Lack Of Effective Communication In Nursing

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

Throughout most of the shift, my nurse preceptor and I were in the patient’s room either evaluating her and the fetus, performing exams, taking vital signs, administering medications and fluids, charting, or reading the fetal monitoring strips. We also kept in regular contact with the physician to keep him up to date on the patient’s status and to receive new orders. We also spent a lot of time talking to the patient, her mother, and her boyfriend. They were concerned for the status of the mother and the baby. We explained to them that both the mother and the baby’s heart rate was high and their goal was to decrease them both. In addition, my nurse preceptor explained how we were administering Tylenol and amoxicillin to reduce the fever and

This paper will examine effective communication between the doctor and nurse working together to provide high quality, safe care. Nurses use a wide range of effective communication strategies and interpersonal skills to appropriately establish, maintain, re-establish and terminate the nurse-client relationship (College of Nurses of Ontario [CNO], 2009). While nurses and physicians are key members of the health care team facilitate quality care, many studies show breakdown in nurse-physician communication remains concern. This essay will discuss how ineffective communication can affect the overall health outcome to the patient and effective communication guide. The three barriers to nurse and physician communication are: traditional

Consistent, open, honest, and transparent communication is invariably preferred, and would have best suited this situation, however, given the collective bargaining agreement requirements, this proved an impossibility. Furthermore, the rules governing the negotiation process and that planning occurred without the nurse’s knowledge indicated deception in their judgement. An already frustrated nursing staff became angry at what they perceived as a personal affront and severe injustice. Although the nurses’ could grasp the staffing insufficiencies, the severe changes required to remedy the unsafe staffing conditions evoked serious emotions and injured the trust between management and the nursing staff. Nevertheless, the medical center was obligated to follow the procedures dictated by the

This essay will highlight one of the key concepts of nursing .The concept that will be discussed in this essay will be communication, the reason for this chosen concept is that communication plays a vital role in everyday occurrences which defines how a situation is perceived by yourself, others and how communication is effectively handled . There will be a definition on what communication is also an evaluation of the chosen concept will be explored throughout this essay.

One significant problem that must be addressed and resolved quickly is both the conflict and attitude of the doctor. It is well known that physicians’ has had complexes about themselves and have been put on a pedestal when it comes to hierarchy. They have always been hard to communicate to that they never appreciated nurses questioning their decisions. Today thankfully this is changing. MD’s are realizing that the nurses are the forefront of patient care and that they see things before they

I Read patients chart to gather more information about the situation and received verbal report from another RN taking care of RB. I checked RB’s chart and I noticed that she has not been given any meds or been seen by the physician on duty, who is attending another emergency. My main priority was how best to assure that RB and her baby get appropriate and timely medical care. I also identified primary stakeholders in this situation:

One of the major problems in healthcare today is the ineffective communication among hospital personnel, patients and their families, and the effect it has on patient safety. Communication, as a whole, is very complex and is the root of teamwork and collaboration which aids in keeping patients safe in the hospital. Throughout the healthcare field today patient-centered care and patient safety seem to be major focus points. Unfortunately, ineffective communication can potentially cause patient harm and even death. The breech in ineffective communication between hospital staff and family was clearly portrayed in the story of Lewis Blackman. The lack of both communication, not just verbally but through

Data collection regarding potential communication improvements on the acute psychiatric unit at the Alvin C. York VA medical center revealed an opportunity to improve nursing documentation. Specifically, the data collection process revealed an opportunity to improve the documentation of PRN effectiveness within the electronic medical record. PRN stands for pro re nata, which is a Latin phrase roughly translated as “as needed”. Therefore, prn medications can be described as medications that are taken as needed by a patient and are not typically administered on a regularly scheduled basis. PRN medication documentation is important to a patient’s care as the documentation of effectiveness provides useful insight for prescribers on whether or not a medication is useful and whether or not treatment should be adjusted.

This is an interesting topic to discuss. I worked at nursing skilled facility for about a year and half and I was on both sides: receiving and sending a patient. I think as a nurse, we have to respect each other whether you work in ED, rehab, nursing home or home care. Sadly, the study from Dr. King and Dr. Kind showed negative consequences from ineffective communication as you experienced it also. In your case, that was not only about ineffective communication, but also an attitude problem because you overheard what they talked. It is a different case if the ED nurse doesn’t know the patient, because as we know, in ED, patient come and go in 24 hrs. So, perhaps, it was on shift changed then, the incoming nurse barely knows about the patient

The mother had chorioamnionitis and needed to deliver the baby right away. Comfort measures were talked about with the family and they ultimately left the decision up to the doctor. The doctor decided to do everything he could when the baby came out because she had a heartbeat. This was controversial among the nurses due to her premature age and poor prognosis. The patient was intubated and placed on a high frequency oscillator. She also had a central venous catheter in the umbilical vein and a central arterial line through her umbilical artery. The doctors pushed the family for comfort measures the following day but they refused. This infant must have been in pain from all the tubes, lines, and needle sticks she was getting, but was she on any pain medication? No. She was my patient on her second day of life and at the time there was no pain medication ordered. It wasn’t until about a week after her birth that I overheard the doctors talking about starting morphine. This really bothered me because this infant knows nothing but pain. The chances of her surviving are very slim and she is not even comfortable during her short span of life. I feel very strongly about this topic that there needs to be a change in the hospital setting. Pain management in neonates needs to be reevaluated and

Labor and delivery is a critical change, marking a beginning and end for mother, baby and family. It requires a significant amount of physiological and emotional coping mechanisms. Nursing care is needed regardless of the amount of child birth preparation or the number of times a woman has been through the experience. Nursing care focuses on assessment and support of a woman throughout labor and birth with the goal of ensuring the best possible outcome for everyone involved. The need for nursing care is emphasized by the policy published by the University of Connecticut Health Center, which was last revised in December 2011, addressing the protocols for nursing care of the laboring patient in labor and delivery. This policy outlines the etiquettes of patient assessment, patient teaching and patient care. Assessment begins with the first initial contact of a woman. The manner in which the nurse communicates with a patient can set the tone for a positive birth experience. Vital signs, pain, uterine activity, urinary output, and fetal heart are assessed as well as coping mechanisms, support network and discharge planning needs. Assessing the patient is pertinent for nurses to individualize the care given to a woman during labor. Patient teaching includes proving patient with breathing and relaxation exercises, reviewing a pain scale, and discussing analgesics for pain relief. Finally, patient care involves providing

Frequently, patients enter a hospital where they experience different levels of care. Certain situations, along with the environment that they are in, can leave lasting impressions on their visit. It is of great significance that all employees and staff provide the best level of care. My patient was at the hospital to deliver her baby. The following describes the events that took place throughout her stay and the interactions that she had with hospital staff.

Dr. Klinger, the Chief Resident at the Metro Hospital, just bought a house and is expecting a baby soon. His most difficult patient is his moody pregnant wife. He is also teaching rounds to resident doctors at the hospital. Dr. Klinger was aware of patient non verbal cues and appeal to the emotional needs of the pregnant patient, Lila Gonzales. This behavior closes the listening gap. Gaining trust is important to patient care, patients are more likely to open up to providers if they know that they are not going to be judged. When Mr. Collins, patient with alcohol withdrawal, had some concerns about his work, Dr. Klinger used honest and compassion to create open communication instead of being blunt. He also listened to Mr. Collins’ complaints and guilt-ridden admissions. This closes the listening gap. He learned to recognize his individual patient’s needs. Clearly there is a service design gap at the Metro Hospital because Dr. Klinger does not even have time to sit down and eat. Metro Hospital should hire more physicians to meet the demand of the patients. Before performing a lumbar puncture, Dr. Klinger rush through the explanation using terms the patients cannot understand. His busy schedule has affected his service delivery and performance negatively.

During my six weeks of clinical rotation I was able to observe a spontaneous vaginal delivery. My patient for that day was Ms. L.S who is expecting her first child. She is a twenty nine year old African American female, primigravida at 39 weeks and 3 days. In order to paint a complete picture of the scenario, information provided during my shift report from the patient’s primary nurse is incorporated into this paper. Ms. L.S. was admitted to the Labor and Delivery unit while experiencing active labor with uterine contraction every 5 minutes apart. During the obstetrician’s assessment her cervix was dilated to 4 cm. The patient had attended childbirth classes and was considered to have a low risk pregnancy. According to the patient, she wanted to have a natural childbirth without pharmacological interventions. She reported no complication during the pregnancy and also denied any other health related issues. By the time my shift started Ms. L.S. was in the second stage of labor, with uterine contractions every 2-3 minutes apart. Each contraction lasted 90 seconds. During this active phase of labor, the patient was supported by her husband at her bedside. However, she was really anxious and expressed doubt about her ability to continue because she was experiencing severe pain. This was evident by the way her body was shaking and the way she was hyperventilating.