Communication Gap in Healthcare: A Case Study
VerifiedAdded on 2023/01/04
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AI Summary
This case study explores the communication gap in healthcare, focusing on a patient named Erica who is reluctant to share information and exhibits rude behavior towards healthcare staff. The study highlights the importance of cultural safety and the impact of communication on treatment outcomes.
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iSAP Case: Erica’s Appendix (Post-op Day 1)
The following table has space for four events (one of them being her discharge against medical advice). Please note that there are
more than four events that you can choose from so please ensure that you choose those most relevant for cultural safety.
Event 1 Event 2 Event 3 Final event
Event
The doctor and nurse did not
pay attention to the answers of
the patient
Ericka is linked with the uncle
Marlee
Erika glare at nurse which is
not a positive gesture and did
not respond to her answer.
Discharged without medical
advice.
Related
safety risk Such act of nurse makes the
environment uncomfortable.
The negative experiences
create an impact on the
person’s behaviour.
The response towards nurses is
not good and this effects the
treatment of the patient as the
role of health care
professionals is very much
important. The nurse has to
build a trust on the Erika
Erika is suffering from the
appendix and abdominal pain
and the medical advice is
necessary at the time of
discharge.
The following table has space for four events (one of them being her discharge against medical advice). Please note that there are
more than four events that you can choose from so please ensure that you choose those most relevant for cultural safety.
Event 1 Event 2 Event 3 Final event
Event
The doctor and nurse did not
pay attention to the answers of
the patient
Ericka is linked with the uncle
Marlee
Erika glare at nurse which is
not a positive gesture and did
not respond to her answer.
Discharged without medical
advice.
Related
safety risk Such act of nurse makes the
environment uncomfortable.
The negative experiences
create an impact on the
person’s behaviour.
The response towards nurses is
not good and this effects the
treatment of the patient as the
role of health care
professionals is very much
important. The nurse has to
build a trust on the Erika
Erika is suffering from the
appendix and abdominal pain
and the medical advice is
necessary at the time of
discharge.
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Introduction
Erika is suffering from abdominal pain and the gangrenous appendix. The patient is not
ready to share the information with the doctor and it is the major clinical risk.
Issue
Culture safety is the concept in which an individual feels secure and comfortable in the
cultural environment. In the health care sector, the doctor and patient both are part of the
community. Erika is suffering from abdominal pain and found the gangrenous appendix
during the whole treatment. The Erika did not respond to the nurse well during the
examination such as the patient remain silent in the question of allergic disease. The nurse
does not feel comfortable on such behaviour of Erika. The Erika is very less responsive
towards the doctors and nurses due to the lack of trust. Moreover, the response of the patient
towards the nurse is not normal and the patients angrily stare at the nurse. Due to this
information sharing problem, the patient discharge from the hospital without medical advice.
There are a couple of reasons behind this act of Erika (Garneau, 2015).
Firstly, Erika is an aboriginal girl and the nurse said that “She does not look
aboriginal”’ which means that, the nurse judge the patient on the basis of the look. This act of
the nurse is the reason behind the negative response of Erika because the patient is an
aboriginal girl and it is the responsibility of the nursing department to protect the ethnic and
cultural values of the patient. Secondly, the Robbin do not bother about the answers of the
patient. The nurse continuously asking and note down the questions without listening to the
answers of the patient. The Erika did not feel comfortable with the nurse due to the above
reasons. To minimize the risk nurse has to build confidence and maintain a level of
trust (Parisa, 2016).
In the whole scenario, the lack of information sharing is a major issue. Communication
in the health care sector is very much important due to the two main reasons. Firstly, it allows
the patient to convey the condition of the disease with the doctor. Moreover, it is very
important for the doctor to know the history of the patient because it plays a part in the
treatment. In the particular scenario, the Erika is very much reluctant to share the medical
history with the medical staff and this is the major issue because the lack of healthy response
plays an adverse role in the successful treatment. Secondly, friendly behaviour with the
Erika is suffering from abdominal pain and the gangrenous appendix. The patient is not
ready to share the information with the doctor and it is the major clinical risk.
Issue
Culture safety is the concept in which an individual feels secure and comfortable in the
cultural environment. In the health care sector, the doctor and patient both are part of the
community. Erika is suffering from abdominal pain and found the gangrenous appendix
during the whole treatment. The Erika did not respond to the nurse well during the
examination such as the patient remain silent in the question of allergic disease. The nurse
does not feel comfortable on such behaviour of Erika. The Erika is very less responsive
towards the doctors and nurses due to the lack of trust. Moreover, the response of the patient
towards the nurse is not normal and the patients angrily stare at the nurse. Due to this
information sharing problem, the patient discharge from the hospital without medical advice.
There are a couple of reasons behind this act of Erika (Garneau, 2015).
Firstly, Erika is an aboriginal girl and the nurse said that “She does not look
aboriginal”’ which means that, the nurse judge the patient on the basis of the look. This act of
the nurse is the reason behind the negative response of Erika because the patient is an
aboriginal girl and it is the responsibility of the nursing department to protect the ethnic and
cultural values of the patient. Secondly, the Robbin do not bother about the answers of the
patient. The nurse continuously asking and note down the questions without listening to the
answers of the patient. The Erika did not feel comfortable with the nurse due to the above
reasons. To minimize the risk nurse has to build confidence and maintain a level of
trust (Parisa, 2016).
In the whole scenario, the lack of information sharing is a major issue. Communication
in the health care sector is very much important due to the two main reasons. Firstly, it allows
the patient to convey the condition of the disease with the doctor. Moreover, it is very
important for the doctor to know the history of the patient because it plays a part in the
treatment. In the particular scenario, the Erika is very much reluctant to share the medical
history with the medical staff and this is the major issue because the lack of healthy response
plays an adverse role in the successful treatment. Secondly, friendly behaviour with the
patient allows the doctor to give medical advice to the patient in accordance with the
treatment (Garneau, 2015).
The past studies show that the nursing department directly linked with the care and treatment
of the patient. However, the nurse took action with the guidance of the doctor. The behaviour
of the nurse should be positive to the patient. The good communication between the nurses
and the patient develops a healthy culture in the hospital. The Erika in the scenario,
contradicted with the trend of comfortable communication and unable to share information
with the patient. However, the nurse claim that it is difficult to get good treatment without
conveying properly with health care professionals (Cherry, 2016).
Strategy
The relation between the healthcare staff and the patient is very much important in the
hospital. Moreover, the lack of communication creates an adverse impact on the treatment
which is not a good sign for both the patient and the doctor. In the scenario, the Erika is not
comfortable with the surgeon and nurse and unable to give proper information about the
health and the reason of the gap is the inappropriate response of the nurse such as lack of
attention. The strategic moves are very important in this context to improve the
communication level. The strategic move to improve the communication level between the
patient and doctor includes three major points and elements. Firstly, the reason behind the
lack of communication such as the behaviour of the nursing staff which is the major hurdle
between the communications. The behaviour of the health staff is very much important
because the patient is reluctant to share the information with the nurse if the nurse is rude to
the patient (Pauly, 2015).
Secondly, to track the response of the patient which is the major hurdle between the
flawless sharing of information. In the particular scenario, the patient is not much responsive
and adopt a rude behaviour at some places. The starring at the nurse and not sharing
information with the doctor is a clear reflection of the response of the behaviour. At last,
follow the culture of the organization because the culture of an organization matters a lot
such as the general discussion with the patient to give confidence (Kellett, 2017).
The identification of the reason is vital to highlight the area which needs to be
improved. If the behaviour of the nurse is the problem then the training of the staff is the first
priority to deal with the patient in an appropriate way. The relation with the patient and
treatment (Garneau, 2015).
The past studies show that the nursing department directly linked with the care and treatment
of the patient. However, the nurse took action with the guidance of the doctor. The behaviour
of the nurse should be positive to the patient. The good communication between the nurses
and the patient develops a healthy culture in the hospital. The Erika in the scenario,
contradicted with the trend of comfortable communication and unable to share information
with the patient. However, the nurse claim that it is difficult to get good treatment without
conveying properly with health care professionals (Cherry, 2016).
Strategy
The relation between the healthcare staff and the patient is very much important in the
hospital. Moreover, the lack of communication creates an adverse impact on the treatment
which is not a good sign for both the patient and the doctor. In the scenario, the Erika is not
comfortable with the surgeon and nurse and unable to give proper information about the
health and the reason of the gap is the inappropriate response of the nurse such as lack of
attention. The strategic moves are very important in this context to improve the
communication level. The strategic move to improve the communication level between the
patient and doctor includes three major points and elements. Firstly, the reason behind the
lack of communication such as the behaviour of the nursing staff which is the major hurdle
between the communications. The behaviour of the health staff is very much important
because the patient is reluctant to share the information with the nurse if the nurse is rude to
the patient (Pauly, 2015).
Secondly, to track the response of the patient which is the major hurdle between the
flawless sharing of information. In the particular scenario, the patient is not much responsive
and adopt a rude behaviour at some places. The starring at the nurse and not sharing
information with the doctor is a clear reflection of the response of the behaviour. At last,
follow the culture of the organization because the culture of an organization matters a lot
such as the general discussion with the patient to give confidence (Kellett, 2017).
The identification of the reason is vital to highlight the area which needs to be
improved. If the behaviour of the nurse is the problem then the training of the staff is the first
priority to deal with the patient in an appropriate way. The relation with the patient and
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doctor is very much important in the treatment and care. However, in the scenario, the lack of
good relationships in the major hurdle behind the sharing of information. Secondly, the
response of the patient needs to address. According to the scholars, to gain the trust of the
patient is a complex and most difficult task. The improvement can be done by creating a
friendly relationship with the patient (Jeffreys, 2015). In a particular scenario, trust is the
major reason behind the bad response of the patient. The nurse and the doctor should start
with a light discussion if the behaviour of the patient is not comfortable. In the scenario,
Erika is very much non-responsive because of the attitude of the doctor.
At last, the strict culture is the major hurdle behind the lack of communication. In the
scenario, the inappropriate response of the patient is an event and the patient get a discharge
without any medical advice due to lack of communication. The medical advice is very much
important for the treatment because it provides the guideline in case of the severe disease. In
a particular case, the patient leaves the hospital without giving any response to the staff. The
gap in communication in the prime factor and produce a clinical risk (Holland, 2017).
Conclusion
On the basis of the above discussion, it is concluded that the communication gap is the major
hurdle in the successful treatment of Erica because Erika is very much reluctant to share the
information about the disease. Moreover, the patient shows rude behaviour towards the
nursing staff as well. The patient feels great if the correspondence between the medicinal
services experts and the patient is proper. The past investigations demonstrate that nursing
division in legitimately connected with the consideration and treatment of the patient. Be that
as it may, the medical attendant made a move with the direction of the specialist. The great
correspondence between the medical caretakers and the patient builds up a solid culture in the
emergency clinic. The Erika in the situation repudiated with the pattern of agreeable
correspondence and unfit to impart data to the patient. In any case, the medical caretaker
guarantee that it is hard to get great treatment without passing on appropriately with the
social insurance experts. The connection between the social insurance staff and the patient is
particularly significant in the emergency clinic. In the situation, the Erika isn't happy with
the specialist and medical attendant and unfit to give legitimate data about health. The key
moves are significant in this setting to improve the correspondence level.
good relationships in the major hurdle behind the sharing of information. Secondly, the
response of the patient needs to address. According to the scholars, to gain the trust of the
patient is a complex and most difficult task. The improvement can be done by creating a
friendly relationship with the patient (Jeffreys, 2015). In a particular scenario, trust is the
major reason behind the bad response of the patient. The nurse and the doctor should start
with a light discussion if the behaviour of the patient is not comfortable. In the scenario,
Erika is very much non-responsive because of the attitude of the doctor.
At last, the strict culture is the major hurdle behind the lack of communication. In the
scenario, the inappropriate response of the patient is an event and the patient get a discharge
without any medical advice due to lack of communication. The medical advice is very much
important for the treatment because it provides the guideline in case of the severe disease. In
a particular case, the patient leaves the hospital without giving any response to the staff. The
gap in communication in the prime factor and produce a clinical risk (Holland, 2017).
Conclusion
On the basis of the above discussion, it is concluded that the communication gap is the major
hurdle in the successful treatment of Erica because Erika is very much reluctant to share the
information about the disease. Moreover, the patient shows rude behaviour towards the
nursing staff as well. The patient feels great if the correspondence between the medicinal
services experts and the patient is proper. The past investigations demonstrate that nursing
division in legitimately connected with the consideration and treatment of the patient. Be that
as it may, the medical attendant made a move with the direction of the specialist. The great
correspondence between the medical caretakers and the patient builds up a solid culture in the
emergency clinic. The Erika in the situation repudiated with the pattern of agreeable
correspondence and unfit to impart data to the patient. In any case, the medical caretaker
guarantee that it is hard to get great treatment without passing on appropriately with the
social insurance experts. The connection between the social insurance staff and the patient is
particularly significant in the emergency clinic. In the situation, the Erika isn't happy with
the specialist and medical attendant and unfit to give legitimate data about health. The key
moves are significant in this setting to improve the correspondence level.
REFERENCES
.
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management.
Elsevier Health Sciences.
Garneau, A. B., & Pepin, J. (2015). Cultural competence: A constructivist definition. Journal
of Transcultural Nursing, 26(1), 9-15.
Holland, K. (2017). Cultural awareness in nursing and health care: an introductory text.
Routledge.
Jeffreys, M. R. (2015). Teaching cultural competence in nursing and health care: Inquiry,
action, and innovation. Springer Publishing Company.
Kellett, P., & Fitton, C. (2017). Supporting transvisibility and gender diversity in nursing
practice and education: embracing cultural safety. Nursing inquiry, 24(1), e12146.
Pauly, B. B., McCall, J., Browne, A. J., Parker, J., & Mollison, A. (2015). Toward cultural
safety. Advances in Nursing Science, 38(2), 121-135.
Parisa, B., Reza, N., Afsaneh, R., & Sarieh, P. (2016). Cultural safety: An evolutionary
concept analysis. Holistic nursing practice, 30(1), 33-38.
.
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management.
Elsevier Health Sciences.
Garneau, A. B., & Pepin, J. (2015). Cultural competence: A constructivist definition. Journal
of Transcultural Nursing, 26(1), 9-15.
Holland, K. (2017). Cultural awareness in nursing and health care: an introductory text.
Routledge.
Jeffreys, M. R. (2015). Teaching cultural competence in nursing and health care: Inquiry,
action, and innovation. Springer Publishing Company.
Kellett, P., & Fitton, C. (2017). Supporting transvisibility and gender diversity in nursing
practice and education: embracing cultural safety. Nursing inquiry, 24(1), e12146.
Pauly, B. B., McCall, J., Browne, A. J., Parker, J., & Mollison, A. (2015). Toward cultural
safety. Advances in Nursing Science, 38(2), 121-135.
Parisa, B., Reza, N., Afsaneh, R., & Sarieh, P. (2016). Cultural safety: An evolutionary
concept analysis. Holistic nursing practice, 30(1), 33-38.
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