Report: Applying Communication Skills in Nursing Practice, Insights

This report delves into the application of communication skills within nursing practice, examining essential principles and resources for effective communication, self-awareness in interactions with family members, and the open disclosure process. It explores ethical and regulatory responsibilities concerning online services and social media use, alongside organizational support mechanisms for employees. The report also identifies crucial signs in assisting in communication recognition, factors that inhibit communication, and strategies for addressing challenging situations. It outlines basic principles of conflict resolution, documentation and reporting of communication strategies, and resources available to enrolled nurses. Furthermore, it justifies why emailing results to a specific individual is inappropriate, identifies appropriate members of case management teams, defines strategies for managing group dynamics during meetings, and clarifies principles, processes, and practices of open disclosure in relation to incidents. Finally, the report describes the benefits of debriefing sessions and strategies for providing feedback to colleagues, supported by relevant references.

APPLY COMMUNICATION SKILLS IN NURSING PRACTICE
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Table of Contents
1 Principles and resources required for effective communication
................................................................................................... 3
2 3 areas of self awareness that affect communication with
family members.......................................................................... 3
3 Open disclosure process used in the case..............................3
4 Ethical and regulatory responsibilities while using online
service and social media............................................................4
5 Processes by which an organization support employees
engaging in social media............................................................4
6 Three signs in assisting in recognition communication............4
7 4 factors to inhibit communication..........................................5
8 Strategies and resources to address situation.........................5
9 Basic principles of conflict resolution.......................................5
10 Documentation and reporting of communication strategies. .6
11 . Resources that enrolled nurse can utilize to assist people...6
12 . Justification why it is not appropriate for Nurse to email
result to Sonia. ..........................................................................6
13 . Identify who are appropriate member of this case
management teams...................................................................7
14 . Define two strategies that enrolled nurse can manage
group dynamics during meeting.................................................7
15 . Define the principle, processes and practice of open
disclosure in relation to incident.................................................8
16 . Debriefing session...............................................................9
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17. Define the strategies the enrolled nurse use to give
feedback to their colleague........................................................9
REFERENCES...............................................................................11
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1Principles and resources required for effective communication
Communication plays an important role as it helps in
improving relation with family members and workers in an
organization (Moore and et.al., 2018). As per the case study of
Julia, it can be said that there is the main resource and process
which can help in effective communication is personal beliefs and
family background. Both helps in creating the future and
removing miscommunication problems.
2 3 areas of self awareness that affect communication with family
members
Self awareness is the main key of increasing effective
communication skills within self and making effective
communication with family members. Julia who has very little
contact with her parents in the last 6 months is the main problem
as there is a requirement to focus on 3 areas of self awareness
such as: emotional that can help in identifying the reason like
anger, fear and others are values and habits (Lomborg and
Frandsen, 2016).
3 Open disclosure process used in the case
Open disclosure is a process that ensure that open, honest
and timely discussion occur between patients and health care
staff as in this case, Gail who gave clinical handover for Julie by
saying that it is a doozy with lots of trouble and after that posting
it on social media that finally shift is over. This shows the way of
disclosure and the way is apology type.
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4 Ethical and regulatory responsibilities while using online service
and social media
Nowadays people post everything on social media without
thinking about this that it can impact on their professionalism and
relationship with others. In the case of Gail, it is stated that he
posted about his shift and disclose all things related to family
issue of Julia. So, it is important to think about ethics and having
responsibility to have knowledge about that twitting on social
media have an effective reflection on hospital image and
healthcare organization (Lundgren and McMakin, 2018).
5 Processes by which an organization support employees
engaging in social media
There are several ways by which an organisation engage
their employees in social media and improve communication.
Training is one of the important way by which manager can
increase skill of employees about social media policies. They can
manage employees performance via social media as well. Using
the best platform in social media and encourage employees to
interact and share their needs and queries and solve them.
6Three signs in assisting in recognition communication
In the case of Julia, it is stated that her partner Jason does
not want that Julia communicate and talk with he parents and
there are several factors and signs which shows that relationship
between Jason and Bob is deteriorating because of aggression
and raised voice. Aggression is the main problem between both.
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74 factors to inhibit communication
There are several factors that are hindering communication
between Bob and Jason and daughter of Bob, Julia. 1st factor is
willingness of communication or barrier as Jason has stopped
communicating with Bob. 2nd factor is a distance gap by which
Julia and Jason did not talk with Julia's parents for long term
(Hussain and et.al., 2019). Next is medical diagnosis and the
problem from which Julia in suffering. It makes Jason feel that
Julia's parents do not care any more. Other one may be lack of
education and aggression.
8Strategies and resources to address situation
It is stated that Julia is admitted to a health care facility for
the diagnosis of terminal ovarian cancer. It is also stated that she
is suffering other family problems as her partner does not allow
her to talk to her parents (Arnold, 2019). In this case it can be
suggested that this case should be referred to her sister Sonia
who is a health care workers. Ward nurse educator and referring
can help Julia in treating her with mentally and physically.
9Basic principles of conflict resolution
Conflicts can occur due to several reasons but there are
several basic principles by which any type of conflict can be
resolved. Quiet area or making an area of quiet and by making it
compulsory this situation can be solved out. By increasing skill
and ability to hear others queries as what other one want to say
can become an effective way of solving conflicts.
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10Documentation and reporting of communication strategies
Nurse are not only responsible for providing healthcare
services to patients but also for documenting and reporting
communication strategies used for improving health of patients
and their family members (Arnold and Boggs, 2019). For
documentation they report to the registration number, RN and
NUM. They record in patient's notes as they have written proof of
this as well.
11. Resources that enrolled nurse can utilize to assist people
It is stated that Shirley who is a mother of Julia is depressed
and upset due to Julia's critical condition and her family problem
as well. In this context, enrolled nurse can assist Shirley by
making her feel that Julia will be alright and listening to her and
her worries. By talking with cancer council and telling all the
details of Julia, enrolled council can make sure that Julia will be
cured and assist Shirley.
12. Justification why it is not appropriate for Nurse to email result
to Sonia.
 Conflict of interest- It is a situation in which an individual has
competing interest or loyalties.
 Breach of polices- To mail the results to Sonia who is sister of
Julia will be inappropriate and this can be considered as
breach of policies (Clark, Polivka and Sanders, 2019). It is the
policy of each entity to maintain the level of confidentiality.
Therefore, this is not appropriate to email the result.
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13. Identify who are appropriate member of this case
management teams.
The appropriate number of team will be as management
team, Nursing staff palliative care team and specialist. Roles and
responsibilities contributing to team defined as-:
 Nursing staff- The nursing staff need to inclusive in this
team meeting as they have diagnosed the whole scenario.
They can aid to contribute as identifying the reason of cause.
 Palliative care team- This is team that considered as team
of healthcare professionals with wide range of skills that aids
to manage the life limiting illness. Palliative care team
performs together to meet out the physical, psychological,
social and cultural needs that assist to family and carers
(Canale, Triantos and Rees, 2019).
 Specialist- It is considered as group of experts. This is
termed out as group of interdependent team members that
has high level of task in relation to expertise and mastering
in team processes.
14. Define two strategies that enrolled nurse can manage group
dynamics during meeting.
Conflict management strategies needs to learned and
monitored. Therefore, group dynamics needs to managed that
aids to manage interpersonal conflict. Henceforth, these as are-:
 Create a team charter- Team and individual team
members needs to put their core focus on to thrive. By
creating team charter and defining roles can enable to
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motivate team members to address their responsibilities and
work together and more effectively.
 Enhance team culture- By use of building exercise to
motivate stronger relation between individual team
members. Hence, there is need to create a workplace that
highly support employee well being, success and enthusiasm
for work. In order to cope op with the issues this is crucial to
build respect and trust among team members.
15. Define the principle, processes and practice of open disclosure
in relation to incident.
Principle of reporting of incident- This needs to in writing and
must be involve of accidents with patients such as patients falls
etc. Thus, following things must be covered within incident
reporting as are-:
Circumstances of incident-:
 Date, time and location of fall.
 Witnesses, staff members and residents accounts of the
incidents.
 Intervention taken immediately after incidents,
 Medical issues linked with incident. Corrective action taken to reduce the likelihood of incident in
future.
Processes-:
Open disclosure is mainly for the open discussion that results
in harm to patients at time or receiving health care with patient,
family and other support person.
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Principles-:
The consumer, carers, patients and their family must be
provided with information about what happened in timely, honest
and open manner ( Taylor, 2019). Therefore, open disclosure
process is fluid and will be involving if provision of ongoing
information.
16. Debriefing session
a. Describe the benefits of holding a debriefing session for staff.
Debriefing allows staff to develop ways that aids to enhance
communication and this also facilitate team working within the
crisis ( Taylor, 2019). It provide a chance for healthcare workers
to talk about the feelings and work with help of emotion.
b. Outline what could be covered in briefing session.
The following things needs to be covered as are-:
 Statement of issue or problem in one or two lines.
 The purpose of briefing.
 In the main body- the information on background, current
situation and options avail to move forward.
 The information must be given that needs to be inclusive of
the concise, factual clear and unbiased information.
17. Define the strategies the enrolled nurse use to give feedback
to their colleague.
 Feedback needs to be timely delivered and this must be
inclusive of the all the essential information.
 To make sure that team understands that feedback is a
share leadership responsibility.
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 To have proper schedule about routine check in meetings.
 To keep the tone positive by encouraging the team members
to appreciate about the other contributions.
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REFERENCES
Books and journals
Arnold, E.C. and Boggs, K.U., 2019. Interpersonal Relationships E-
Book: Professional Communication Skills for Nurses. Elsevier
Health Sciences.
Arnold, E.C., 2019. Communication Strategies for Health
Promotion and Disease Prevention. Interpersonal
Relationships E-Book: Professional Communication Skills for
Nurses, p.262.
Hussain, A. and et.al., 2019. What Factors Affect Patient
Satisfaction in Public Sector Hospitals: Evidence from an
Emerging Economy. International journal of environmental
research and public health. 16(6). p.994.
Lomborg, S. and Frandsen, K., 2016. Self-tracking as
communication. Information, Communication & Society.
19(7). pp.1015-1027.
Lundgren, R.E. and McMakin, A.H., 2018. Risk communication: A
handbook for communicating environmental, safety, and
health risks. John Wiley & Sons.
Moore, P.M. and et.al., 2018. Communication skills training for
healthcare professionals working with people who have
cancer. Cochrane Database of Systematic Reviews. (7).
Clark, P.R., Polivka, B. and Sanders, R., 2019. Pediatric emergency
department staff preferences for a critical incident stress
debriefing. Journal of emergency nursing. 45(4). pp.403-
410.
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Canale, E., Triantos, L. and Rees, C., 2019. The Effect of Critical
Incident Debriefing in the Emergency Department.
Taylor, C., 2019. O3 Nominal group debriefing–a new tool to
ensure full group involvement with enhanced reflective
learning and record keeping of debrief discussions.
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