Communication in Nursing Essay

To try to another psyche is the most caring act of all. audition and attending ar by far the most definitive nervus facialis expression of world a nurse (Burnard 1992). One of the basics of good nursing is good chat skills with affected roles. Being un sufficient to communicate salubrious with a patient immediately arsehole destroy the nurse/patient affinity and therefore the patient may not bank the nurse (Anon 2007). The use of this search is the realise the importance of confabulation in nursing. With step to the fore communion nurses would be unable to provide the correct care, provided improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw on my person-to-person experience from the clinical area to show how easily the theory relates to the serviceable post of nursing and use the process recording sheet for social organization and guidance. In accordance with The Nursing and Midwifery Council (2008) Code of Cond uct, nurses must appreciate sights right to confidentiality.Therefore for the purpose of this essay the patient discussed is referred to as except C., and any personal or identifiable study has also been altered so as to protect her privacy and self-regard which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct.. I asked scat C. for explicit permission to use our interpersonal kind 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(p) practice. Miss C., was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical protect within a large general hospital.The ward had a build of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A preadoles cent 21 year old female was admitted to the ward, now known as Miss C., with an increased weight loss and she was in motif of distressingness management. Miss C., was awaiting heart surgery, replacement hips and replacement knees at major working(a) hospital in another area of the country. Her health status was scurvy as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Miss Cs., hassle was managed with oramorph, ketamine and fentanyl patches, but these proved to brook little relief. Miss C., spent the majority of magazine in bed due to her backbreaking pain, and due to this she cried out a lot. Her head was bowed and she had seriousy in making middle contact. She talked slowly and quietly and approximatelytimes mumbled, she was also a very sad person.I thought that communication would be difficult with Miss C., as she was mostly in pain but I also believed that she would like whatsoeverone to talk to but that person would wishing to be a good listener. It is chief(prenominal) to remember that nurses incur the certificate of indebtedness to provide care holistically, for the whole person, not just for their physical needfully but their mental and social necessitate too (Kenworthy et al. 2002). Miss C., desire to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy whole the curtains for seclusion. I went into wash her one morning and because of her psoriasis she needed special(a) creams apply religiously. She spoke quietly or so her indisposition and explained her difficulties to me. Talking closely her family, her distemper and when she was younger made her sad and she was crying. I felt that Miss Cs ability to communicate 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 more than pain, her head was bowed and she could not make eye contact. I was atilt in close to her bedside, touch was not good, her frame was too sore. I tried to show empathy towards Miss C., by giving her time to talk, being patient and listening to her. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was urgently trying to understand how she may be feeling. fit in to Arnold and Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patients feelings. Being grieve is similar to being empathetic in a look that it is important to recognise that Miss Cs feelings belong to her and not to me. I was interested in Miss Cs illness, to learn more about her condition and hear about her difficulties. She was very independent and precious to do as much as she could by herself. Help was minimum and she only asked when she was struggling to re-position her feet . I used combat-ready listening to spare to her speak without interrupting but I paid close attention to her facial expressions and body language. Argyle (see Kenworthy et al. 2002) suggests facial expressions provide a running comment on emotional states. I asked Miss C. open questions about her illness as I thought this would allow me to encourage her to talk.It also allowed Miss C to describe her experiences, feelings and understandings. Open ended questions are used to prolong the client s thoughts and perspectives without influencing the direction of an acceptable response (Arnold and Boggs 2003 p.241). I cute to try and take her mind off her pain as it was disconcerting 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 lit up and she smiled. We finally made eye contact. exploitation the semiotic school of thought, Miss C and myself were exchanging verbal a nd non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Miss C was keen to talk about her taste in music and became very chatty, in concomitant, she became sort 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 obstructions to our communication as we both shared the same taste in music. When the music was acting Miss C was in a different world, she was more relaxed. I took her hand 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 reassuring her.This was an characteristic that I really did care and that I wanted to help her. Using touch skilfully and thoughtfully can convey that you are able to be with your patient (Benner 2001 p.57). Communication can be th erapeutic 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 significant difference to their outlook on their treatment (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 possible. I wanted her to allow me in and for her to be comfortable with me.I am glad I eventually 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. Sully and Dallas (2005), suggests that to have an empathetic understa nding of our patients needs we must recognise 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 hatful were and my main(prenominal) 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 before found Miss C very demanding, always calling out and constantly pressing the call buzzer. Some staff were very indisposed(p) to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely 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 conditio ned 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 loony toons 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 taking note of the non-verbal communication as well as the spoken words. It is important to maintain 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, straightforward 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 as demented can act as a language barrier. Effective nursing re quires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the key 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 maintain 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 key 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 imperative that communication is clear, understandable, appropriate and effective. 1819 wordsRead more http//www.ukessays.com/essays/nursing/communication-in-nursing-nursing-essa y.phpixzz2fJpdOIza