HLTH103: Critical Analysis of Nursing Communication Videos

This report presents a critical analysis of two video role plays depicting health professional communication with patients. The assignment, part of a nursing course (HLTH103), requires a detailed reflection on the communication skills demonstrated, linking observations to relevant communication theory. The report examines elements such as achievement of mutual understanding, application of patient-centered approaches, levels of care and genuineness, interpretation of body language, and assessment of conversation quality. Potential barriers to effective communication are identified, along with personal recommendations for improvement and future plans for the registered nurse. Each video analysis includes learning outcomes and is supported by extensive research and references. The report emphasizes the importance of effective communication in healthcare and its impact on patient outcomes and professional morale. The student analyzes each video, providing insights into the effectiveness of the communication strategies used, and suggests improvements for future practice. The report highlights the importance of empathy, cultural sensitivity, and clear communication for better patient outcomes.

Running head: NURSING ASSIGNMENT 1
Nursing assignment
Student name:
Student ID:
Author’s note

Table of Contents
Introduction......................................................................................................................................2
Outpatient unit juvenile clinic, Video 4...........................................................................................2
a) Achievement of mutual understanding....................................................................................2
b) Application of patient centred approach.................................................................................2
c) Level of care and genuineness.................................................................................................3
d) Interpretation of body language..............................................................................................3
e) Assessing quality of conversation...........................................................................................4
f) Potential barrier........................................................................................................................4
g) Personal recommendation.......................................................................................................4
h) Future plan...............................................................................................................................4
i) Learning outcome.....................................................................................................................4
Discharge planning suicide Attempt, Video 3.................................................................................5
a) Achievement of mutual understanding....................................................................................5
b) Application of patient centred approach.................................................................................5
c) Level of care and genuineness.................................................................................................5
d) Interpretation of body language..............................................................................................6
e) Assessing quality of conversation...........................................................................................6
f) Potential barrier........................................................................................................................6
g) Personal recommendation.......................................................................................................6

h) Future plan...............................................................................................................................7
i) Learning outcome.....................................................................................................................7
Conclusion.......................................................................................................................................7
Reference.........................................................................................................................................8

Introduction
The importance of communication within the domain of healthcare cannot be stressed enough.
The study therefore underlines the importance of patient centred communication and the things
should be reflected and patient can be involved for better health decisions are highlighted
Outpatient unit juvenile clinic, Video 4
a) Achievement of mutual understanding
Yes. I feel that the health therapist was successful in achieving a mutual understanding with the
patient. The example of the same can be cited through the incident where she asks Lucas,
whether she would like to visit a dietician. While it becomes insignificant to ask the question of
dietician., the therapist makes sure that Lucas has the authority to exercise control empowering
himself. As stated by Sherr et al. (2016), diet among diabetics is important. Thus, Lucas needs to
maintain balanced diet
b) Application of patient centred approach
I personally feel that patient centred approach is well embraced in the mentioned context. She
provides Lucas with options for insulin injection while he is at school. It is for the same reason
the health therapist asks him whether he would be able to join the sick room while she has a
word with the school management maintaining his right to privacy while administrating the
insulin injection

c) Level of care and genuineness
Yes, the healthcare therapist demonstrates high level of genuineness while discussing the health
condition of Lucas. It is evident that Lucas is scared of needles, it is the needle that makes him
reluctant to opt for insulin injections. The therapist asks him the reason of his fear was the pain
inflicted due to the needles. The healthcare therapist does understand the issue as a phobia and
recommends help from the psychologist. Thus, it becomes evident she is seen to exhibit high
level of empathy and recommends the pump so that Lucas does not face the needles (Szypowska
et al. 2016)
The health therapist additionally understands the fact that facing the phobia of needles may
trigger trauma for Lucas. She clearly understands the problem and additionally recommends
better option for him. Rather than facing his fears of needles that can trigger his mental trauma,
the therapist offers him the proposal to join a diabetic club for kids. As pointed out by Bauchat,
Seropian, and Jeffries (2016), empathy can be termed as an ability to ensure more accurate
diagnosis for the patient with option for caring treatment. It becomes important to understand the
fact that Lucas is subjected to strict diet while his friends are free to eat whatever they want to;
this works on creating an adverse impact on his mental health and must be addressed with
enough compassion at all levels.
d) Interpretation of body language
The body language was highly congruent as Lucas was initially conserved and did not exhibit
any interest, coupled with complete lack of emotions. Initially his answers were just of one
words “May be”. However, through the course of session he opened up more and provided his
perception with descriptive answers

e) Assessing quality of conversation
I feel all the qualities are rightly exhibited. I feel paraphrasing the patient’s comment is not the
ultimate solution for patient centred therapy. It should be noted that reflecting the underlying
thoughts of patient and even the deep set fears (Flickinger et al. 2016)
f) Potential barrier
I perceive that Lucas’s mother after some point of time acted as a barrier. The reason I say so can
be explained through the concept of patient centred therapy where the patient should be the sole
decision maker. Initially Lucas was reluctant about the Camp with diabetic kids. Nevertheless,
Lucas is still underage and being his sole guardian his mother has the right to interfere (Carrier,
Spradlin, Bunce & Rosen, 2015)
g) Personal recommendation
I guess children learn more from the people of same age. I would bring together kids suffering
from diabetes. This can make Lucas comfortable and he can work on presenting his issues in a
better way of convincing the treatment he needs as per his time schedule and lifestyle (Amutio-
Kareaga et al. 2017)
h) Future plan
As a future registered nurse I plan to design care as per the demands of the patient. The change in
demographics of the patient often demands cultural sensitivity and even change in the aspect of
care that can be changed
i) Learning outcome
I learnt that it is important to be clear in terms of speech. In addition to that, it is equally
important to understand the fact it is important to use simple terms so that the patient can
understand what I want to convey (Bas-Sarmiento et al. 2017)

Discharge planning suicide Attempt, Video 3
a) Achievement of mutual understanding
I feel that the health practitioner did achieve mutual understanding in the course of time. The
reason why I say so can be highly reflected to the fact that Lisa (patient) understands that what
she did was wrong. As stated by Hogan and Grumet (2016), suicide patients are often seen to
suffer from cognitive dissonance and it is for the same reason they often fail to differentiate
between the right and wrong. In the mentioned case, it becomes easy to understand that Lisa
reflects the importance of her actions and thus work on understanding her areas of improvement.
She additionally felt that talking about her mother; once made her feel emotionally ripped.
However, now she feels a lot comfortable after sharing her feelings with the therapist. Thus, it
can be stated that the therapist obtained a mutual understanding
b) Application of patient centred approach
Yes, it was a patient centred approach as the therapist asked Lisa whether she could like to share
information about her mother. As pointed out by Rihmer, Dome, O'Connor & Pirkis (2016),
sharing of delicate information is often inhibited in case of the suicide patient due to lack of trust
on others.
c) Level of care and genuineness
Yes, I do see a high level of empathy in the mentioned case. When Lisa shares about her
mother’s death the therapist responds with care and empathy stating Lisa’s mother death is an
awful incident. This statement restates the empathy for Lisa. The therapist additionally points out
towards the fact that everyone has a different way to grieve on things and it takes time to recover
from the grief of losing a dear one (Schaffer et al. 2016). Thus, it becomes important to
understand the fact that the therapist respects Lisa’s emotions and the way she remembers her

mother. In addition to that Lisa has been unemployed for a long time that makes her unable to
make payments for the therapy sessions. However, the therapist promises to help Lisa to find
scope of employment for better life
d) Interpretation of body language
At first Lisa was highly apprehensive at first. Most of her answers were in bits and pause making
it clear that she is still in confusion. However, gradual progression through the session made her
quite confident about life. She realised that she needs to get her life back on track for better
things in life.
e) Assessing quality of conversation
I guess the session could have done better in using close ended questions. The close ended
questions give a moment for Lisa to think and reflect on her own actions. As stated by Haglund
et al. (2019), patients suffering from thoughts of suicide and even depression find it difficult to
express themselves if subjected to present their own point of view. The range of conflicting
emotions makes it increasing difficult for the patient to present their thoughts in a clear way.
f) Potential barrier
The only barrier in the mentioned scenario is the physiological barrier. Lisa was not really sure
how she should respond to the questions put forward by the therapist. It is for the same reason;
Lisa was eager to known when she can leave for her home. It was probably due to the pre-
disposed mental perception of Lisa that no one would understand the way she grieves for her
dead mother.
g) Personal recommendation
The fact that we all grieve differently is not something new (O'Connor and Pirkis, 2016). In
mentioned case, I plan to have a clear discussion with Lisa’s existing family members and how

they can respond to the changing scenario. In similar regards, it becomes important to understand
the fact that the family plays an important role. I feel that suicide is often an outcome of
depressive thoughts and family members should come in support of helping the affected
individual (Obegi, 2017)
h) Future plan
The culture in Lisa’s residence in male centric. I would offer her the advice to talk with her
brothers and father for making things better. I do understand the fact that male and female
perceive things differently and it is through the use of empathetic culture things need to be in
better form for Lisa (Kuhn & Flanagan, 2017)
i) Learning outcome
I think for people struggling with mental health issues, it is important to let them communicate.
The communication need not be one sided, the therapist should work on asking thought
provoking questions that can help the patient to understand the areas of problem without
overpowering the patient (Miller et al. 2017)
Conclusion
Based on the study I did realise the fact that patient centred care is not for improved health
outcome. The mentioned intervention can additionally help the professionals to achieve higher
rates of morale and even reduction in overall cost associated with care

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