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Friday, February 22, 2019

Effective Communication Skills in Nursing Essay

1. Explain the principles of confidentiality in the health c ar purlieu. The principles of confidentiality are to suffer the diligents privacy and confidentiality that solely information about the ploughment, the affected roles reliable aesculapian conditions, prognosis and in all otherwise areas of the diligents personal information be kept confidential. This means that it is legally and ethically wrong to disclose their information to a third troupe unless the check has gained swallow from the unhurried to do so, the and time a nurse pass on disclose the long-sufferings information is if it falls within her passkey duties and only discussed with other health assist professionals (Koutoukidis, Stainton & Hughson 2013, p. 29).The privacy and confidentiality are governed by the code of conduct and the code of ethics the nurse must naturalise within these codes and their scope of pr spotice, a breach in the uncomplainings confidentiality dissolve lead to l egal proceedings against the nurse (breast feeding and tocology get on of Australia, 2014).2. What are the types of small classifys and depart squads that nurses are likely to be winding in?There are contrasting mathematical groups or work team that nurses can be involved within the health flush environment and will consist of both or more people, an pillow slip of the types of group could embroil, Infection apply committee that promotes awareness of areas in infection control an example of this is the compliance in hand swear out or employ alcohol rub before and after procedures in the piece of work and talk the correct procedures in workshops and education sessions (infection control today 2014). flirt withs can in any(prenominal) case be involved in research teams and communication may source in the form of surveys or interviews to conduct studies on the ways a nurse learns, this could be studies on the way patient bursting charge is interpretd or how nurs es manage situations, so the best evidence base practices can be implemented in the care for profession (Lewis, Dirksen, Heitkemper, Bucher and Camera 2013,p.12).Educational groups are besides an area that nurse can work in an example of this is a Diabetic educator, were they teach people suffering with diabetes management strategies and risks of the illness, and health promotion to prevent the onset of this illness (Australian Diabetes Educators Association 2014)3.what are kinetics and what are the attributes that aid groups in working(a) soundly?The definition of concourse dynamics is the way that a group of people interact when assort together (the free dictionary 2014), the benefits and attributes of group dynamics is the way communication and interaction are received and working as part of a team for a common goal, communication between a group should be are clear and concise, macrocosm an impressive listener to all parties involved in the group, pinch that your whim sy may differ to others, think of for yourself and others, to support each other and structure, all of these will attend to in team building and effective communication between nurses so that effective communication is achieved (Koutoukidis, Stainton & Hughson 2013, pp 98-100).4. reveal the communication strategy that could be implemented when establishing a sanative kind with the pursual types of clients.When an Enrolled nurse is establishing a therapeutic race with patients the Enrolled nurse may need use a variety of assorted communication strategies to meet the patients health care needs, there are distinguishable techniques that the enrolled nurse will need to use to effectively communicate this includes masking the patient extol for their values and beliefs even if they go against what the nurses beliefs are, having a non-bias attitude, earreach to the request of the patient, maintaining eye contact, and having a positive attitude can help a patient feel at ease (K outoukidis, Stainton & Hughson 2013, pp 108-122).Cultural differencesWhen the Enrolled book has a patient from a different cultural in theircare, the nurse must be culturally sensitive and obligate a non-bias approach. For effective communication the nurse will need to respect the patients beliefs and values and communicate at a level that the patient and the family can understand this also may require the nurse to render an congresswoman addressable if English is a second linguistic process ((Koutoukidis, Stainton & Hughson 2013, pp 114-115). ). ghostlike practicesReligious beliefs are very similar to cultural beliefs, the nurse must have a non-bias approach and respect the patients beliefs and values. The nurse will need to ask questions to find out any special requirements and concord any special arrangements available for the patient communication may be verbally or non verbally ((Koutoukidis, Stainton & Hughson 2013, pp 114-118).Language barriersWhen the Enrolled nurse i s dealing with language barriers in the health care setting the nurse may be able to communicate with the patient through a family member, interpreter improvement or arrange to have visual back up that will be able to guide the patient ((Koutoukidis, Stainton & Hughson 2013, p.108).Physical disabilitiesWhen you are dealing with a patient with a physical disabilitie there is a variety of different materials available to help communicate with the patient this could include advising the patient of who you are and what you are their to help them with, employ a normal tone in your voice, hearing aids and making sure there in working golf-club, sign language, having pen and paper available, and talking books are slightly of the aids that can help with communicating, ((Koutoukidis, Stainton & Hughson 2013, pp 118 -120).Intellectual disabilities/emotional disordersWhen communicating with a patient that has an intellectual disabilitie or an emotional disorder it is important for the nur se to use the appriote communication, the nurse may need to slow follow out when let offing a process, use words that the patient can understand, listening to what the patients is communicating and showing empathy and understanding (Koutoukidis, Stainton & Hughson 2013, pp 108 -120).5. wellness care records are legal documents. What are the requirements of documentation in the health care environment?The legal requirements of documentation in the health care setting that all events in in the correct order of which they happened and be dated and timed using the twenty four minute clock, that all paper work correctly displays the patients full name, date of have got and gender, That all documentation is legible, only the facts are recorded e.g. only what you in person see, hear, touch or smell, That the signature and name of the nurse is on the paperwork, any mis examines on the paper work you are required to draw a line through the entry and initial it, Only put in the care that you have make is documented unless in an emergency situation, only use authorised abreviations, if there are any gaps are to be filled with a signal line to stop information being added at a later date (Koutoukidis, Stainton & Hughson 2013, pp 272-274).6. Discuss the meaning of a nurses craft of care.A nurses duty of care refers to using moral and ethical judgement when providing care for a patient without compromise their own moral values and the moral values of the patient, this means to me that you treat people the way you wish to be treated. The nurse has a duty to provide the best possible care and to act in a moral, ethical and professional manner to maintain the patients dignity and respect the wishes of the patient even if this conflicts with your own moral judgement (Crisp and Taylor 2010, pp 334-339)7. Briefly explain vanadium (5) potential constraints to effective communication?An Enrolled nurse working in the health care environment needs to be an effective communica tor to patients and other health care professional tobuild a good therapeutic relationships, some barriers that can effect the communication process are talking to a patient but not diligently listening to what the patient has to say, suddenly changing the subject, being antiaircraft and acting in a defensive manner, becoming distracted or daydreaming not paying solicitude to what the patient is saying and asking them to repeat themselves, giving the patient ill-considered reassurance when the patient asks a question that makes the nurse feel uncomfortable, and offering an opinion on what they think the patient should do (Koutoukidis, Stainton & Hughson 2013, pp 113-114)8. What is e-wellness and what are the advantages of e- health?E-wellness is a absolute summary of an individuals personal health information that is available online. the advantages of having an e- health account is that the individual has personal control over who can access code their private information an d what information the individual wishes to have recorded, having an e-health account allows the individual, their rejuvenate and Health care providers share information and allows the individual to have an active involvement in the sermon and insures that the approve care is provided (Australian governing body Health Department 2014)9. Explain the meaning of assured consent and give an example of informed consent in the health setting.Informed Consent is providing the patient with the most current up to date facts and any associated risks for the prescribed treatment or procedure that is required to meet the health care requirements for the patient, this ensures that the patient can base their decision on all the information that they have been provided with. The nurse must ensure that the patient has understood this information and that the consent of the patient must be voluntary and coercion free. (Crisp and Taylor 2010,p.345) An example of informed consent is informing a pa tient that requires chemotherapy that all the evidence based facts on the benefits and side effects of the prescribe treatment, The patient will thusly need to sign a legal consent form preliminary to the commencement of treatment (Crisp and Taylor 2010,p.345).10. Define open disclosure and briefly explain the key principles of open disclosure.The definition of open disclosure is an open banter with the patient on ill events to the patient while receiving health care (Australian representation on safety on quality in the health care 2010). When openly disclosing information to a patient and their family the nurse must act in a professional manner and provide the patient with the facts of the adverse event even before all the information is available, an apology which should include I am or we are sorry (Australian commission on safety on quality in the healthcare 2010) for the what has happened, give the patient and family an opportunity to relate their experience, discuss the potential ramifications of the event, explain what is being done to prevent a recurrence, and understanding that open disclosure is a watchword between the patient and the health care facility and this will take time and numerous meetings over a period of time (Australian commission on safety on quality in the healthcare 2010).11. clinical handover can pose a high risk scenario for the clients safety. There are dangers of discontinuity of care, adverse events and legal claims of malpractice. Describe the SBAR poser for handover.The SBAR framework for handover can be done by the bedside of the patient or by phone when transferring care to a different healthcare facility, The SBAR framework for handovers ensures that an unionised and efficient process of communicating the patients private and confidential information to other health care professionals, This process includes Identifying yourself and the patient, The current situation of the patients current medical examination cond ition, the background information on what has happened and any know medical conditions and music that can help aid in the patients treatment, the nurses assessment of the patient including current observations or complaints the patients may have, and recommendations that the nurse has that will assist the patients conditions or recapping all the patients details to ensure that the correct information has been handed over(Koutoukidis, Stainton & Hughson 2013, pp 122- 123).12. Describe the role of the Australian Health Practitioners Regulatory Agency (AHPRA).The Australian Health Practitioners Agency in Australia has offices in each state and works with the xiv national boards that are in charge for regulating the heath care profession and public protection (Australian Health Practitioners Regulatory Agency 2014). The indigenous role of AHPRA is to provide the public with registered health practitioner information, oversees the adaption and renewing of nurses and students, invest igates complaints of professional conduct issues, a health practitioners process with the exception of New South Wales and Queensland. Provides support in developing the registration banals, codes and guidelines, guides and advises the Ministerial Council in relation to the National Registration and Accreditation Scheme (Australian Health Practitioners Regulatory Agency 2014).13. Briefly describe two (2) nursing Codes and two (2) nursing Guidelines relevant to professional practice for the Enrolled Nurse?The Code of moral philosophy for the Enrolled nurse is a set of self-imposed rules that ensures the decision, beliefs and the nurses action towards others is at the highest standard. The Enrolled Nurse will work with integrity a high moral standard that ensures the patient will receive the appropriate care whilst tin their care (Nursing and midwifery Board of Australia 2014).The Code of Professional Conduct ensures that the Enrolled Nurse work in a compitant and professional man ner, The enrolled nurse will show respect to the patient, their culture and the patients values and beliefs, keep their the personal information private and confidential, and provide accurate information on the patients health care needs (Nursing and Midwifery Board of Australia 2014).Professional Boundaries guidelinesThe professional boundaries guidelines for the Enrolled Nurse outlines the importance of establishing a therapeutic relationship with the patient that only occurs to meets the patients healthcare need, and ensures that the Enrolled nurse acts in a professional manner, It is unprofessional for the Enrolled Nurse to enter into a personal relationship with the patient while in their care to except gifts, services or for financial gain (Nursing and Midwifery Board of Australia 2014).The competency Standards for the enrolled nurse also outline areas that the Enrolled nurse must be competent in to dress their duties in a competent and professional manner and abide the legis lations for the nursing profession, this ensures that the nurse will work within their scope of practice (Nursing and Midwifery Board of Australia 2014).14. What are the functions of cognitive operation appraisal and development in the workplace? Promote learning reflect learning The function of the carrying into action appraisal in the health care environment is to a evaluate the performance of the Enrolled Nurse working practices, this helps the Enrolled nurse and their manager to identify areas of improvement, areas where the healthcare facilities goals are being met, recognising areas of professional or personal development and promoting learning and sustained development in areas that will benefit the Enrolled nurse (Queensland Government of Health 2014)15. Using the examples given below as your guide, research the following medical terms. Provide a definition for each and where possible, break the word down into the meanings of the prefix, words root and suffix.16.Read the following case study and document the events that occurred. Be objective and keep to the facts, you are documenting as you would in the clients progress notes following an incident. Use the focus charting system outlines in Koutoukidis, Stainton and Hughson 2013.Reference list1. Koutoukidis, Stainton & Hughson 2013, p. 29).Nursing and Midwifery board of Australia viewed 23.6.14 code of conduct12 Australian Health Practitioners Regulatory Agency 2014, viewed 25.6.14 about2infection control today 2014 viewed 26.6.14hand washing commitees4Queensland Government Health 28.6.14 Cultural Communication 2014http//www.health.qld.gov.au/multicultural/health_workers/CCC-clinical.pdf Queensland Government Health 28.6.14 Cultural requirements http//www.health.qld.gov.au/multicultural/support_tools/islamgde2ed.pdf5(Koutoukidis, Stainton & Hughson 2013, pp 108-120).10 http//www.safetyandquality.gov.au/wp- nub/uploads/2013/03/Australian-Open-Disclosure-Framework-Feb-2014.pdf 201015 (http//www.global rph.com/medterm4b.htm8 australian government health department 2014 viewed 28.6.14 about e-health http//www.ehealth.gov.au/internet/ehealth/publishing.nsf/content/home11. Koutoukidis, Stainton & Hughson 2013, pp 272-274).9 (Crisp and Taylor 2010,p.345).13 NMBA viewed 29.6.14 professional boundries http//www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspxpracticeguide14 Queensland Government of Health 2014 viewed 30.6.14 performance and development appraisal http//www.health.qld.gov.au/nmsdf/html/pad.asp 6 Crisp and Taylor 2010, pp 334-339)7 Koutoukidis, Stainton & Hughson 2013, pp 113-114

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