Improving Communication in Nursing Practice

This document discusses the importance of communication in nursing practice and provides insights into improving communication skills through conceptual models and frameworks. It explores the concepts of person-centered care, managing aggression, and assertive communication. The document also highlights the tools and frameworks used in nursing communication and analyzes a communication scenario. It concludes with a justification for adopting these concepts, frameworks, and tools in nursing communication and emphasizes the impact of effective communication on nursing services and patient satisfaction.

Running head: COMMUNICATION IN NURSING PRACTICE 1
Improving Communication in Nursing Practice
Student’s Name
Institution’s Affiliations
Date

COMMUNICATION IN NURSING PRACTICE 2
Improving Communication in Nursing Practice
Introduction
Communication plays an important role in nursing practices (Mateo & Foreman, Eds.,
2013). Improving communication skills through conceptual models and frameworks is
pivotal ineffective performance in the nursing practice (Wildevuur, & Simonse, 2015).
Person-centred is the best concept to be used in the case study. The most applicable scenarios
I will employ in the case study are; managing aggression and assertive communication. The
two work jointly to ensure that the concept of person-centred care is achieved and the quality
of services delivered are high. This assay is based on the ways of improving commutation
skills between individuals working in the nursing profession. Tools used in communication
are also identified and discuses vividly. Frameworks employed in communication are also
comprehensively elaborated. The incorporation of all these tools in the nursing practice is
essential in minimizing barriers that interfere with effective communication. Commination is
seen to be complete when there is a transfer of information from one person to another
(Arnold & Boggs, 2015). Communication skills are pivotal in gaining the patients' trust and
improving performance and experience.
Concepts, Frameworks in Communication and Nursing Tools
Concepts are aimed at ensuring patient satisfaction in daily practices. Person-centred
care is the main concept applied in most communication and decision-making. Person-
centred care considers the interests of the patients and guides nurses towards attaining the
required standards of operation and ethical codes. Managing aggression and assertive
communication are the appropriate communication frameworks (O'hagan et al, 2014).
Aggression is one of the barriers to effective communication. Personality and character of an
individual determine his/her moods, therefore, impacting the communication. Aggression

COMMUNICATION IN NURSING PRACTICE 3
affects assertive communication (Angland, Dowling & Casey, 2014). For example, the
aggressive nature of the old woman patient influenced affected the communication between
me and the nurse. Managing aggression is critical achieving and maintaining assertive
communication. As a nursing student, management of assertive and effective communication
enables me to relate well with the nurse and the assistant. Clinical hand over is one of the
nursing tools used in ensuring a conducive operation and communication between Nurses and
even between nursing staff and patients.
Person-centred care is suitable for the case scenario because it sustainability of
patients and improves quality nursing care provided. For instance, when this concept is
applied in the case study, Claudia will not be scared. Consideration of the patient’s medical
condition is also important in care provision. It is of greater significance to control personal
emotions and create awareness. Understanding the challenges of nursing practice is pivotal in
the case scenario. Management of aggression starts with understanding the nature of the
patient in relation to her condition and age because dementia might have made her
hydrophobic. As a nursing student, assertive communication is crucial in ensuring effective
communication with patients (Dehghani, Mosalanejad & Dehghan-Nayeri, 2015). Humility
and perseverance are the main values that I need to maintain in the communication. To avoid
conflicts in the facility, I need to control myself and apologize to the patient and the nurse.
Assertive communication starts with my interaction with Claudia, the patient. During the
shower, assertive communication is the best approach used to calm the patient by involving
her in communication.
The Analysing the Communication Scenario
The type of communication identified in this case study is ineffective due to the
aggressive behaviour of the patient. Poor communication resulted in accusations from the

COMMUNICATION IN NURSING PRACTICE 4
nurse who came to the place when Claudia was shouting and crying in the bathroom.
Effective interpersonal communication skills are intimate values that determine the
psychological nature of an individual (Shahriari, Mohammadi, Fooladi, Abbaszadeh &
Bahrami, 2016). Nursing practices are affected by a plethora of distinct variables that affect
effective communication. Basing on the case study, ineffective communication is observed
when Claudia shouts in the bathroom. Her nature affected the communication since it became
a barrier even in the nursing practice. In this case, her action of splashing water on me is
another ineffective communication observed on her. The inability to use non-verbal
communication skills in the scenario resulted in ineffective communication. This is because
non-verbal communication expresses the feeling of an individual, therefore, bringing more
understanding in the communication. Inability to interact with Claudia is another ineffective
communication portrayed in the case scenario.
From the analysis of other related literature, it is indicated that non-verbal
communication supplements verbal communication. For example, when calming a patient. In
some case, verbal communication may not be understood well depending on the nature of the
patient, therefore, the use of non-verbal cues are necessary to bring meaning in this situation.
My strangeness to Claudia might have been another factor that resulted in ineffective
communication. Talking to the patients in with an encouraging tone creates trust and
satisfaction (Constand, MacDermid, Dal Bello-Haas, & Law, 2014). Ineffective
communication is also observed when the nurse come to place with harassment. He/she did
not understand the barriers that might have caused the scenario. Internal communication
skills are obtained through experience, therefore, is a first-year nursing student without any
nursing experience resulted in the incompetence.
The justification for Adopting the Concepts, Frameworks, and Tools in Nursing
Communication

COMMUNICATION IN NURSING PRACTICE 5
Effective communication leads to the improvement of nursing services and general
healthcare provision in the facility (Lawrence, Perrin & Kiernan, 2015). Incorporation of the
identified concepts, tools and frameworks assist in attaining patient satisfaction and
developing positive patient experience in the facility. Person-centred care is important in the
practice because it builds trust and confidence on the patient. The application of this concept
improves nursing experiences and professionalism in an individual. Since the concept allows
the patient to make choices in the service and care provision, a good patient-nurse
relationship is established, therefore, avoiding the negative impacts witnessed from the case
study. Person-centred care involves understanding the background and nature of the patient to
be served. The application of the assertive communication in the case study is pivotal in
settling the misunderstanding between me and the nurse. Approaching the aggressive patient
necessitates for the need to use assertive communication especially with the age of Claudia.
It is wise to apply self-control and awareness in the case study. Effective
communication needs flexibility and coordination (Watson, Jones & Cretchley, 2014). In the
aggression management, a holistic strategy is important for effective communication. It is
witnessed that Claudia is aggressive, therefore, appropriate approaches should be
implemented for effective service delivery. Nurse-patient relationship is one of the successful
approaches in this case study. Effective communication is required during the desire to
apologize to Claudia and the nurse. For example, the use of polite language is a sign of
respect to the old patient. Comforting Claudia in the bathroom may also work well because
the barrier of strangeness will be overcome, therefore, accomplishing the entire work without
the frustrations.
ISBAR is a tool applied in communication between a health office and a patient. The
tool supplements the person-centered skill because it involves understanding the background
of the patient and assessing the nature of illnesses affecting him/her. Upon application in the

COMMUNICATION IN NURSING PRACTICE 6
case study, the ISBAR component directs me to examine some of the conditions like
circulation and breathing of capabilities Claudia that might have caused her situation.
Effective communication is also achieved when the situation and age of Claudia are analysed
to improve service delivery are established. SOAP is another tool to be applied in the case
study. This tool summarizes the family and medical background of the patient. For example,
if Claudia has been undergoing a treatment that affects her nervous system. SOAP also
directs a nurse to perform a physical examination on the patient, therefore, the
communication is effective in the case scenario when Claudia provides her background
information. World Health Organization (WHO) necessitates for handover practices
(Abraham et al, 2017). This is because nurses are able to communicate better and share ideas,
therefore, improving their skills.
Conclusion
In conclusion, communication determines the satisfaction of the patient and overall
performance in the nursing centre. A follow up from experienced nurses is important in
ensuring effective performance because experiences are paramount in any medical practice.
The concepts, frameworks, and tools applied in communication determine the relationships
between nurses and patients. The concern of the relationship is to create understanding and
promote the services provided to meet the needs of the patient. Interactional risks need to be
addressed in all forms of communication especially in verbal communication. Training of
staff vital in improving their competence, therefore, avoiding risks that may arise from the
operation. Standard protocols for effective decision-making should be implemented in the
nursing facility to guide all nursing stuff during interaction and communication. This is
important in creating unity and counterchecking the performances of the juniors.

COMMUNICATION IN NURSING PRACTICE 7
References
Arnold, E. C., & Boggs, K. U. (2015). Interpersonal relationships: Professional
communication skills for nurses. Elsevier Health Sciences.
Wildevuur, S. E., & Simonse, L. W. (2015). Information and communication technology–
enabled person-centered care for the “big five” chronic conditions: scoping
review. Journal of medical Internet research, 17(3).
Mateo, M. A., & Foreman, M. D. (Eds.). (2013). Research for advanced practice nurses:
From evidence to practice. Springer Publishing Company.
O'hagan, S., Manias, E., Elder, C., Pill, J., Woodward‐Kron, R., McNamara, T., & McColl,
G. (2014). What counts as effective communication in nursing? Evidence from nurse
educators' and clinicians' feedback on nurse interactions with simulated
patients. Journal of advanced nursing, 70(6), 1344-1355.
Angland, S., Dowling, M., & Casey, D. (2014). Nurses’ perceptions of the factors which
cause violence and aggression in the emergency department: A qualitative
study. International emergency nursing, 22(3), 134-139.
Dehghani, A., Mosalanejad, L., & Dehghan-Nayeri, N. (2015). Factors affecting professional
ethics in nursing practice in Iran: a qualitative study. BMC medical ethics, 16(1), 61.
Shahriari, M., Mohammadi, E., Fooladi, M. M., Abbaszadeh, A., & Bahrami, M. (2016).
Proposing codes of ethics for Iranian nurses: A mixed methods study. Journal of
Mixed Methods Research, 10(4), 352-366.
Abraham, J., Kannampallil, T. G., Srinivasan, V., Galanter, W. L., Tagney, G., & Cohen, T.
(2017). Measuring content overlap during handoff communication using distributional
semantics: An exploratory study. Journal of biomedical informatics, 65, 132-144.

COMMUNICATION IN NURSING PRACTICE 8
Lawrence, J., Perrin, C., & Kiernan, E. (2015). Building professional nursing communication.
Cambridge University Press.
Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review
of patient-centered care approaches in healthcare. BMC health services
research, 14(1), 271.
Watson, B. M., Jones, L., & Cretchley, J. (2014). Time as a key topic in health professionals’
perceptions of clinical handovers. Global qualitative nursing research, 1,
2333393614550162.