Communication and Diversity in Nursing Care

Communication and Diversity
Introduction
Communication is a vital tool in the health care system which involved in every part of
patient care. Communication helps the nurse to plan, implement and evaluate the nursing
care. Basic needs of the patient can be identified with the help of effective communication.
Prompt communication between the patient and the care giver improves the interpersonal
relationship and ensures the wellbeing of the patient. Problem solving is the essential quality
of the nurse which can be executed with the help of effective interactions (Hargie 2016). The
factors that the nurse should keep in mind while interacting with the patient are cultural
safety and respect. The scenario of Angela helps to do comprehensive discussion of
components of communication used, limitations of communication skills, Assessment on the
potential barriers of communication in the scenario, Comprehensive discussion on the
consequences of personal bias for culturally safe and respectful nursing care. This assessment
discusses the importance of cultural safety and respect for the early citizens of Australia
(Yilmaz et al 2017).
Detailed discussion on the components of the communication applied in the scenario
improves the perception of the health profession about communication in the nursing
practice. Basic components of the communication are recipient, sender, interaction, and
channel. In the scenario, the receiver of the communication was Angela and the sender was
the nurse and the mode of communication is the verbal communication. All the components
were used in the interaction between Angela and the nurses involved in the scenario, but the
implementation of the code of ethics was neglected by the nurses (Papadopoulos et al. 2016).
Code of ethics clearly states that the entire patient has to treat and cared equally disregarding
the age, colour, creed, culture, religion, and race. When the nurse interacts with the patient

she has to implement the proper usage of the components of the communication with the
code of ethics for the therapeutic reason.
Discussion on the limitations of the communication skills in the scenario helps to study the
restrictions that are involved in communicating with patients from a different culture ((Lor,
Crooks & Tluczek 2016). In the scenario, the nurse’s interaction with Angela in both events
has communication limitations due to various reasons like culture, the place she comes from,
her spiritual back ground and associated motives. The first example forms the scenario,
reflects the nurse's limitations in the communication. The predefined thought of the nurse is
expressed in her communication. The nurse in the first incident was equipped with the default
attitude and believes about the ancient inhabitants of the nation. The Nurses default attitudes
and believe are expressed in her words which end up in bitter feelings for Angela. The Nurse
did not follow the Nursing and midwifery board of Australia’s standards of practice (Nursing
and midwifery board of Australia 2018).The second example, in the scenario is the nurse who
involved in the care of Angela’s son. The Nurse shouted at Angela ignoring her need.
Angela’s Son was in severe Anaphylactic shock with the visible signs and symptoms of
clinical deterioration which was neglected by the nurse. Code of ethics states that the nurses
have to implement Beneficence in caring for the patients regardless of the culture and
believe.
Analysis of the alternative communication strategies that should have implemented by the
nurse involved in the scenario aids to find new strategies for effective therapeutic
communication in the clinical environment. Therapeutic interactive strategies include
observation, attention, active listening, which should have been included while
communicating with Angela. The nurse involved in the second incident of the scenario
should have used the tools of therapeutic communication to ensure safe and quality nursing

care. The nurse’s communication should have reflected respect for the patient’s culture. The
Nurse involved in the second incident should have used the strategies of effective
communication like trust and respect. The nurses should have built trust in her
communication by respecting and accepting the patient’s culture and believes (Milne, Creedy
& West 2016). The nurses should have shown respect for the patient from the culture of the
ancient residents of her beautiful nation. The nurses are caring for people from different
cultures and believe every day, thus the nurses should find new communication strategies that
respect and promotes therapeutic communication.
Discussion on the possible barriers of communication in the scenario helps to improve the
therapeutic communication in the clinical environment. Communication barriers that are
commonly found in the scenario are the predefined thoughts, attitude, and believe. Barriers to
communication are barriers to safe and quality nursing care. The nurses involved in the
scenario had predefined thoughts about the people from specific cultural background which
are express in the communication (Forsgren et al. 2016). Cultural diversity is common in the
health care system, thus the personal believes may significantly affect the communication,
patient care, and recovery. Lack of knowledge about the Nursing and midwifery board of
Australian standards of practice and the code of ethics which clearly instructs on the
importance of valuing the cultures believes, and morals of the people from various
communities. Nursing care involves understanding and respect for the culture of the patient.
People are emotionally attached to their own culture and believe. Therefore, directly and
indirectly hurting the individual's culture and believe injure the patient emotionally. The
nurses have to aware of the communication barriers that are involved in nursing care and
eliminate that with the support of new communication strategies.