Week 2 Discussion: Communication and Influence-the Power of Evidence
Instructions: this is a 2-part assignment:
Part one: discussion board post which has instructions listed below.
Part two: reply to 2 discussions. Those need 1 scholarly reference each.
Required reading:
Access to book:
https://www.vitalsource.com/ OR. https://bookshelf.vitalsource.com/#/
book name: Nursing: Scope and standards of practice
Citation: American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed). Silver Spring, MD: Author.
Required reading:
American Nurses Association. (2015). Nursing: scope and standards of practice (3rd ed.). Silver Spring, MD: Author.
- 53-66, p. 71, and p. 77
For those who may have purchased an eBook through the ANA or another outside source, please be aware that the listed text page numbers often do not match electronic versions, based on the device you are using. Therefore, the ANA Required Reading assignments are listed by topic in order to correspond to this week’s readings for electronic users.
- Standards of Practice (Standards 1-6); Standards of Professional Performance (Standards 9 & 13)
Required Article
Aromataris, E., & Pearson, A. (2014). The systematic review: An overview. American Journal of Nursing, 114(3), 53-58. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201403000-00028&LSLINK=80&D=ovft
Weekly lesson attached separately. Cite this as “weekly lesson” and I will fix it when I turn it in.
Initial Post Instructions
Part two: discussion post replies, will require 1 scholarly source each, please reply to both, if the initial post takes away from the two pages I pay for, shorten it.
Effective communication is a staple of our healthcare culture. Working with patients, peers, and interprofessional teams requires that nurses manage information and evidence toward influencing safe and positive patient outcomes.
Please address the following:
- Describe caring attributes of the culture where you currently practice. Which attributes stand out as having significant influence on patients, nurses, and other healthcare professionals?
- How do you see effective communication relating to patient outcomes in this setting? What is the evidence for this?
Follow-Up Posts
Compare your analysis with your peers. Examine how yours are similar and/or different. Build on their posts by providing additional information about the acts that you have not already noted in your own post.
Respond to two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. PLEASE REPLY TO BOTH!
Follow up #1: Amber Lynn
According to American Nurses Association (2015) standard 9, the registered nurse communicates effectively in all areas of practice to assess, demonstrate and use communication skills and styles to demonstrate caring, respect, listening, authenticity, and trust. It is very important to as a nurse to have great communication skills, both verbal and non-verbal. I have seen some nurses speak politely to patients; however, their body language shows a whole different attitude. It is important that your body language and verbal communication match. Attributes that contribute to good communication skills are body language, eye contact, listening, and respect. Good communication skills can make a patient as well as the family feel that they matter, and they are not a burden. In cases of emergency situations where there is not enough time for verbal communication, non-verbal communication such as holding their hand can be an effective way to communicate with the patient. (Amoah, Anokye, Boakys, Acheampong, Budu-Ainooson, 2019)
Effective communication does not only go towards the patient, it also needs to be done with other medical staff. There was an instance in my clinical practice where a code was cold for a patient that lost consciousness and was not responding. The rapid response team was called, and we began are code protocol. The main nurse that called the code and the charge were first in the room followed by the rest of the floor. The family members were all sitting at bedside and in a panic. When the rapid response team showed up the patient regained consciousness and began talking as if nothing happened. The rapid response team proceeded to tell the nurse who called the code that they need to not over exaggerate and put down their critical thinking skills right there in front of the family and all of us nurses. They also told the family that this patient was fine. This particular rapid response team was so rude and belittling it made the family not trust in the care their loved one was receiving in the hospital. The RR team also told the family that the patient is moving all extremities and speaking clearly and there was nothing wrong that the patient was probably just sleeping. Once the RR team left the main and charge nurse called the doctor got some new orders for a CT of the brain, and before these orders were carried out this patient had another episode of non-responsiveness. Turned out this patient had a massive brain bleed. The work that my floor nurses did was outstanding, and our teamwork and collaboration was great. None of us said a negative thing about that RR team but assured the family that we are doing all things possible for their loved one. We worked together as a team and saved this patients life. The lesson here is just because other team members are jerks, that does not mean that we need to respond in the same way. That RR team made themselves look incompetent and uncaring to not only the family but to other staff as well. Effective communication and great teamwork is the key to saving a patients life! Which we did! The evidence behind this was that we all worked as a team on our floor, we had a quick huddle right after the initial code and decided that other measures needed to be taken and not just go with the assessment of the RR team. This collaboration saved this person life.
Follow up #2: Stacy W
I currently work full-time in the Freestanding ED Network for my organization. I do still work contingent in two of the other hospitals, but I am going to talk about the FSEDs. Each of our FSEDs has a total of 8 rooms, of which we normally only use 7, while the 8th is our resuscitation/overflow triage room. With only this many beds we only staff two nurses from 7a-11a(with the addition of a third nurse at 11a), a physician, a radiology tech, and a registration personnel. In addition to our patient care duties we are also cross-trained to run all laboratory testing. The radiology techs are also cross-trained for lab. Needless to say, communication in this smaller setting is a necessity. Everyone pitches in when we have high patient volumes and high acuity patients. The teamwork that I have seen in the FSED Network is remarkable. This is how a team is supposed to work. I will give one key example. Last week we had a very high volume day. I was the only full-time nurse on after 3pm. I had two nurses that don’t normally work in the FSEDs, but they had picked up hours for whatever reason. We got slammed with a bunch of patients about 430 in the afternoon. We had to use effective communication to get patients triaged, placed into rooms, patients discharged, patients transferred, and labs completed. I used communication and delegation skills to coordinate the flow of patients. The radiology tech was able to help me run labs because neither of the other two nurses were able to run labs. Everyone pitches in to flip rooms, including the registration staff. At one point I had to start an ultrasound guided IV for one of the other nurses because I was the only one trained to insert one. While I was in this room the other nurse took over care of my patient that was on an insulin drip that needed to be adjusted. In the midst of all of this the squad radio was going off and our physician answered it and relayed the information to me so that I could work on placing the patient either into a room or to the lobby. This type of communication is covered in the ANA (2015) text under the Standard 9. Communication as stated “maintains communication with interprofessional team and others to facilitate safe transitions and continuity in care delivery”. This was a very stressful time. Once I had a moment to look at our patient board I realized that our lobby was filling up and we were becoming overwhelmed. I then called my Manager-On-Call and relayed the situation to her. From there she was able to communicate with the network to get us some extra staffing quickly. In an article by Beth Uldrich EdD (2016), she states “the goals for each of us, especially in professional communications, are to always be conscious of both what we intend to communicate and what it may be perceived that we are communicating, and to be articulate, purposeful, and concise”. Oftentimes when we are stressed we do not come across as professionally as we intend. Our non-verbal cues can become misconstrued. I find myself to be guilty of this at times of high stress levels. This is something that I continuously have to be cognizant of.
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