Patient’s effective outcomes are achieved from effective communication. It enhances the appropriateness, patient satisfaction and well being of a patient to improve the treatment procedures and clinical outcomes. The treatment adherence refers to the compliance with rehabilitation and medication programs. The clinical outcomes are related to self-management, psychological status, self-esteem, improved pain management, and reduced stress and anxiety. To ensure compliance with all aspects of care, the care provided is planned with the individual and delivered through a patient-centric approach. This helps in maintaining a therapeutic relationship and effective communication. All the care-related plans are discussed with the patient and their family to provide reliable care. It is the value that is influenced by human interaction (Koivunen Niemi & Hupli, 2015).
In the case study, the patient name Chester Abioye's medical condition has been discussed. He has an improper living style as he does not do exercise, has bad habits, improper diet, and poor lifestyle choices. He is the 19-year-old man, who shares his house with four people. He used to consume a packet of cigarettes daily and is also an alcohol consumer. He is not serious about his studies and did not goes to school. He just sits in the home and watches television. He rarely does exercise and has a very poor diet. Overall, his health conditions are very bad and need behavior change communication counselling from a nursing professional. The nursing profession is held with the role of providing behavior change communication counselling to the patient for the improvement in health. They motivate the patient and put theory into practice by communicating the potential complications and harms to health (Chan & Leung, 2018).
The majority of health complications can be reduced by simply doing lifestyle changes. The nurses draw several theories that help the patient in getting support to change the behavior. The unhealthy lifestyles such as substance abuse, alcohol drinking and improper diet are the substantial and avoidable causes of long-term conditions. To ensure this, nursing professionals play a major role in encouraging and providing support to patients to make healthy selections. Although to improve the condition of patient, effective communication, goal-setting, teamwork, and attitudinal change is required in this case (Labrague, Al Hamdan & McEnroe‐Petitte, 2018).
A large amount of non-communicable diseases, respiratory diseases, cancer are all majorly caused due to physical inactivity, tobacco use, and alcohol consumption. But, these contributors can be prevented so that the rise of chronic diseases can be minimized. The non-communicable diseases are held responsible for 42 per cent of deaths that require a large number of costs to the national health system (Chan & Leung, 2018). Low physical activity is the most widespread risk factor for long-term disease conditions. In adults, almost 95 per cent of their population does not meet the standard of physical exercise (Chan & Leung, 2018). Similarly, in the case of Chester Abiole, he is the young man but does not do any physical activity and in the future, it will give rise to major complications. These highlighted four behaviors are to be targeted for the improvement of Chester's health by communication. For this, the nursing professional is held the foremost responsibility of providing information and support that helps in empowering the patients and take the responsibility for the health and lifestyle choices of the patient (Chan & Leung, 2018).The health realted behaviour like thinking, emotive and ecofriendly factors are there that influences the individual to make decisions regarding health. As a result, health professionals will target the patient's attitudes and beliefs to enhanceroutine choices (OHagan et al., 2015).
Patient-centered communication will be the best tool that will help nursing professionals to change the behavior of the patient. It includes good verbal and behavioral communication between the nurse and the patient that will act as the fundamental to change behavior and enhance outcomes (Labrague, Al Hamdan & McEnroe‐Petitte, 2018). The communication skills are required in the patient-centered care that ascertains the reason for retrieving the medical services, finding the same base and providing the data to the patient with shared decisions. In this, the patient and their family members are involved in decision-making. The verbal and non-verbal activities like friendliness, encouragement, explanation, empathy, reassurance, addressing the feelings and emotions of patients, being receptive to the questions of patients, increasing health education and allow the patient to view to guide the conversation. By compassion, high rates of biomedical questioning, frustration, domination, passive acceptance and one way flow of data are related to negative patient outcomes. Although, the nursing professionals will help patient in implementing behavior change techniques along with the views from other health professionals (Koivunen, & Saranto, 2018).
The nursing professionals put the theory into practice by interviewing the patient. The motivational interviewing will help the patient in approaching to deliver quality nurse-patient interaction. The strategy will focus on the two features of patients that will be 'change talk' and 'resistance'. Behavioural modifications have major link with Change talk. It will include the patient discussion on desire and commitment, whereas the resistance will be the oppositional reaction to the change of behavior from the discussion. The interview will cover the needs for effective communication skills, tools, and strategies (Labrague, Al Hamdan & McEnroe‐Petitte, 2018). This will be the collaborative method because in this the nursing professional will be involved with the patient to address the concerns and help in making the progress. This principle will help because the patient is the only person that has the expert knowledge of his own. The motivational approach will support the autonomy of the patient but the patient cannot encourage themselves of the need for attitudinal modifications if they cannot directly access their health status. Hence, this will allow him to make changes in the behaviour by getting emotional, moral and social support from the health care team (Moore, Rivera, Bravo‐Soto, Olivares & Lawrie, 2018).
The long-term change in behaviour is not expected from an individual without the involvement of healthcare professionals. Also, it depends upon the interest taken by the patient after the counselling given by nursing professionals to endorse a healthy lifestyle. It will act as a primary and secondary preventive measure for the patient. To deliver the quality services the healthcare professionals starting from the frontline line to the clinical and management all have the involvement for better care of the patient with the evidence-based approach.
Chan, W. S., & Leung, A. Y. (2018). Use of social network sites for communication among health professionals: a systematic review. Journal of medical Internet research, 20(3), e117.
Koivunen, M., & Saranto, K. (2018). Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 32(1), 24-44.
Koivunen, M., Niemi, A., & Hupli, M. (2015). The use of electronic devices for communication with colleagues and other healthcare professionals–nursing professionals’ perspectives. Journal of advanced nursing, 71(3), 620-631.
Labrague, L. J., Al Hamdan, Z., & McEnroe‐Petitte, D. M. (2018). An integrative review on conflict management styles among nursing professionals: implications for nursing management. Journal of nursing management, 26(8), 902-917.
Moore, P. M., Rivera, S., Bravo‐Soto, G. A., Olivares, C., & Lawrie, T. A. (2018). Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database of Systematic Reviews, (7).
O'Hagan, S., Manias, E., Elder, C., Pill, J., Woodward‐Kron, R., McNamara, T. & McColl, G. (2015). What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. Journal of advanced nursing, 70(6), 1344-1355.
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