Ineffective Communication in Nursing

This report analyzes a scenario in the nursing industry where there is ineffective communication between a nurse and patient. It explores the concept of care and discusses strategies, skills, and approaches for achieving effective therapeutic communication. The report also reflects on emerging health literacy skills in relation to the case study.

Nursing

Contents
INTRODUCTION.......................................................................................................................................3
MAIN BODY..............................................................................................................................................3
Provide an analysis of the chosen scenario showing where there is ineffective communication
between the nurse and patient...............................................................................................................3
Explain the concept of care that is relevant to the chosen scenario and how it contributes to achieving
effective therapeutic communication......................................................................................................4
Explain the strategies, skills and approaches that best support therapeutic communication between
the nurse, patient and family in the chosen scenario for best patient outcomes...................................4
Reflect on your emerging health literacy skills relative to the case study...............................................5
CONCLUSION...........................................................................................................................................6
REFERENCES............................................................................................................................................7

INTRODUCTION
Proving services by the Aged care centre a nurse’s are considered as professional services
as well as it is considered that these nurses know how to handle each and every situation in
effective and successfully manner so that patient feel comfortable (Carl and et. al. 2020). The
respective report is based on a graduate registered nurse (GRN) at the aged care facility who gets
the responsibility of patient named Mrs. Pamela Jones who is 78 years old and are facing issues
related to confusion as well as disorientation in facilities. Mostly she is crying and visible upset,
when nurse visit to her and start assisting she feel frustrated as well as she also failing memory.
So nurse ask for the nurse who take care of respective patient today and she pushes out away.
The patient lady son arrive and asked with the nurse who is treating lady in evening that what
happen but at that time she didn’t know anything. The main aim of developing this report is to
understand situation and identify effectiveness of communication at healthcare sector.
MAIN BODY
Provide an analysis of the chosen scenario showing where there is ineffective communication
between the nurse and patient.
In every industry communication is necessary because through that one person can
understand others perspective properly as well as that will also ensuring that they are satisfied
and understanding each other. in respect of nursing industry it is essential for all nurses, doctor,
patient and their family to make effective communication so that they can understand situation
properly which help nurses as well as doctors in performing their duties effectively (Cho and et.
al. 2020). In respect of case study which is given is related to the graduate registered nurse
(GRN) and she is appointed to provide case to Mrs. Pamela Jones who is 78 years old and she is
experiencing issues that is related to disorientation as well as confusion in different specially in
determining beds. GRN is allotted for the evening and night shift and when she is performing
their duty to assess respective lady she started frustrated, so in order to understand case GRN
asked for the morning nurse so that they can treat patient accordingly and effectively. But at the
same time Mrs. Jones son came and ask GRN what happen, my mother didn’t look this much not
before and so on. Due to this situation GRN feel discomfort able as well as her confident get
decrease. So by respective case it is determined that there is ineffective communication among
the nurse and patient as Mrs. Jones son start putting questions without understanding whole

situation that why his mother feel sad due to this GRN also feel bad that patient son questioned
their talent, skills and abilities. So it is said that always conduct effective communication at
everyplace so that no one will fell.
Explain the concept of care that is relevant to the chosen scenario and how it contributes to
achieving effective therapeutic communication.
The concept of care consist of five epistemological perspective i.e. caring as a human
state, caring as an interpersonal relationship, caring as a moral imperative or idea and last is
caring as nursing intervention (Chulay and et. al. 2020). These all concept of care plays major
role in understanding scenario as well as developing strategies accordingly so that patient will
treated properly for the attainment of desire outcome of providing services. In respect of
respective case study which is based on situation of graduate registered nurse (GRN) who is
appointed to take care of Mrs. Pamela Jones who is 78 years old as well as she is facing health
issues related to confusion as well as disorientation in facilities specially in determining bed. The
GRN is appointed to take care at evening and night, when she is conducting its duty and
accessing Mrs. Jones she started feeling frustrated and sad. At that time GRN asked for the
morning shift nurse so that she can tell her detail about the whole day activities as well as
behaviour. But at the same time patient son came and ask questions to the GRN nurse Are you
the nurse?, What has happened? I have not seen her this upset before? Due to these questions
moral and confidence of GRN get impacted and their service quality gets affected (Verklan,
Walden and Forest, 2020). So in this respect caring as nursing intervention may be implemented.
This is so because through it patient family members get to know the rules, regulation and
policies which need to follow when a nurse or any medical professional is performing their job.
Explain the strategies, skills and approaches that best support therapeutic communication
between the nurse, patient and family in the chosen scenario for best patient outcomes.
In order to get better result it is essential for each and every person to conduct effective
communication so that every person able to understand situation, aspects and factors in effective
manner which leads to attainment of desire goal successfully (Huber and et. al. 2020). Moreover,
in respect of nursing or health care sector it is essential to develop effective communication
among the nurses, doctors. Patient and family as that will help in developing effective
environment which motivate doctors as well as patient effectively. In respect of respective case

in which patient Mrs. Pamela Jones son not talk to nurse in appropriate manner as he directly
asked to nurse Are you the nurse?, What has happened? I have not seen her this upset before?,
According to this son of patient is complaining about the facilities as well as services which is
provided by nurse (Huber and et. al. 2020). In order to avoid this types of situation there are
several strategies such as before appointing nurse aged care agencies need to conduct interaction
or interview with the family and patient so when they are ensure as well as comfortable with the
nurse knowledge and skill then only they are allow to treat patient. Moreover, it must be rule and
policy that patient family members will not talk to nurses badly while she is doing their duty in
any situation because they get distracted which impact on services. In addition to, it is essential
that nurses are provided to proper training so that they can handle each and every situation which
may relate to patient as well as patient’s family.
Reflect on your emerging health literacy skills relative to the case study.
Health literacy is considered as usage of different skills which enhance the abilities of
people so that they can act on information properly in order to live healthy and effective life.
These skills will include reading, writing, speaking, listening, critical analysis, numeracy,
interaction and many more (Mandal, Seethalakshmi and Rajendrababu, 2020). For a nurse who is
conducting its practices or duties in health and social care need to have these skills so that they
can perform their duties in effective manner. According to the case which is given is related to
the graduate registered nurse who is taking care of 78 years old lady named Mrs. Pamela Jones,
she is experiencing issues related to confusion and disorientation in facilities specially in finding
beds. The nurse is allotted to take case at evening and night so while she is performing per duty
Mrs. Jones get frustrated and feel sad so she asks for morning nurse but at the same time Patient
son came and ask GRN about the situation. According to me, I have specific health literacy skill
through which I can handle situation properly such as I will make their son understand that she is
feeling upset and frustrated so for consulting about the situation I have called morning nurse as
through that I can understand situation. I also have effective listening as well as interaction skills
which help me in make their son understand that I can handle situation properly just we need
time so that I can consult with morning nurse properly and further I can start conducting nursing
practices accordingly. this show that I have effective health literacy skills which help me in
conducting my work properly as well as that skills also help me in making other understand that
their patient is safe and treated properly.

CONCLUSION
Through the analysis of above discussed topics it can be summarized that for health care
sector it is essential that their professional must conduct effective communication to the patients
and their family. This is so because through it they can convey each and every situation as well
as issues through which patient is going as through that family members will also satisfy that
patient care is taking properly. In addition to this it also help them in determining that the nurse
who is assign to them for the patient is skilled, capable and knowledgeable that she or he can
handle situation properly. In addition to this it is also essential for the family members of patient
to understand view point and issues of nurses for which they need to conduct effective
communication or interaction with nurses so that they can make other understandable about the
situation properly and effectively.

REFERENCES
Books and Journals
Carl, J. & et. al. (2020). Physical Activity Promotion for Apprentices in Nursing Care and
Automotive Mechatronics–Competence Counts More than Volume. International
journal of environmental research and public health. 17(3). 793.
Cho, S. H. & et. al. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing
care, and nurse outcomes. International Journal of Nursing Practice. 26(1). e12803.
Chulay, M. & et. al. (2020). AACN Essentials of Critical Care Nursing Pocket Handbook (80).
STIKES PERINTIS PADANG.
Huber, E. & et. al. (2020). Patient‐related complexity of nursing care in acute care hospitals–an
updated concept. Scandinavian Journal of Caring Sciences.
Huber, E. & et. al. (2020). Validation of the instrument “Complexity of Nursing Care”—A
mixed‐methods study. Nursing open. 7(1). 212-224.
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a
deviation from holistic nursing: A systematic review. Nursing Philosophy. 21(1).
e12257.
Verklan, M. T., Walden, M., & Forest, S. (Eds.). (2020). Core curriculum for neonatal intensive
care nursing e-book. Elsevier Health Sciences.