategy will be based on the sole motive of my friend behind posting information of a patient on social media.
- First of all my friend, I hope the information that you have posted on the social media is not expected as you are a responsible nurse. I think when you have posted the information on the social media, you had no wrong intention in your mind and I think you had no wrong motive. The information that you have posted is although violates the ethical principles of the humans whose consent is not considered before posting information on the social media.
Reference
Chretien, K. C., & Kind, T. (2013). Social media and clinical care: ethical, professional, and social implications. Circulation, 127(13), 1413-1421.
Cunico, L., Sartori, R., Marognolli, O., & Meneghini, A. M. (2012). Developing empathy in nursing students: a cohort longitudinal study. Journal of clinical nursing, 21(13-14), 2016-2025.
Decker, S., Fey, M., Sideras, S., Caballero, S., Boese, T., Franklin, A. E., … & Borum, J. C. (2013). Standards of best practice: Simulation standard VI: The debriefing process. Clinical Simulation in Nursing, 9(6), S26-S29.
Garnacho-Montero, J., Gutiérrez-Pizarraya, A., Escoresca-Ortega, A., Corcia-Palomo, Y., Fernández-Delgado, E., Herrera-Melero, I., … & Márquez-Vácaro, J. A. (2014). De-escalation of empirical therapy is associated with lower mortality in patients with severe sepsis and septic shock. Intensive care medicine, 40(1), 32-40.
Hemsley, B., Balandin, S., & Worrall, L. (2012). Nursing the patient with complex communication needs: time as a barrier and a facilitator to successful communication in hospital. Journal of advanced nursing, 68(1), 116-126.
Hutchinson, T. L., & Janiszewski Goodin, H. (2013). Nursing student anxiety as a context for teaching/learning. Journal of Holistic Nursing, 31(1), 19-24.
Kritek, P. A. (2015). Strategies for effective feedback. Annals of the American Thoracic Society, 12(4), 557-560.
Obar, J. A., Zube, P., & Lampe, C. (2012). Advocacy 2.0: An analysis of how advocacy groups in the United States perceive and use social media as tools for facilitating civic engagement and collective action. Journal of information policy, 2, 1-25.
O’hagan, S., Manias, E., Elder, C., Pill, J., Woodward?Kron, R., McNamara, T., … & McColl, G. (2014). What counts as effective communication in nursing? Evidence from nurse educators’ and clinicians’ feedback on nurse interactions with simulated patients. Journal of advanced nursing, 70(6), 1344-1355.
Ramani, S., & Krackov, S. K. (2012). Twelve tips for giving feedback effectively in the clinical environment. Medical teacher, 34(10), 787-791.
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