Nursing Report: Impact of Communication and Teamwork in Nursing

This report analyzes a nursing scenario focusing on effective and ineffective communication and teamwork. It examines how communication, including the use of ISBAR, impacts patient care, staff satisfaction, and organizational outcomes. The report highlights examples of effective communication, ...Read More

Running Head: Nursing
NURSING

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Table of Contents
Q1. Examples of effective, ineffective and teamwork...............................................................3
Q2. Effect on the patient:...........................................................................................................3

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Q1. Examples of effective, ineffective and teamwork
1. Proper and effective communication with the patient has been seen when Rosie and
Julia communicated with the patient Alfie. The team was keeping him informed by providing
explanation of the treatment and communicated with Alfie throughout the scenario.
2. The whole MET team has displayed good teamwork by providing information
about deterioration and the changes in Alfie’s vital signs. The team professionals make verbal
and non-verbal communication.
3. The handover process of Alfie from Julia to the team of MET was sufficient. This
is because she followed appropriate actions of ISBAR.
4. The MET doctor was talking with each other and she constantly spoke to the nurse
team while they were distracted with other tasks.
Q2. Effect on the patient:
Therapeutic relationship can be established in a healthcare set up through proper
communication (Baughan & Smith, 2013). The team members in this scenario have
maintained effective communication with the patient. This may help in the motivation and the
positive mental aspect development of the patient. Furthermore, effective communication can
increase Alfie’s perception regarding quality of care provided. Hence, build up of a
relationship of trust can be seen between the patient and different healthcare professional
(Meuter et al. 2015).
On the other hand, Manias et al. (2015) stated that clinical handover can be defined as
transferring of responsibility and accountability of essential clinical information from one
professional of health to another. Julia has provided ISBAR structure handover to the MET

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team. Effective and clear communication during clinical handover could assist the health care
professionals in providing the appropriate care and avoid the delay of care delivery to the
patient (Manias et al. 2015).
The process of handover occurred at the bedside of the patient that can enhance the
treatment process (Malfait, Eeckloo, Van Biesen & Van Hecke, 2019). In this case, treatment
consists of effective communication with Alfie through passing information like allergies.
However, ineffective communication can impact on patient safety (Manias et al. 2015).
On another hand, ineffective communication can be a vital factor that can lead to an
unproductive condition, which is detrimental to patient health recovery (Manojlovich, 2010).
Interruptions in communication can be a disturbing factor, which may results in occurrence of
errors during nursing practice (Monteiro et al. 2015). Hence, interruptions can directly affect
the concentration of nurse and delay the delivery of intervention that can put the patient at
risk of increasing complications ( Monteiro, Avelar &Pedreira, 2015). The quality and the
complexities of the working environment may impact in the quality of care delivery
(Manojlovich, 2010).
Furthermore, Al Sayah, Szafran, Robertson, Bell & Williams (2014) stated that
effective teamwork is an important component for providing high-quality health care.
Leadership skills are the key aspect of effective nursing teamwork, which allows the MET
doctor to oversee the situation (Clements et al. 2015). On the other hand, ineffective
teamwork may affect patient care to a greater extent by delaying the process of care delivery
(Germain & Cummings, 2010).
Effect on the staff:
Effective communication helps health care professionals including nurses and doctors
to gather information about the mental and physical condition of the patient (Epstein et al.

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2017). This aspect can be considered as the factor that helps in serving the best quality
medical care to the patient as per their different kinds of needs. In addition, it can be said that,
the process of shared-decision making helps interdisciplinary team of nurses to overcome
barriers to provide best-quality medical care. This aspect may result in greater job satisfaction
in nursing staff (Baughan & Smith, 2013). It can be seen that healthcare staff may experience
lower level of job satisfaction due to this reason (Macnamara & Camit, 2017). The health
care providers with poor job satisfaction may feel different situations including less
motivated, burn-out and exhausted (Nicotera, Mahon & Wright, 2014). On the other hand, it
can be stated that interruptions are examples of ineffective communication that may affect
skills of time management and teamwork in nursing staff (Thomson et al. 2015). Interruption
has great negative impact on concentration of nurses and this fact may result in poor clinical
performance.
The effective communication at handover can help to improve clinical performance as
well as the accuracy of teamwork. The NIC Julia has used consistent format ISBAR to give
handover, which further has helped the treatment team to deliver accurate care to the patient.
This aspect helps the MET team to be more prepared and confident about providing care to
patients. On contrary, it can be stated that the ineffectiveness of clinical handover can
influence staff to spend extensive periods in retrieving authentic and relevant information
(Manias et al. 2015). This fact is directly associated with incorrect clinical evaluation, delays
in the process of diagnosis and treatment (Kelly & Marthaler, 2011). Thus, poor clinical
handover without proper communication can increase the stress level of staff because they
might feel unprepared (Kelly & Marthaler, 2011).
The MET doctor must have knowledge in clinical tasks and leadership skills.
Effective leadership skills are potent enough to influence team members to work

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collaboratively with each other and increase the group cohesion to achieve a better outcome
in delivering care (Al Sayah et al. 2014). On the other hand, effective teamwork helps to
enhance the level of staff retention and this fact enables the range of nursing skills (Polis et
al. 2017). However, lack of leadership skills can lead to miscommunication between staffs
and affecting their job performance and standard of care delivery (Josephsen et al. 2014).
Effect on organization:
Effective communication and teamwork are two major components to establish a
healthy work environment for ensuring organizational success. Effective communication
skills and teamwork in the healthcare setting can help to create a safe and healthy work
environment to staffs (Polis et al. 2017). This healthy work environment may increase the
level of staff retention and it can promote work efficiency. Lack of communication at
handover may result in longer hospital stay and waste of resources. This can lead to the
economic burden of the company due to loss in generating profit (Peach, 2014). As a result, it
can be found that the quality of service of hospital may fall and it can cause dissatisfaction in
patients. Workers of the healthcare organization become unproductive to work and less likely
to share opinions and concerns to others. This negative environment may cause staff turnover
and they may seek employment in other health organizations (Vermeir et al. 2015). The
organization is unable to retain the experienced staff that can further decrease the service
quality and may also increase costs to recruit new staff (Peach, 2014). Therefore; proper
communication and efficient teamwork can help to maintain a safe hospital environment that
can ensure good quality patient care.