1NURSING Introduction Professional communication in nurses refers to the way of conveying information by the nurses in healthcare settings. This communication may be directed towards fellow nurses, physicians, or even patients and their families. It is critical that the nurses convey the information in a clear, informative, and tactful way. The mode of communication must be to- the-point, detailed, and informative(Arnold & Boggs, 2019). Either way, the importance of professional communication skills cannot be denied. This essay aims to shed light on the importance as well as the underlying characteristics of communication in the clinical settings, includingnurse-to-nursecommunicationandnurse-physicianornurse-supervisor communication. Discussion Professional communication is a critical tool in ensuring the passage of proper patient information and delivering the best possible healthcare. In healthcare settings, the major communication takes place between the physicians and the nurses. However, due to different responsibilities, it has been seen that the perspectives and opinions of the nurses and patients often tend to differ(Matziou et al., 2014). So it is extremely important that the physicians and nursesresolvetheissuesofpatientinformationexchangebyknowingeachother's perspectives(Esmaeilpour-Bandboni et al., 2017; Farhadi, Elahi & Jalali, 2016; Foronda, MacWilliams & McArthur, 2016). A communication gap between physicians and nurses hinder patient safety(Ghahramanian et al., 2017). It is vital that all health personnel act as a team and collaborate with each other, including physicians, nurses, and unlicensed assistants. It is possible to administer high-quality patient care only if the healthcare professionals act as ateamandco-operate(Lancasteretal.,2015).Forthisco-operation,high-quality professional communication between the staff is critical.
2NURSING In terms of nurse-to-nurse communication, bedside communication was mostly found to be reliable, however, the reliability and quality of information seemed to be compromised once patient transfer occurs between departments(O'Connor, Rawson & Redley, 2020; Redley & Waugh, 2018). Itwasseenthatregularevaluationsofcommunicationbetweennursesand communication training to the students helped in improving the communication between healthcare professionals(Hsu, Chang & Hsieh, 2015; Li et al., 2019). Esmaeilpour-Bandboni,M.,Vaismoradi,M.,Salsali,M.,Snelgrove,S.,& Sheldon,L.K.(2017).IranianPhysicians'PerspectivesRegardingNurse– Physician Professional Communication: Implications for Nurses.Research and theory for nursing practice,31(3), 202-218. Thispaperentailstheperspectivesofthephysiciansregardingprofessional communication based on certain themes, including the formal way of communication and the talk about patient's health being the main point of the communication. It concludes that the nurses need to be more aware of the physician's perspective to become more efficient in communicating professionally in crowded settings The strengths lie in the fact that the perspectives of the physicians were taken over many centers. Thelimitationincludesthatknowingtheperspectivesfrombothnursesand physicians would have been helpful.
3NURSING Farhadi, A., Elahi, N., & Jalali, R. (2016). The effect of professionalism on the professional communication between nurses and physicians: A phenomenological study.Journal of Nursing and Midwifery Sciences,3(3), 18-26. This study explains how the professionalism of the staff plays a key role in the proper communication between nurses and physicians. Thus it is very important that interventions encouraging structural communication are implemented in clinical settings. The nurses must be prepared and ready in order to communicate efficiently. The strength of this study lies in the fact that it included perspectives from both the nurses and physicians of many designations. The limitation of the study was that many participants were unwilling to reveal bad experienceswithco-workers.However,thiswastakencareofwiththepromiseof confidentiality. Foronda,C.,MacWilliams,B.,&McArthur,E.(2016).Interprofessional communicationinhealthcare:Anintegrativereview.Nurseeducationin practice,19, 36-40. This review further emphasizes the fact that physicians and nurses are trained differently and thus face communication gaps. Training programs have proven helpful in improving communication between them. The strength of this review lies in the fact that it included studies about both students and experienced nurses. The limitation is that it lacked a systemic approach, and the number of studies was small.
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4NURSING Ghahramanian, A., Rezaei, T., Abdullahzadeh, F., Sheikhalipour, Z., & Dianat, I. (2017). Quality of healthcare services and its relationship with patient safety cultureandnurse-physicianprofessionalcommunication.Healthpromotion perspectives,7(3), 168–174. This study highlighted the need for efficient patient-physician communication from the point of view of the patients. It was observed that better communication among healthcare providers usually resulted in a better quality of nursing communication. The strength of this study lies in the fact that it included the patient's perspective of the issue. This is important as they are the ones who are ultimately affected by this. The limitation of this study was that it was undertaken at one hospital in Iran, and hence may not be generalized. Hsu, L. L., Chang, W. H., & Hsieh, S. I. (2015). The effects of scenario-based simulationcoursetrainingonnurses'communicationcompetenceandself- efficacy: a randomized controlled trial.Journal of Professional Nursing,31(1), 37-49. The study was conducted to determine the efficiency of professional communication among healthcare staff. The communication competency was found to be subpar, which showed the need for advanced communication training in nurses. The strength of this study is that it assessed both communication competence and self- efficacy in the nurses via standardized assessments. The limitation of this study was stated to be in the fact that the assessment tools were not fully reliable.
5NURSING Lancaster, G., Kolakowsky‐Hayner, S., Kovacich, J., & Greer‐Williams, N. (2015). Interdisciplinary communication and collaboration among physicians, nurses, and unlicensed assistive personnel.Journal of Nursing Scholarship,47(3), 275-284. This paper highlights the fact that physicians, nurses, and UAPs consider themselves asseparatehierarchiesofhealthcarepersonnelanddonotcommunicateveryoften. Sometimes discussion may occur among nurses and physicians, but the UAPs are rarely included. The strength of this study is that it includes unlicensed assistive personnel, unlike most studies which focus on nurses and physicians. The limitation of this study lies in the fact that it does not provide the perceptions of the patients in detail. Li, Y., Wang, X., Zhu, X. R., Zhu, Y. X., & Sun, J. (2019). Effectiveness of problem-based learning on the professional communication competencies of nursing students and nurses: A systematic review.Nurse education in practice. Thissystematicreviewelaboratedon the impactof problem-based learningin strengthening professional communication skills. The strength was that since it is a systematic review, it can be considered high-quality evidence. The limitation is that is it focuses on only one aspect to improve the communication competency in nurses.
6NURSING Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E., & Petsios, K.(2014).Physicianandnursingperceptionsconcerninginterprofessional communication and collaboration.Journal of interprofessional care,28(6), 526- 533. Thispaperevaluatesandcomparestheperceptionsofcommunicationofthe physicians and nurses why this difference of perception affected the communication between them. The strength of this study is that it was conducted by semi-structured interviews from both perspectives. The limitation of this study was that the sample was drawn from two public hospitals in Greece, and it cannot be made sure that the sample is completely unbiased. O'Connor,D.T.,Rawson,H.,&Redley,B.(2020).Nurse-to-nurse communicationaboutmultidisciplinarycaredeliveredintheemergency department: An observation study of nurse-to-nurse handover to transfer patient care to general medical wards.Australasian Emergency Care. This paper gave information about the lack of detailed professional communication during the nurse-to-nurse handover while patients are transferred to general wards from ED and how this can be a barrier to patient safety. The strength of this paper is that it highlights the factors that lead to a lack of proper communication among nurses. The limitation of this study was that it was a convenience sample, so the results might be biased to some extent.
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7NURSING Redley,B.,&Waugh,R.(2018).Mixedmethodsevaluationofaquality improvement and audit tool for nurse-to-nurse bedside clinical handover in ward settings.Applied nursing research,40, 80-89. This paper gave an overview of the reliability of nurse-to-nurse handover at patient bedside in hospitals. It focused on the acceptability of the communication quality but also highlighted some required improvements. The strength lies in the fact that the paper elucidates on the factors that influence the bedside clinical handover amongst the nurses. The limitation of the paper lies in the fact that it was conducted among six nurses in one hospital, so it may not be generalized enough. Conclusion From this essay, we can conclude that professional communication is essential in healthcare settings to ensure the best possible patient outcomes. While there are areas where the communication between nurses is reliable and perfect, there is a significant room for improvement in most areas, including that of physician-nurse communication. Regular assessments must be done in order to evaluate the level of communication between the healthcare staff. The student nurses must be given adequate training in order to communicate efficiently in the clinical setting. By collaborating and co-operating with each other, the health personnel can set up an efficient healthcare organization and ensure the best patient care and outcomes.
8NURSING Reference Arnold, E. C., & Boggs, K. U. (2019).Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences. Esmaeilpour-Bandboni, M., Vaismoradi, M., Salsali, M., Snelgrove, S., & Sheldon, L. K. (2017). Iranian Physicians' Perspectives Regarding Nurse–Physician Professional Communication:ImplicationsforNurses.Researchandtheoryfornursing practice,31(3), 202-218.10.1891/1541-6577.31.3.202 Farhadi, A., Elahi, N., & Jalali, R. (2016). The effect of professionalism on the professional communication between nurses and physicians: A phenomenological study.Journal of Nursing and Midwifery Sciences,3(3), 18-26.10.18869/acadpub.jnms.3.3.18 Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare:Anintegrativereview.Nurseeducationinpractice,19,36-40. http://dx.doi.org/10.1016/j.nepr.2016.04.005 Ghahramanian, A., Rezaei, T., Abdullahzadeh, F., Sheikhalipour, Z., & Dianat, I. (2017). Quality of healthcare services and its relationship with patient safety culture and nurse-physicianprofessionalcommunication.Healthpromotionperspectives,7(3), 168–174.https://doi.org/10.15171/hpp.2017.30 Hsu, L. L., Chang, W. H., & Hsieh, S. I. (2015). The effects of scenario-based simulation course training on nurses' communication competence and self-efficacy: a randomized controlledtrial.JournalofProfessionalNursing,31(1),37-49. http://dx.doi.org/10.1016/j.profnurs.2014.05.007 Lancaster,G.,Kolakowsky‐Hayner,S.,Kovacich,J.,&Greer‐Williams,N.(2015). Interdisciplinary communication and collaboration among physicians, nurses, and
9NURSING unlicensedassistivepersonnel.JournalofNursingScholarship,47(3),275-284. https://doi.org/10.1111/jnu.12130 Li, Y., Wang, X., Zhu, X. R., Zhu, Y. X., & Sun, J. (2019). Effectiveness of problem-based learning on the professional communication competencies of nursing students and nurses:Asystematicreview.Nurseeducationinpractice. https://doi.org/10.1016/j.nepr.2019.04.015 Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E., & Petsios, K. (2014). Physician and nursing perceptions concerning interprofessional communication and collaboration.Journalofinterprofessionalcare,28(6),526-533. https://doi.org/10.3109/13561820.2014.934338 O'Connor, D. T., Rawson, H., & Redley, B. (2020). Nurse-to-nurse communication about multidisciplinary care delivered in the emergency department: An observation study ofnurse-to-nursehandovertotransferpatientcaretogeneralmedical wards.Australasian Emergency Care.https://doi.org/10.1016/j.auec.2019.12.004 Redley, B., & Waugh, R. (2018). Mixed methods evaluation of a quality improvement and audit tool for nurse-to-nurse bedside clinical handover in ward settings.Applied nursing research,40, 80-89.https://doi.org/10.1016/j.apnr.2017.12.013