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Tuesday, February 26, 2019

Effective and Ineffective Communication

Effective and Ineffective communion Lisa Brady Loyola University Effective and Ineffective Communication Where we come from, what weve experienced, our culture, our norms, our circle of friends, and our history all affect the ways in which we pass by with each other. What constitutes effective and ineffective conversation? How do we measure what works as opposed to what doesnt? Communication is vital non only to tolerant attending but in collaborating as a team to ensure goals are achieved.In Contemporary Nursing, Cherry states that effective communicating is a foundational comp iodinent of professional nursing practice. (Cherry & international ampere Jacob, 2011, p. 381) When I think of communication in the clinical good dealting, two spokespersons are constantly in my fore mind both of which happened in nursing school. I bear on these experiences in mind because they hold had a profound effect on the ways in which I communicate with my diligents daily. My example of ineffective communication stems from a rotation I did in the ICU. I was apprehensive round going to the ICU. Was I ready?The patient roles were so acute and I was so inexperienced. I was filled with doubts and insecurity. The short version of this story entails an ICU have who was not aware she was getting a schoolchild and a paucity of computer tablets, so medications were pulled via a written paper brought to the pyxis. A patient was folie with medications he didnt understand and the pervert had to be contacted. The doctor yelled at the nurse, the nurse ran from the unit crying and when she returned the scene was set for a near fatal accident. The nurse took me and her piece of paper to the pyxis and began to pull her medications.Again for time and space, the shortened version explains that the nurse mistakenly pulled a night medication due at hour of sleep sort of of the day medication. The nurse then instructed the nursing student to pass these medications. By the time t he nurse realized she had pulled the wrong dosage and the nursing student had disposed them, the patient had to be intubated stomach pumped and could easily have died. During this emergency treatment the nurse yelled at the nursing student, and this is why you always check the computer prior to giving medication. I cannot distil to you the fear, anger and confusion I had over what had transpired. I felt throw under the bus. What had just happened? What happened was a serious disconnect in communication and a hard lesson in patient safety. The patient lived and recovered. I l doed to never completely give up my power and to institutionalise my instinct. I have never since and never will give a medication unless I have pulled it and have all the resources in antecedent of me to verify the information.The nurse later wrote on my evaluation that we both require to learn our five rights. I was angry but in remember she was right. I may not have pulled those medications but she tol d me to give them and I obeyed. I was utilizing non-assertive communication. I have always thought communication was my intemperate suit. I strive to use the I statements that Cherry suggests. (Cherry & Jacob, 2011) I believe strongly in Jan Hargraves concept that 55% of what we vocalise is non-verbal,38% is in voice reflection and only 7% is in the actual words we say. (Cherry & Jacob, 2011, p. 385) The difficulties that arise in communication it is bloodsucking on a host of factors, including non-verbal communication and interpretation of the information. (Cherry & Jacob, 2011) I have since learned assertive communication techniques and am currently working on responding instead of reacting. It is a lifelong process. My second example is one of effective communication. A young mom with two babies arrived to the ER. She had no insurance, and her kid presented with fever and signs of pneumonia.The ER doctor and the nurses expressed she was from the city hours away and was just about likely attempting to obtain free care. The doctor discharged the patient and the nurses discussed amongst themselves the patient and the problems with patients abusing the system. Once again my gut instinct told me there was more to this patient and her story. I went to the patient to express concern and to listen and discovered that the patient was not at this particular hospital to avoid payment. She was in a domestic violence shelter with her two young babies and was attempting to change her life.It upset me that she was pre-judged like this, when all it would have taken was a few minutes of building a rapport and trust to get to the truth of the matter. It has really made a difference in how I work with my patients. I try to truly listen to what they are not saying. To work with our patients on a holistic level we must actively listen, validate their concerns and their feelings and earn their trust. In conclusion there is so much to take into experimental condi tion regarding how we express ourselves and interact with each other as professionals and with our patients.We must always consider cultural differences and be keenly aware of body language. How we communicate with individuals varies greatly and is dependent upon where that person is in their life and at that moment. personal jibe is another form of communication and again must be assessed dependent on the person. Some patients dont mind if we touch their hand or shoulder reassuringly, others are bothered by this. I always make an attempt to ask a patient for example if they are crying can I give you hug?It is so important to maintain open communication but at the equivalent time keep boundaries. It is a gift to be able to care for our patients but it can be difficult to find the right roadway of communication for each person. In the end we do the best we can, utilizing the tools weve been given and making every effort to be authentic, genuine and in the moment. References Cherr y, B. , & Jacob, S. R. (2011). Contemporary nursing issues trends and management (5th ed. ). St. Louis, Missouri Elsevier Mosby.

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