Use at least 2 references, not the same. Write an answer based on this assignment.

Question 1

Establishing clear and effective communication in the medical setting has proven essential to provide high-quality medical care and also to ensure greater safety for the patient Communication is one of our best weapons to provide quality patient-centered care. Nurses have to be aware of the barriers to this effective communication as well as the new challenges posed by care adapted to the patient’s culture, which can become more than a problem, but an opportunity to grow in our profession. We have to remember that the purpose of the patient meeting is to provide information and confirm understanding of that information later. One strategy for better understanding is for us to explain the information to you slowly and in small doses, giving patients enough time to process the information. Gently ask the patient what he has understood during the conversation. If the purpose of the interaction is to do health education, include empowering patients to be the main doers in their care, giving them access to all the information about their disease process. Communication involves verbal and nonverbal message, emotional state of involved individuals, and the cultural background that influences message interpretation. Nurses need to observe nonverbal behavior as they communicate with fellow healthcare workers and patients. Most importantly, they should always ensure that their own nonverbal behavior harmonizes with their verbal interactions (Ali, Rahnavard, Salsali, & Negarandeh, 2016). 

Question 2

During patient stay at hospital, they interact with different healthcare workers within the hospital. Efficient clinical practice entails accurate communication of critical information. Lack of effective communication among healthcare professionals puts the patients’ safety at risk. Some of the reasons for this include misinterpretation of critical information, lack of critical information, neglected changes in patients’ condition, and imprecise orders over phone. Medication errors is a common consequence of ineffective communication in a healthcare setting. Such errors can lead to severe harm or unforeseen death of the patient.

Question 3

When congruence the verbal signals are congruent with each other and always congruent with nonverbal ones. When there is congruence between them, communication is clear. A serious context is accompanied by a limited emission of non-verbal signals, while an informal context calls for greater expressiveness. The impact a healthcare professional makes on their colleagues and patients during face-to-face communication is largely accounted by their nonverbal behavior. These first impressions are critical in any communication and include; maintaining eye contact, and maintaining consistent vocal patterns, which can be speaker with more volume and a bit faster, or speaking slower with less volume. Additionally, a nurse must ensure they use vocal pauses strategically in order to enhance an impression of confidence.

Question 4

Electronic communication is widely being utilized in nursing practice. Through the use of electronic records, patient information can be retrieved and distributed precisely and quickly. However, wrong information may be retrieved and distributed leading to miscommunication. Most organizations have information systems that support access to current data, exceptional clinical and research data to enhance evidence-based practice. I believe if e-mail is kept professional, it would be more effective method of communication. Many systems allow for easier sending of emails to everyone within the healthcare facility. In order to use e-mail competently and effectively, it is necessary to have effective writing skills.

Question 5

Good communication skills and having firsthand information is very helpful when discussing patient needs. SBAR is an abbreviation for Situation, Background, Assessment, and Recommendation. In my clinical experience I have seen the use of SBAR utilized to offer a framework for communicating critical patient information in a manner that is systematic and organized. the SBAR method center on the immediate situation so as to allow quicker and safe making of decisions concerning patient care (Simamora & Fathi, 2019).

Question 6

Patient handoffs are very important in ensuring the continuity and safety of patient care. This should support the transition of vital information and continuity of care as well as treatment. Ineffective handoffs lead to undesirable effects and patient safety risks. To successfully communicate patient needs from one nurse to another, the change-of-shift report is highly recommended. The report should address relevant information related to events that transpired, and be handed over to individuals tasked with providing continuity of care. Examples of what to include would be patient information, diagnosis, past medical history, allergies, advances directive, detailed aspects of the patient care and health, including vital signs, pending and critical tests, as well as recommendations that you consider appropriate for the care and safety of the patient.

Question 7

As a nurse I would check the doctor’s order immediately and I would make sure to call the laboratory to request the laboratories and deliver them to the doctor as it should have happened in the first instance. In the same way, I would make sure to speak in private with the doctor and demand respect for my work, which was probably a bit delayed due to circumstances beyond my control, this would be of course after establishing patient safety as a priority.

Question 8

Accountability forms part of delegation whereby a registered member of the staff delegates a task to a given staff member and that member accepts the task. Both the registered member of the staff who has delegated the task and the staff member accepting the task are accountable in making sure that the task delegated is correct and will cause no harm to the patient. Registered practitioners are accountable to regulatory bodies based on principles of practice and patient care. Thus, accountability involves protection of patients, healthcare providers, and employers from the effects of nursing practice that is dreadful, inattentive, and unsafe. Registered nurses have a legal liability to the patients they serve. Activities like HCA, or AP, need to be delegated appropriately (Whitehead, Weiss, & Tappen, 2009).

Question 9

Delegation is a central nursing responsibility, and RN’s are entitled to delegate several tasks. Nurses mostly delegates tasks to LPN’s and UAP. Factors such as; the scope of practice in relation to the task, task complexity and predictability, possibility of any harm, and level of critical thinking needed to do the task must be accounted for before RNs deciding when and what to delegate. The UAPs and LPNs have the ability to practice patient care and assistive tasks (Whitehead, Weiss, & Tappen, 2009). They will be motivated by the fact that they frequently work under the supervision of a registered nurse, hence Dennie and Elias effectively delegate client care tasks and ensure their safety.

Question 10 

Direct delegation involves verbal direction by the RN registered member concerning an activity or task in a particular nursing care scenario. On the other hand, indirect delegation involves an approved outline of tasks or activities that have been instituted in the policies and procedures of a healthcare facility.

1.A Most state nurse practice acts authorize RNs to delegate. The act outlines the legal parameters of nursing practice. The RN is required to assign and delegate tasks while considering the needs and state of patient, possibility of any harm, task complexity, stability of the patient’s condition, delegated staff’s abilities, predictable outcomes, and the context of other patient needs (Whitehead, Weiss, & Tappen, 2009). The decisions regarding delegation and assignment base on the core principles of health safety and wellbeing of the public.

2.A Prioritizing is extremely important, since each situation requires a timely and specific intervention depending on its seriousness, and the patient safety is at stake.

3.A my patients may need help with their personal hygiene and grooming, with their meals and daily maintenance of comfort.

3.B She was very effective and dedicated in carrying out her work when it comes to delegating, always on the basis that the resolution to delegate a task is aimed at improving patient care.

3.C Since responsibility is not delegated, unless is appropiate to do it, the delegated task must be continuously monitored and alerted to any situation, through supervision of the work carried out the nurse preceptor can ensure that the tasks were completed safely and appropiately.

References

Ali, F., Rahnavard, Z., Salsali, M., & Negarandeh, R. (2016). Exploring nurse’s comunicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences , 5 (4), 267-268.

Simamora, R., & Fathi, A. (2019). The Influence of Training Handover Based SBAR Communication For Improving Patient Safety. Indian Journal of Public Health Research & Development , 10 (9), 1280-1285.

Whitehead, D., Weiss, S., & Tappen, R. (2009). Essentials of Nursing Leadership and Management . FA Davis.