Communication Skills for Nurses and Midwives

Introduction to Interviewing Skills in Nursing

Any interview needs to be vibrant and lively. It needs to be an appealing conversation between the parties and so for the audience . The language used during the interview is clear and lucid. The interviewer confirms whether the interviewee is comfortable if the interview was conducted in English (Siantz, Kilanowski & Thomas, 2017). . The interviewer introduces her identity , name and purpose of the interview. She conducts an ice breaking interview which removes the social formality and stiffness of the interviewee. The gestures of the nurse are sweet and informal and she takes care to note down all relevant information on her tablet( Kolb et al, 2017). She also takes care to complete the interview in a short span of time so that the patient does not get restless with the process.

Active Listening

The nurse greeted the patient and introduced herself as “Preity” and explained the purpose of her arrival to the patient. The nurse also ensured if she was feeling all right at that point of time to spend some time in answering some relevant questions. The greetings of the nurse was appealing and the patient instantly responded in a short sentence as to how spending some time with her family cost her to get an ankle twisted accidentally (McCloskey et al , 2020). The nurse heard the story carefully and comforted her saying that time with family was precious. The nurse introduced her profession to the patient so that she gets a prominent idea of why she is qualified to take the interview. Preity sounds enthusiastic throughout the interview so that even the patient can keep her mood refreshed during the conversation. The nurse asks for her permission before she starts with her questionnaire and this gesture was sweet and lightening. Preity puts to her to simple questions asking her name, age, telephone number and address and listens to the information very carefully (Rathnayake et al, 2016). She also records the information in her tablet reassuring twice the important information such as the ‘name and telephone number’.

Preity pens down the information and reconfirms the spelling of her name in her notebook and makes a note of the correct spelling of her name as ‘Rose Jaline’. She also reassures the phone number twice so that her active listening skills are not challenged erroneously in future and records all the information in her tablet. Upon knowing her age, the nurse made an ice breaking statement about her age so that conversation becomes light and refreshing and the patient draws her further interest in answering the next set of questions (Singh et al, 2017). The nurse asks further questions regarding any medical history of any kind of pain the she had undergone prior to this one. Rose answered prominently that she hadn’t. The Nurse also asked if she had taken any treatment before arriving in this hospital or taken to any pills or painkillers. Rose answered that she had taken to painkillers before arriving in the hospital.

Priety noted down all details specifically regarding her local guardian , their phone number and enquired precisely about her religious sentiments. We also find that the patient answers all the questions as much specified after clearly comprehending what exact information the nurse was seeking for. The nurse also did not lengthen any question or ask for any vivid details. She kept her questions straight and ‘to the point’ and kept a record of all the essential answers(Rong, et al, 2017). Long questions generally drift away from topic and curtail active listening skills for the parties and hence the same decorum was maintained during the conversation. Both the interviewer and the interviewee had excellent skills in active listening and both of them were specific and narrative as much required regarding the question answer session

Non Verbal Communication

The nurse named Preity conducted a professional interview session which was warm and of a short duration . She was on a casual wear which gave an impression to Rose Zaline that there was nothing very serious or heavy about the questionnaire session. The casual dress code also created a friendly atmosphere(Siantz, Kilanowski & Thomas, 2017). The nurse made it apparent that her interview was very important with regards to the health issue of the patient. The nurse was formal enough to seek her permission before she began the discussion and this gesture made Rose more enthusiastic about the relevance of the discussion and made her feel that she was given sufficient empathy for the situation she had been into (Abudu-Birresborn et al,2019). The nurse also assures that the patient is free to escape any question that she feels would threaten her personal space and she has every right to move away to the next question. This mood made the patient feel more comfortable to go about with the interview. The body language and posture of the nurse demonstrated that she was engaged with a light but important task and only Rose could help her complete the task flawlessly (Carulla & Hipona , 2018).

The nurse also enquired about her most recent position of her difficulty and asked the patient to rate her pain and difficulty at the moment out of 10. In this way, the nurse got a clear understanding of her current position by careful analysis of her moods and expressions during the interview and also heard her carefully when she rated the pain in terms of “5” or “6” out of “10”. The question of rating made an analytical study of her trouble at this point of time (Kanchana & Sangamesh , 2016). Preity would use this non verbal study to relate to the doctor about the patient’s present situation. At no point of time we find that nurse made the patient feel anxious or nervous with regards to her present situation and her questions were relaxing and soothing to ears as well. Hence Rose was able to answer all of them with correct specifications. Preity raised her palm upwards during explanation of one or two questions which indicated how honest or trustworthy she could be and whatever she was asking was of considerable relevance. Preity never used any jargons in her sentences or use any difficult vocabulary (Abudu-Birresborn et al, 2019).. Her language was lucid and clear and she had ensured if Rose understood the language of English perfectly. Preity kept her rate of speech and volume low during the conversation which also drew more attention for the interviewee.

There was a perfect eye contact between the parties and this made the entire interview episode look live and perfect. The perfect eye contact also establishes trustworthiness and confidence amongst the party. There was no irritating gestures as touching of nose, mouth or eyes during the interview which clearly depicted that the patient was serious with the interview and this also reflects the efficient skills of the interviewer.

Cultural Competence

Cultural needs, beliefs and preferences are an integral part of the society. Everyone adjusts himself well if there is a perfect respect for each others’ cultural preferences. Culturally competent care is the best one in terms of good nursing facilities at the hospitals. The care and service at hospitals also comprises of mental healing and social interactions. A Christian patient would like to heal up faster if he sees a cross in his room or reads a bible or listens to Jesus’s statements as a cooling exchange of conversation with the nurse (Darling et al, 2018). The same scenario holds good for a patient following the religion of Islam. He might prefer to hear the name of Allah or feel good if he is allowed to perform his ‘azaan’ or prayers even in bed. He might expect that someone comes to help him to get up from the bed and help him with his daily prayer. Safety is important for normal patients and compromised patients as well(Abudu-Birresborn et al,2019). A patient may long for home cooked food post treatment and if cultural preferences are considered, proper care of the patient can be ensured by serving him the meal or the dinner as per his preferences (Ross & Burrell ,2019).

The correct posture and the response to the patient’s health is important at every minute of his progress of health conditions. The social surroundings could be made akin to the patient’s likes and dislikes. Cultural preferences also encourage the family to stay with the patient as much as possible. The patient also needs to be asked which language of communication would be most preferable to him during his treatment(Rong, et al, 2017). In case the person is not comfortable with the official language of the region , he could be assigned a nurse of his own mother tongue so that a patient can share his thoughts and problems comfortably with the nurse who would later communicate the same to the doctor or the authority. In case the the nurse with the knowledge of the regional language is not available the hospital can provide the services of medical translator to the patient’s safety issue. Often patients seek for correct detailed explanations of small treatments like wearing oxygen mask for long hours or taking up saline for a long time. These issues are to be explained soothingly to the patient so that he does not get perplexed with the changing scenario of his health conditions(Carulla & Hipona , 2018). Cultural preferences also allow the patients to enjoy food brought from home especially if the doctor has not made any diet restrictions.

In this case we find Preity correctly asks whether Rose had her cultural preferences . Rose specifies that she is Hindu and believes in both Hinduism and Buddhism and therefore prefer not to have any beef for lunch or dinner( Kolb et al, 2017). Preity assures her that she would take care of this fact. This creates a soothing impact on Rose’s mind and she felt secure of her stay in the hospital. Preity, the nurse also ensures that Rose would be comfortable speaking in English at any point of time with the nurse. This would strengthen the bond between the patient and the nurse and both would interact comfortably for a speedy recovery.

Conclusion on Interviewing Skills in Nursing

The social environment of the hospital and the attitude of the hospital staff plays a vital role in the recovery of the patients. A saying states that ‘ first impression is the last impression’ and in this interview, the nurse ‘Preity’ , made a good background of the hospital care and efficiency that she is likely to undergo for the future treatment. In the given interview Preity , the nurse, demonstrates her trained abilities of a professional nursing ethics(Kanchana & Sangamesh , 2016). The interview is short and summarised and covers all necessary topics of information. The patient is made to feel at home with the nurse . The interview makes Rose more confident of her stay and recovery at the hospital. She would therefore cooperate with the hospital staff and provide a good feedback for the hospital when she gets cured.

References for Interviewing Skills in Nursing

de Leon Siantz, M. L., Kilanowski, J. F., & Thomas, T. L. (2017). Cultural Values, Beliefs, and Preferences Are Integral to Family-Centered Care. Guidelines for Nursing Excellence in the Care of Children, Youth, and Families, 57.

Kolb, S., Vasilakis, T., Stein, B., Stadelmann, J., Münzinger, A., Fley, G., ... & Härlein, J. (2017). Attitudes and preferences concerning interprofessional education of first-year students and experienced medical and nursing staff. Journal of interprofessional care, 31(2), 164-166.

McCloskey, R., Yetman, L., Stewart, C., Slayter, J., Jarrett, P., McCollum, A., & Stoica, G. (2020). Changes In Nursing Students’ Knowledge, Attitudes And Career Preference For Working With Older Adults: A Longitudinal Cohort Study. Nurse Education in Practice, 102760.

Rathnayake, S., Athukorala, Y., & Siop, S. (2016). Attitudes toward and willingness to work with older people among undergraduate nursing students in a public university in Sri Lanka: A cross sectional study. Nurse Education Today, 36, 439-444.

Singh, P., Hayden, K. A., Ens, T., Khan, N., Quan, H., Plested, D., ... & King-Shier, K. M. (2017). Ethno-cultural preferences in receipt of heart health information. American journal of health behavior, 41(2), 114-126.

Rong, X., Peng, Y., Yu, H. P., & Li, D. (2017). Cultural factors influencing dietary and fluid restriction behaviour: perceptions of older Chinese patients with heart failure. Journal of clinical nursing, 26(5-6), 717-726.

Abudu-Birresborn, D., McCleary, L., Puts, M., Yakong, V., & Cranley, L. (2019). International Journal of Nursing Studies BLINDED MANUSCRIPT Preparing Nurses and Nursing Students to Care for Older Adults in Lower and Middle-Income Countries. A Scoping Review. International Journal of Nursing Studies.

Kanchana, M. N., & Sangamesh, N. (2016). Transcultural nursing: Importance in nursing practice. International Journal of Nursing Education, 8(1), 135-138.

Carulla, J. C., & Hipona, J. B. (2018). Attitudes towards learning and learning styles of nursing students in selected nursing schools: Basis for instructional strategic plan.. Nursing & Primary Care, 2, 5, 1-9.

Ross, J. G., & Burrell, S. A. (2019). Nursing students' attitudes toward research: An integrative review. Nurse education today.

Darling, R., Sendir, M., Atav, S., & Buyukyilmaz, F. (2018). Undergraduate nursing students and the elderly: An assessment of attitudes in a Turkish university. Gerontology & geriatrics education, 39(3), 283-294.

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