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Apply Communication Skills in Nursing Practice

  1. What are the factors that facilitate effective communication?

Effective communication is a crucial aspect in a healthcare setting as it helps in catering acute care for patients and reduces cost caused by communication errors and issues. It provides the purpose of the communication to the exchange in order to gain information about the patient's health and care significantly (Bender, 2016). Concerning such fact, there are several factors that facilitate effective communication and those are as follows:

  • Listening actively or active listening
  • Providing feedback
  • Articulating clearly
  • Straight forward
  • The relationship between the sender and the receiver
  • Asking questions
  • The clarity in message and speech
  • Speed and classification of delivered speech (Bender, 2016)
  1. What are the factors that inhibit effective communication?

There are several circumstances that inhibit effective communication and which consecutively leads to arousal of conflicts, errors, and issues within the organization. Relating to such aspect, inhibiting effective communication is harmful towards the motive of prospering organizational success and growth (Bender, 2016). Several factors exist within healthcare settings that inhibits effective communication and those are:

  • Body language of the sender and the receiver
  • Differences among cultures of employees and patients
  • Using over-complicated terms
  • Lack of interest or attention towards the sender
  • Varied perception and opinions
  • Emotional barriers concerning
  • Physical disabilities for instance hearing issues or difficulty in speaking (Bender, 2016).
  1. Describe four (4) types of communication techniques and discuss their value in the health care setting.

There are four types of communication techniques which includes:

  • Being friendly towards patients
  • Being a good and active listener to patient’s concerns and issues
  • Open to feedback, and
  • Open mindedness (Foronda, MacWilliams and McArthur, 2016)

Now concerning the value that it contributes to the healthcare settings, there are several ways that it provides, for example, being friendly towards a patient will create a strong bond and will help patient to share every detail of their health concerns effectively (Foronda, MacWilliams and McArthur, 2016). Besides, open to feedback, open mindedness, and being an active listener will assist in understanding patient’s actual problems so that the staffs could attend them accordingly and ensure effectual care at the earliest (Foronda, MacWilliams and McArthur, 2016).

  1. Describe three (3) communication levels and their main characteristics.

The three communication levels and their main characteristics are provided below:

  • Verbal communication level: It includes an individual's choice of words and terms based on a definite understanding of meaning amongst the sender and the receiver of the message. Using the right and appropriate words and terms are key in verbal communication level.
  • Physical communication level: This involves visual indications such as eye contact, body language, gestures, facial expression, and breathing which influences how an individual feel and interact with the receiver in exchanging messages (Foronda, MacWilliams and McArthur, 2016).
  • Auditory communication level: It includes the tone, volume, and speed of sender or individual while communication with the receiver and that affects how messages are been received and interpreted by others (Foronda, MacWilliams and McArthur, 2016).
  1. Explain why the inappropriate use of social media can be harmful to the patient and the nursing profession.

Social media is full of contents that are unreliable and unauthentic. Social media abuse or inappropriate use can be harmful to the patient, for example, viewing a post abut any health risk and its implication that is fake and misleading may cause panic and possibly deteriorating to patient’s existing health condition. Concerning nursing profession, posting negative comments on patient’s health conditions, manners, and posting videos and photos of patients can lead to punitive action against the nurse, according to the National Council of State Boards of Nursing, Inc, (2020). It is important for nurses to adhere to disciplinary codes and conducts of the healthcare profession effectively (NCSBN, 2020).

  1. Describe in your own words what the guiding principles and disclosures process are required to adhere to the open discourse framework.

According to Australian Open Disclosure Framework, (2018), open disclosure can be defined as a session of open discussion with the patient and their families and caretaker regarding contrary proceedings that affects patient’s health negatively while obtaining healthcare within the setting (ACSQHC, 2018). An apology and an expression of regret about the poor experience faced by patients during healthcare (ACSQHC, 2018). Besides, a truthful explanation of the event that has occurred, an opportunity for the patient to explain their experience, and an explanation of the steps taken to manage the conflict and ensure effectiveness in healthcare to the patient (ACSQHC, 2018).

  1. Outline the ways to communicate with the following:
    1. People with an Intellectual disability
    2. People with Sensory Impairments
    3. Health professionals, people with a disability, their families and carers

The ways to communicate with the:

  1. People with an Intellectual disability: Speaking slowly, pronouncing words precisely, leave pauses in between words to help the receiver to process the words accordingly to understand and identify.
  2. People with sensory impairments: Using visual cues while communicating with people with sensory impairments such as pictures, graphs, and objects are effective. Besides, articulating clearly and slowly by keeping the natural rhythm the same is an effective way to communicate (Donner and Wiklund Gustin, 2020).
  3. Health professionals, people with a disability, their families: By actively and patiently listening to their concerns, issues, and challenges. Using a normal tine, being polite, friendly, and compassionate; and asking what shall help with communication amongst the caretaker and patient effectively (Donner and Wiklund Gustin, 2020).
  4. Describe the term ‘challenging behaviours’, provide five (5) examples and outline the impacts of these behaviours.

Challenging behaviours can be defined as the set of behaviours that puts others life at risk or causes a poor quality of life negatively and causes distress (Bowring et al., 2016). It includes anxiety, aggression, and self-harm behaviours by patients or clients in a healthcare setting. The five examples of challenging behaviour involve shouting, throwing objects, repetitive talk, wandering, and physical assault on others or healthcare providers (Bowring et al., 2016). The impact of such behaviours causes disturbance to other patients admitted in the healthcare setting and creates an environment full of panic and distress within nurses and other staffs to perform their duty effectively (Bowring et al., 2016).

  1. Discuss the characteristics of creating a therapeutic environment in nursing.

The therapeutic environment is an important aspect to ensure healing and recovery of patients who were facing for a long period. Therapeutic environment refers to the safe and secure spaces which are specially designed to treat and help patients suffering from chronic disease or health disorders (Roviralta‐Vilella et al., 2019). It includes face-to-face interaction with patients by nurses to identify and understand complications of them to help them heal fast and effectively (Roviralta‐Vilella et al., 2019). The participatory nurses and staffs are supportive of patients in dealing with their health problems by recognizing their actual issues and providing solutions to heal. Besides. It also supports families of patients by communicating with them in person and make them understand the situation to ensure clarity amongst the transactions (Roviralta‐Vilella et al., 2019).

  1. What documentation tools would an EN need to refer to prepare for clinical handover?

The documentation tool that an EN would require to prepare for clinical handover is as follows:

  • Discharge summaries
  • Letters of outpatients by medical officers, nurse practitioners, and allied health care providers.
  • Past information of patient’s diagnosis.
  • Present presentation of the patients concerning health condition
  • Treating medical officer or doctor
  • Date of admission and diagnosis
  • Main events while admission
  • Risk and avoidance strategy
  • Referrals (Fealy et al., 2018)

Besides, it is important for the EN to ensure that all the essential documentation is kept with the admitted patients so that the visiting doctor and allotted nurse can have an accurate and reliable understanding of the patient’s history in terms of their treatment and care (Fealy et al., 2018).

Reference List for Interprofessional Communication in Healthcare

ACSQHC, 2018. Australian Open Disclosure Framework Supporting Materials And Resources: Implementing The Australian Open Disclosure Framework In Small Practices. [online] Available at: <https://www.safetyandquality.gov.au/sites/default/files/migrated/Implementing-the-Australian-Open-Disclosure-Framework-in-small-practices.pdf>

Bender, M., 2016. Conceptualizing clinical nurse leader practise: an interpretive synthesis. Journal of Nursing Management, 24(1), pp.E23-E31.

Bowring, D., Totsika, V., Hastings, R., Toogood, S. and Griffith, G., 2016. Challenging behaviours in adults with an intellectual disability: A total population study and exploration of risk indices. British Journal of Clinical Psychology, 56(1), pp.16-32.

Donner, L. and Wiklund Gustin, L., 2020. Navigating between Compassion and Uncertainty – Psychiatric Nurses’ Lived Experiences of Communication with Patients Who Rarely Speak. Issues in Mental Health Nursing, pp.1-10.

Fealy, G., Donnelly, S., Doyle, G., Brenner, M., Hughes, M., Mylotte, E., Nicholson, E. and Zaki, M., 2018. Clinical handover practices among healthcare practitioners in acute care services: A qualitative study. Journal of Clinical Nursing, 28(1-2), pp.80-88.

Foronda, C., MacWilliams, B. and McArthur, E., 2016. Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19, pp.36-40.

NCSBN, 2020. Professional Boundaries | NCSBN. [online] National Council of State Boards of Nursing, Inc. Available at: <https://www.ncsbn.org/professional-boundaries.htm>

Roviralta‐Vilella, M., Moreno‐Poyato, A., Rodríguez‐Nogueira, Ó., Duran‐Jordà, X. and Roldán‐Merino, J., 2019. Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross‐sectional study. International Journal of Mental Health Nursing, 28(6), pp.1338-1346.

Safetyandquality.gov.au, 2018. Australian Open Disclosure Framework Supporting Materials And Resources: Implementing The Australian Open Disclosure Framework In Small Practices. [online] Available at: <https://www.safetyandquality.gov.au/sites/default/files/migrated/Implementing-the-Australian-Open-Disclosure-Framework-in-small-practices.pdf>

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