Literacy and Communication in Healthcare

Running head: LITERACY AND COMMUNICATION IN HEALTHCARE
LITERACY AND COMMUNICATION IN HEALTH CARE
Name of the Student:
Name of the University:
Author note:

1LITERATURE AND COMMUNICATION IN HEALTH CARE
Introduction
As observed from scenario 2, a situation of conflict and miscommunication has occurred
between the nursing student and the Assistant in Nursing (AIN) after distress in the patient
during showering. The following essay will evaluate the same with the thesis statement:
Adequate adherence to nursing concepts, communication frameworks and nursing tools, such as
patent centered care, conflict management and resolution framework and nursing ISOBAR tool
will in the management of clinical conflict situations and result in healthy therapeutic
relationships between the nurse-patient as well as between two nurses of varying competencies.
The essay will identify the major nursing concepts, communication frameworks and nursing
tools, discuss on the ineffectiveness of the chosen communication scenario and outline on the
application of the chosen concepts.
Identification of the Concepts, Communication Framework and Nursing Tool
The clinical communication and literacy concepts chosen will comprise of patient
centered care, the conflict management and resolution framework and the nursing handover tool
of ISOBAR. The nursing concept of patient centered care implies the nursing practice of
encouraging the patient to participate directly in the deciding the care plan as per their disease
conditions and hence, necessitates the inclusion of the patients opinions, preferences, interest and
views by the nurse. Patient centered care is relevant to this scenario since the practice of
obtaining permission and understanding the opinions of the elderly patient for her self-cleaning
activities by the nursing student, would have prevented a conflict situation of patient agitation
(Garvey, Hurley & Kushner, 2016).. The communication of conflict management frameworks
necessitates the adherence to a ‘win-win’ situation where the nurse must ensure that both parties

2LITERATURE AND COMMUNICATION IN HEALTH CARE
are benefitted by the situation, by empathetic consideration of competency levels, learning styles,
emotional intelligence and the 5P’s of people, perceptions, policies, practices and persistence.
Hence, following a conflict management framework where the nursing student and the AIN
empathized, understood, patiently engaged in interpersonal communication and engaged
collaborative to fulfill the needs of the patient would have resulted in positive outcomes of both
the patient as well as the nurse feeling satisfied with the care provided (Foster et al. 2015). The
nursing handover tool of ISOBAR, implies nursing incorporation of concepts of identifying
oneself and the patient characteristics, the present clinical situation, the background details
relevant for consideration, assessment of the situation and future recommendations. Its relevance
lies in its ability to allow the nurse to undertake effective clinical decisions, and hence, its usage
could have allowed the nursing student to understand the patient needs and perform her shower
accordingly (Beament et al., 2018).
The suitability of patient centered care lies in its ability to allow nurses to perform
nursing care plan practices as per the personal opinions and needs of the patient. However, it
often hinders the autonomy of nurses to perform evidence based practice which often goes
against the interests of the patient (Brédart et al., 2018). A conflict management framework is
beneficial since it helps in effectively resolving adverse situations by ensuring that every patient
and professional is benefitted equality. However, lack of interpersonal understanding may hinder
conflict resolution as can be seen in the AIN believing students to be incompetent (McKibben,
2017). The ISOBAR tool aids in nursing practice as per the patient clinical condition but requires
significant expertise and time to master my newly transitioned nurses or students (Bakon et al.,
2017).