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Communication Skills Training In A Nursing Home

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Question:

Describe about communication skills training in a nursing Home?

 

Answer:

Communication forms an essential part of the healthcare practice, which involves effective means of sharing information and educating the patient. Notably, learning of effective communication skills is one of crucial requirement as competency, which helps in achieving (Sprangers, Dijkstra & Romijn-Luijten, 2015):

  • Professional satisfaction and ease in routine health care practice

  • Effective health care practice in conjunction with intervention with the patient

  • Sharing crucial information within health care professionals

  • Showing empathy and understanding the requirement of the patient

  • An operative means for taking consent and educating patient

  • Help in achieving patient satisfaction

From the video demonstration, a good learning stimulation has been achieved. The video describes how the staff nurse communicates with the patient, and later the doctor joined them and also exchanges some words. In particular, this video describes therapeutic communication involving the healthcare professionals (a nurse and a doctor) with the patient having pregnant stroke.

It was important to mention their identity and affiliation within the institution, which ensure safety to the patient. Likewise, it also makes sense as to mention the particular intention, with which the nurse or doctor came to meet the patient. The motive of such introduction is to get attention from the patient and also to motivate the patient to express any concern or problem (Casey & Wallis, 2011). Breakdown in communication has the potential to offer negative outcome. It is hence when nurses change their shift, or any other professionals join the conversation, it is important to give a quick introduction and intention for the communication.

Another point observed  The means of communication, as adopted by the professionals, were appropriate when they had used several close end and open end questions. These questions include “how you are feeling”, “are you able to speak up” and related stuff. Inclusion of these wordings in communication often helps the patient to express their problem and concern.

 

Displaying empathy and understanding to the patient condition is important, as it helps the patient in building confidence (Fisher, 2014). Such behaviour by healthcare professionals also helps in building a trustworthy partnership model with patient. In the present video demonstration, it is easier to observe the professionals have a soft tone and humble nature while attempting to ask the patient regarding her comfort and pain. Likewise, physical touch in the course of communication is also well-intentioned, which helps in framing a trustworthy sense among the patients. These attempts were made into utilization by the professionals throughout the duration when they were interacting with the patient.

In conjunction with the present learning and reference of the video, I realised that use of sensible and soft tone to communicate with the patient is much essential. Asking for the patient regarding the experience they feel is much crucial, as it will help in clinical decision and use of wisdom by the professionals. In my opinion, the communication process involving the sending and receiving of information is important to handle with optimum care. The reason being that, utilization of such careful means can help in avoiding exchange of the incorrect message. In particular, the communication process involves three key elements, which are: (i) Sending message; (ii) Receiving message and (ii) The message itself. It is very much important to realise the factors, which can influence the understanding of the message by the patient. Similarly, the professionals should also take care of the past situation and mental cum psychological condition of the patient (Rollans, Meade, Schmied & Kemp, 2013).

Regarding the effective partnership model creation between patient and health care professionals, communication is the most effective means. Professionals should not tell anything to the patient until they are going to do it. Such approach help in avoiding impatience and irritability. Listening to the concern of the patient in the same prospect is effective, as it help in the realization of the current need and requirement of the patient. No doubt most of our communication proceeds with verbal communication, whereas body language is also important. Eye contact, nodding head, voice tone and physical touch on head or shoulder are some of the suitable measures in this regard. These practices are easy to find in the video, and the same should be adopted by each health care professional, to make the communication process effective as well as efficient. Often the apprehension related to ethnicity or culture should also be kept in concern (Henry, Holmboe & Frankel, 2013). As for example, the doctor uses to keep hand or touch the foot region of patient, in course of communication. It is important to make sure that such behaviour is acceptable and not found as inappropriate with respect to perception of patient. Last but not the least, showing empathy is the most important requirement to ensure patient safety and care.

In a nutshell, the present reflective analysis describes the learning and insight for effective communication skills between patient and health care professionals. The intention of every action and the probable outcome is hence discussion in the present content. In other words, the popular “what” model was used for analysis of each step cum measures those are essential to make utilize in the routine practice.

 

Reference:

Sprangers, S., Dijkstra, K., & Romijn-Luijten, A. (2015). Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides. Clinical interventions in aging, 10, 311.

Casey, A., & Wallis, A. (2011). Effective communication: principle of nursing practice E. Nursing Standard, 25(32), 35-37.

Fisher, M. J., Broome, M. E., Friesth, B. M., Magee, T., & Frankel, R. M. (2014). The effectiveness of a brief intervention for emotion-focused nurse–parent communication. Patient education and counseling, 96(1), 72-78.

Rollans, M., Meade, T., Schmied, V., & Kemp, L. (2013). Capturing clinician-client interaction: development of the 4D&4R observational tool. Nurse researcher, 20(5), 11-19.

Henry, S. G., Holmboe, E. S., & Frankel, R. M. (2013). Evidence-based competencies for improving communication skills in graduate medical education: A review with suggestions for implementation. Medical teacher, 35(5), 395-403.

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