Ineffective Communication in Nursing Practice: Strategies and Skills for Therapeutic Communication

This assessment project analyses ineffective communication in nursing practice and discusses strategies and skills for therapeutic communication, including cultural and self-awareness and literacy skills.

ASSESSMENT PROJECT
ESSAY

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Analysis of ineffective communication between the individuals in the scenario-.......................3
The strategies and skills that supports therapeutic communication-...........................................4
The inclusion of cultural awareness and self-awareness in the provision of therapeutic
communications with the patient in the scenario-........................................................................4
Relevance of literacy skills in effective communications in nursing practice-...........................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
Ineffective communication is the barriers to effective communication. In this communication, the
people are not able to understand the language and their may happen that it creates
misunderstanding and the wrong assumptions of the information (Shadadi and et.al., (2018). It is
very important to use effective communication to avoid these problems. This assessment project
will analyse the case study which has ineffective communication between the nurse and the
injured boy. Along with this, it will also include the strategies and skills which are required in
the therapeutic communication as well as the inclusion of cultural awareness and self-awareness
of therapeutic communications.
MAIN BODY
Analysis of ineffective communication between the individuals in the scenario-
Ineffective communication is that in which there is no proper use of the language. There is lack
of enthusiasm, interrupting between the communication, indirectness of the information, close-
minded interactions, lack of clarity and whining and complaining. It is very important to use
proper language for better communication and for avoiding the misunderstandings between the
people. Ineffective communication leads to the confusion, frustration, conflicts and low morale
of the people (Magadze, Chetty & Nkhwashu, (2022). In this case study, Toby is the patient and
his leg has been injured so for this a nurse is taking care of him. He doesn’t talk properly to the
nurse as when nurse found that he was standing beside his bed in spite of she told Toby not to do
that and when nurse told that it can affect the limbs Toby didn’t talk in a proper way. And the
second incident was when she said that he must not do this before the surgery at that time also he
talks much rudely with the nurse. This shows that there was ineffective communication between
the nurse and the patient.
Toby must talk in a better way with the nurse as she is taking care of him and he was not using
proper language to talk with the nurse.

The strategies and skills that supports therapeutic communication-
Therapeutic communication can be defined as the face to face interaction between the patients
and the nurse which basically focuses on the improvements of physical and emotional well-being
of the patient. Nurses use these communication skills to provide education and support to their
patients along with maintains the professional distance with the patients. The main purpose of
using this communication by the nurses as it helps the nurses to build the trust with the patients
and also ensures that the patients and nurses efficiently collaborate with each other. This also
involves effectively caring the patients with the physical and emotional wellness (Arnold &
Boggs, (2019).
Using the communication strategies that helps the healthcare professionals in meeting both the
clinical and emotional needs of the patients. The most effective strategy is making personal
connections, this strategy will help me to maintain the strong relationship between the patients
and the nurse. In this case study, effective communication with the patients will help the nurse to
take proper care of the patient. Remaining neutral in the response of the client’s words and
actions, becoming comfortable with moments of the silence and using positive body language for
demonstrating the care of the Toby.
Skills that supports the therapeutic communication skills are addressing the emotions first,
encouraging the communication, using active listening, practising silence and seeking the
clarification. Having these skills will help the nurse in effective communications with the Toby
and will help ion avoiding such incidents happened in the case study(Fernández‐Gutiérrez, M.,
and et.al., (2018).
The inclusion of cultural awareness and self-awareness in the provision of therapeutic
communications with the patient in the scenario-
It is very important to include cultural and self-awareness in the therapeutic communication
because every patient belongs to different culture, and they have their own beliefs and values.
Numerous diverse culture people generally faces challenges while delivering healthcare to the
patients (Witt, McGaughan & Smaldone, (2018). A lack of cultural understanding increase the
negative impacts towards the cross cultural care as well as also impacts the healthcare
professionals. Proper training should be given to the nurses for creating cultural awareness. In
this case study, the nurse must ensure about the culture of the Toby which will help them to

better understand the values and beliefs of him it helps them to communicate effectively with the
patient.
Self-awareness is one of the key element in the nurse and patient relationship and important tool
for development of the therapeutic communication with the patients. This helps the nurses to
increase the confidence for managing the challenging incidents and providing the culture
competencies care to the patients. This also helps in improving the quality of the care as it
enables the nurses in recognizing the emotions, potentials and helps in understanding the overall
strengths and limitations of their patients. In this case study, the nurse having self-awareness will
help them in proper handling Toby and will help the nurse to face the challenges while taking
care of the Toby (Mutiah & Widyarakhma, (2021).
Relevance of literacy skills in effective communications in nursing practice-
The nurses rely on the communication in the various areas of their jobs. Effective verbal and
written communication skills plays the vital role in improving the health outcomes of the
patients, fostering relationships with the co-workers as well as with the patient’s family
(McCorry & Mason, (2020). The literacy skills such as digital literacy also requires effective
communication skills which means sending information through mails and massages. Nurses
who takes much time to listen and understand the problems takes much time then they can better
address the issues which arises. Nurses must develop themselves in communication skills as it
directly impacts the results of the patients. It is very necessary for the nurses to communicate
things properly and in proper and easy language so that the patients can understand them easily.
CONCLUSION
This assessment report has discussed the ineffective communication and the strategies and skills
which can be used by the nurses for better care of the patients. The strategies such as remaining
silence and many more as well as the skills like addressing the emotions of the patients and many
more. Further, it has also enables to understand the importance of self awareness and cultural
awareness for the nurses and the relevance of the literacy skills in communication skills in the
nursing practice. As it is very important to have the effective therapeutic skills for taking the
quality care of the patients at the home.

REFERENCES
Books and journals
Shadadi, H., and et.al., (2018). The barriers of clinical education in nursing: A systematic
review. Biomed Res, 29(19), 3616-23.
Magadze, T., Chetty, D., & Nkhwashu, E. (2022). Ineffective management practices on infection
prevention and control by nurses in a public hospital. ScienceOpen Preprints.
Witt, M. A., McGaughan, K., & Smaldone, A. (2018). Standardized patient simulation
experiences improves mental health assessment and communication. Clinical Simulation
in Nursing, 23, 16-20.
McCorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional.
JONES & BARTLETT PUB Incorporated.
Mutiah, M., & Widyarakhma, F. T. (2021). THE EFFECT OF THERAPEUTIC
COMMUNICATION ON PATIENT SATISFACTION OF THE HALODOC
TELEMEDICINE APPLICATION. Metafora: Education, Social Sciences and
Humanities Journal, 5(2), 16-30.
Arnold, E. C., & Boggs, K. U. (2019). Interpersonal relationships e-book: professional
communication skills for nurses. Elsevier Health Sciences.
Fernández‐Gutiérrez, M., and et.al., (2018). Health literacy interventions for immigrant
populations: a systematic review. International Nursing Review, 65(1), 54-64.
1

2