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Nursing is the field of social sciences when the case is of following nursing standards and practice. Reflection is the one activity that helped me in showcasing my critical understanding of the role and responsibilities of a registered nurse. In this assignment, the reflection will be based on therapeutic communication in nursing.
Being an oncology nurse in a healthcare organization, I saw the patient and felt that she is suffering from breast cancer based on signs and symptoms she reflected. After the investigations, the results were presented through reports that she was suffering from this disease. The doctor revealed the results in front of her and her family (Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, et al., 2017).
The issue arouses here was the representation of results by the doctor. It was really bad news for her as well as her family members. However, the doctor presented directly, and the patient and her family members appeared to be emotionally disrupted. I also saw the results but was very difficult for me to abruptly introduce without establishing the emotional needs of them.
From this case, I assume that therapeutic communication is the way to present information the information in the way patient and family wants to get. It helps in catering to the patient's physical and emotional needs in a smooth process. Blake & Blake in 2019, also states that therapeutic communication responds to emotions, patient self-management, managing uncertainty, making decisions, promoting healing relationships, and exchanging information.
The Nursing professional standards 2 and 4 (NMBA guidelines) must be followed along with communication strategies like sympathy, determining, empathy, and involving patient’s concerns and needs (Martin & Chanda, 2016).
From this scenario, I conclude that doctor must present the information in the way family and patient wants to listen.
The action plans will include the following communication strategies that will best fit the scenario and positively affects the outcome.
Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, M., & Ebadi, A. (2017). Therapeutic communication in nursing students: A Walker & Avant Concept Analysis. Electronic Physician, 9(8), 4968. https://dx.doi.org/10.19082%2F4968
Blake, T., & Blake, T. (2019). Improving therapeutic communication in nursing through a simulation exercise. Teaching and Learning in Nursing, 14(4), 260-264. https://doi.org/10.1016/j.teln.2019.06.003
Martin, C. T., & Chanda, N. (2016). Mental health clinical simulation: therapeutic communication. Clinical Simulation in Nursing, 12(6), 209-214. https://doi.org/10.1016/j.ecns.2016.02.007
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