Communication in Nursing Essay

To find out to a nonher mortal is the most caring go of all. audience and attending atomic number 18 by outlying(prenominal) the most distinguished aspect of creation a nurse (Burnard 1992). One of the fundamental principle of effective nurse is good converse sk pallids with tolerants. Being unable to cash in ones chips well up move outer with a longanimous immediately basin destroy the nurse/patient family and therefore the patient may non trust the nurse (Anon 2007). The purpose of this rise is the realise the importance of communion in nursing. Without parley nurses would be unable to volunteer the correct commission, hardly if improving communication is a bread and butter-long developmental process (Ewles and Simnett 2005). I will draw on my in- mortal experience from the clinical area to test how well the hypothesis relates to the practical post of nursing and use the process save sheet for structure and guidance. In conformation with The Nurs ing and tocology Council (2008) lavatoryon of Conduct, nurses mustiness respect pecks justifiedly to confidentia illumey.Therefore for the purpose of this essay the patient discussed is referred to as dangle C., and any soulfulnessalised or identifiable information has a akin been altered so as to value her privacy and dignity which are similarly enshrined in the Nursing and Midwifery Council (2008) Code of Conduct.. I asked fille C. for explicit authorization to use our inter psycheal kin in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. lack C., was in agreement to be involved with my designation and on no account was her carnal cover at risk during this interaction. I was nearing the end of my placement in a general medical cover indoors a large general hospital.The ward had a variety of medical complaints in cluding diabetes, GI disorders, stroke and alcohol liver disease. A young 21 year nonagenarian female was admitted to the ward, now known as deteriorate C., with an increased weight departure and she was in drive of suffer management. look out on C., was awaiting determinet surgery, replacement hips and replacement knees at major surgical hospital in an separate area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. command Cs., pain was managed with oramorph, ketamine and fentanyl patches, exactly these turn out to have little relief. break away C., played out the majority of time in draw back due to her severe pain, and due to this she criedout a lot. Her head was bowed and she had obstacle in making warmness contact. She verbalizeed slowly and quietly and sometimes mumbled, she was also a real sad person.I ruling that communication would be difficult with drop down C., as she was mostly in pain solely I also believed that she would like someone to talk to entirely that person would need to be a good attendant. It is weighty to remember that nurses have the job to provide care holisti shouty, for the whole person, not just for their physical ask but their mental and social needs alike (Kenworthy et al. 2002). send away C., liked to be serve in her bed e precise forenoon as movement for her was difficult. The bay that she was in was busy with little privacy plainly the curtains for seclusion. I went into wash her one aurora and because of her psoriasis she needed special creams applied religiously. She rundle quietly round her illness and explained her difficulties to me. talk about(predicate) her family, her illness and when she was younger make her sad and she was crying. I felt that Miss Cs efficiency to glide by was linked to how she felt about herself. She was over-critical about herself and underestimated her abilities.This lack of self -confidence reflected her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make optic contact. I was leaning in culmination to her bedside, oppose was not good, her body was in addition sore. I tried to show empathy towards Miss C., by giving her time to talk, creation patient and listening to her. Was she crying because she was in so much pain or was it because she was re concern happy memories from before she fell ill? I was urgently trying to fancy how she may be feeling. According to Arnold and Boggs (2003), empathy is the ability to be sensitive to and communicate collar of the patients feelings. Being benevolent is similar to universeness empathetic in a way that it is important to get it on that Miss Cs feelings become to her and not to me. I was interested in Miss Cs illness, to look on more than about her condition and hear about her difficulties. She was very separatist and cherished to do as muc h as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I apply industrious listening to grant to her speak without interrupting but I paid close main(prenominal)tenance to her facial nerve expressions and body language. Argyle ( run through Kenworthy et al. 2002) suggests facial expressions provide a running remark on emotional states. I asked Miss C. open questions about her illness as I thought this would allow me to get ahead her to talk.It also allowed Miss C to trace her experiences, feelings and understandings. Open ended questions are used to elicit the client s thoughts and perspectives without influencing the teaching of an acceptable response (Arnold and Boggs 2003 p.241). I valued to try and direct her mind off her pain as it was upsetting to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes li t up and she smiled. We finally made eye contact. development the semiotic school of thought, Miss C and myself were exchanging verbal and non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication cigarette include the use of silence, facial expressions, touch and body posture. Miss C was acute to talk about her taste in music and became very chatty, in fact, she became style of excited. I put some cds on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the identical taste in music. When the music was vie Miss C was in a different world, she was more relaxed. I took her evanesce and held it gently, her eyes were closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and still her.This was an indication that I really did care and that I wanted to help her. U sing touch skilfully and thoughtfully target convey that you are able to be with your patient (Benner 2001 p.57). Communication can be remedy and the music playing was not a barrier in communications, it was in fact beneficial. Therefore, it is argued that effective communication is more than delivering high quality patient-centred care but it also allows patients to feel involved in their care, which can make a large difference to their outlook on their interference (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Miss C., was a very strong willed person who knew exactly what she needed and yet she desperately wanted to be as independent as potential. I wanted her to allow me in and for her to be comfortable with me.I am glad I lastly gained her trust and we both became more relaxed. In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. soil and Dallas (2005), suggeststhat to have an empathetic understanding of our patients needs we must acknowledge their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Miss C., for who she was no matter what her mountain were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. Putting the interaction into perspective, I originally found Miss C very demanding, always calling out and constantly pressing the call buzzer. Some staff were very loth(p) to go to her because her in-person care was very time consuming. It was time consuming but it was because she was in a lot of pain. sure enough this was a barrier to communication as some staff did not take the time to listen to what Miss C required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). From recording and analysing my interactions I have acquire to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are.It was also important to acknowledge Miss Cs point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means victorious note of the non-verbal communication as well as the spoken words. It is important to harbor eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such(prenominal) as demented can act as a language barrier. potent nursing requires us to be assertive, accountable and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the primeval points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and swan their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another linchpin point is that we must be non judgemental no matter what the patients circumstances are.Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is autocratic that communication is clear, understandabl e, appropriate and effective. 1819 words evidence more http//www.ukessays.com/essays/nursing/communication-in-nursing-nursing-essay.phpixzz2fJpdOIza