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Communication is a process of sending or receiving messages. This interaction can be done in various modes. It can be done verbally, nonverbally or using the both. Verbal mode of communication is linguistic as well as written in nature. The person exchanges information by using words, or using collection of sentences. Nonverbal modes of communication include body languages, signs like hand gestures, facial expressions, sound etc.
Paragraph 1- Extract 1- PREPARING FOR THE ASSESSMENT: Professional communication plays a vital role in nursing practices. Nurses and midwives use verbal and non-verbal modes of communication to interact with patients and families, to collect reports, to pass the reports to health care organizations and provide the necessary care plans and the feedbacks of the progress. An effective way of communication builds good relationships and it enables nurses to get to know about the patient more. Thus, professional communication aids the nursing practices to project the skills in a productive way. The various attributes that are required in professional nursing practices are clearly elucidated.
Paragraph 2 Extract 2- PERSON CENTRED CARE: In Person-centered care, application of person-centeredness is delivered to people in need through actual care. This approach is an effective way to earn trust and respect. According to Nolan (2001), “individuality” is recognized better by “Person-centered care” where care is provided in response to the need of the person(p.2). Importance is given to values and beliefs of the person receiving care. This approach reduces stress and anxiety among clinicians and enables to maintain good nurse-patient relations. The necessary skills that are required to practice “person-centered care” approach are the ability to motivate, open-mindedness, self –awareness about own values and beliefs and of people taken care of .There must be leadership qualities to take responsibilities, and if needed to be courageous enough to question the system. This approach can be a good practice in health care environment if “person centeredness” is accepted and supported (Dempsey, 2009, p.15).
Paragraph 3 Extract 3- FORMS OF COMMUNICATION- VERBAL AND NONVERBAL: Nursing staff and midwifery are in the center of the communication process. The mode of communication is both “verbally” and “nonverbally”. It includes interacting with patients and family members, deciphering body languages, and making progress reports and care plans of the one taken care of. Touch is a powerful mean of communication that is helpful in providing a moral support like increasing self-esteem, providing affirmation and reassurance to the patient(Weber & Kelley’s, 2009, p.10-11).
Paragraph 4 Extract 4 – COMMUNICATION STYLES TO AVOID: Attitude, facial expressions, appearance, demeanor play an active role in perceiving the response of the question asked to the patient. Appearance plays the key role in drawing attention of the patient as the patient always expects a well groomed health professional. The demeanor must look professional. The attitude towards the patient must be non-judgmental, there is so place for imposing own ideas of ethics or morality and asking the patient to follow it. For an effective nursing, good listening skills are also required. The patient’s health status can be known by asking open ended questions that encourage a nurse to provide the patient with significant information. Close ended questions are asked to obtain more accurate information about the patient’s issue (Weber & Kelley’s, 2009).
Paragraph 5 Extract 5 – THOUGHTFUL PRACTICE- SELF AWARENESS & REFLECTION: Eye contacts with a patient must not be more or less. It must be moderate. Distractions by being occupied with something else must be avoided as the patient will need the complete focus. To stand while interviewing makes the patient feel empowered and prevent from being inferior. Biased questions that may bring unfavorable responses must be totally avoided as the information may not be correct or relevant. Rushing through the interview must be avoided as some questions may slip the patient’s attention (Weber & Kelly’s, 2009 p. 119-120).
Paragraph 6 Extract 6 – SELF CONCEPT: Registered nurses and midwives must possess the essential skills such as the ability to reflect and grow through self-awareness as it has become a requirement for maintaining practice to enhance their professional growth; they are required to engage in reflection to identify their own needs, seek and use supportive networks (Dempsey, 2009). “Interactions with nurses who are less anxious and are more nurturing have a positive growth promoting effect on the person’s self-esteem and self-concept”( Hildegard Peplau, 1997, p.2).
Paragraph 7: Extract 7 – THOUGHTFUL PRACTICE: It includes the willingness to learn through problem solving and reflection, to develop self-awareness. It includes beliefs and values, willingness to know a person, to motivate and provide moral support, to be confident and responsible enough to take a decision, and to be responsive to the environment.
Paragraph 8: Extract 8 – ANALYSING DATA: These elements are open-mindedness, being rationale to support decisions, reviewing thoughts before reaching a conclusion, to learn from past experiences, awareness about interactions of others and the environment.
CINAHL and MEDLINE. CINAHL is a bibliographic database that is focused on nursing and other health allied literatures. It stands for “Cumulative Index to Nursing and Allied Health”. Its controlled vocabulary is referred to as CINAHL heading ‘CH’. It includes citations and abstracts to journal articles, books, computer programming while MEDLINE includes citations and abstracts to journal articles only. MEDLINE’s bibliographical database covers a wide range of biomedical literature that includes medicine, nursing, pharmacy, and veterinary .CINAHL includes references at the end of the article but MEDLINE does not (Spencer.S.Eccles, 2002).
Gibbs Reflective Cycle
“Gibbs reflective cycle” is viewed as a straightforward cyclical framework that is a helpful guide to reflective practices. It focuses on effect, experience and future learning needs.
Reflectivity. It is a circular process in which thoughts affect the action affecting the situation dealt with (Reid, 1994, p.1). The collected evidence is based on effectiveness in action and how it is perceived. It accounts learning from past experiences, thoughtful deliberation, systematic, creative thinking about the action with the intention of understanding its roots and processes. Consider an example where a 53 year old man was diagnosed with cancer and was not expected to live much longer. He was smoking cigarette in his room with oxygen supply on. The medical consultant visited him and did not say anything and left. The man collapsed every time he took a puff and the oxygen supply was present through nasal canal (Spalding, 1998).
Description of the event. There was high risk of ignition because of piped oxygen in the room. If he collapses, he may accidently set fire to himself. There is a threat to other patients in the ward. If the permission to smoke was denied the patient would shout and in such a way increase the level of stress, which may cause panicking situations. The action that could be taken is to allow the person to smoke while being monitored in the presence of a nurse. The oxygen supply is turned off while the person takes puff of cigarette.
Feeling at that moment. At that moment there was a feeling of frustration because the consultant left the ward. Annoyed and feeling powerless to do anything about the situation. Fixing in mind that whatever it was, it was for the right reason considering every alternative. This experience indicated the right way how to act in such situations. The welfare of everyone is taken into consideration. Moreover the pros and cons should be considered. Never expect a backup from a nurse or consultant. If the made decision is right, stick to it without any alternation.
What was learnt from past experience: The made decision was right. It had caused distress to both patient and the one taking care of him, but in context to safeguard the health of other patients, babies, pregnant mothers in the hospital, he or she had to stick to the decision which would be hard to realize for the patient with cancer.
Journal article source- Understanding culture in practice: To meet the needs of the people from different cultures, nurses are challenged to become trans-cultural practitioners. Nurses must have knowledge about cultures of others in order to provide care that is culturally congruent for the patient.
Website Source- Emotional Intelligence: Emotional intelligence plays an active role for an effective patient care.A nurse has to perceive patient’s emotions and respond accordingly. Emotional Intelligence is a vital character to build successful nursing leadership and to optimize the performance in nursing.
Professional communication plays a vital role in nursing and midwifery. Nonverbal communication is as important as verbal communication in nursing. In addition to that, deciphering the patient’s emotions correctly and acting effectively requires person of centered care. There must be sound knowledge about professional attributes and effective skills required to promote psychosocial responses. ‘Gibbs Reflective Practice’ is a very helpful tool in nursing practices. Reflective practices effectively help to observe, understand, and to take decision based on reflection and to take actions accordingly to self-awareness and responsibility