Literacies and Communication for Healthcare: Case Study Analysis

This essay delves into the critical aspects of communication within the healthcare setting, specifically focusing on nursing. The essay explores key concepts such as nursing governance and communication frameworks, including assertive communication. A model case study involving a first-year nursing student is used to analyze these concepts, alongside the application of communication tools such as SBAR (Situation, Background, Assessment, Recommendation). The analysis emphasizes the importance of effective communication for positive patient outcomes and the ethical considerations involved in nurse-patient and nurse-nurse interactions. The essay highlights the significance of assertive communication and shared governance to foster a supportive and collaborative environment, and it underscores the need for healthcare professionals to identify and address communication challenges to ensure quality patient care. References to key literature in the field are provided to support the arguments presented.

Running head: LITERACIES AND COMMUNICATION FOR HEALTHCARE 1
Literacies and communication for healthcare
Student’s Name
Lecture’s Name
Institutional Affiliation
Date

LITERACIES AND COMMUNICATION FOR HEALTHCARE 2
Communication for healthcare
This essay will examine the concepts, communication tool and framework of conversation within
the nursing health care. A model case study that involved a first-year nurse student will be used
in the analysis of the various concepts, communication framework and a communication tool. A
concept can be defined as an understanding preserved in the mind from an experiences and
imaginations according to (Townsend & Morgan 2017). Riley (2015) proposed that a concept or
notion is a building block of a particular theory. Nursing governance concept will be used to
analyze the model scenario two. The concepts empower all the employees within the nursing
workforce to take part in decision making without any discrimination. Thus, providing them with
a sense of belonging in the management. Communication framework involves identification and
categorization of steps to render implicit and explicit conditions of a patient. The paper will also
analyze the application of the assertive communication to resolve the communication to outline
other key roles of the nurse and nurse trainee. Later, discuss the appropriate tool applicable for
the effective communication to the selected case model two.
The nursing governance concept was selected for the scenario 2 since it’s very vital in
roles played by nurse practioners. Nursing governance concept create equality to all employees
towards the success of an organization. Flicek, (2012), reported that during attachments, nurse
student will mainly interact with experienced nurses hence using the nursing governance concept
adheres to nursing code of conducts. Assertive communication framework according to (Yoo
&Park,2015) express both positive and negative feelings in a holistic, open and direct way. That
means in scenario 2, the communication framework allows the student nurse to respect rights of
the nurse in charge and to recognize his or her rights. The assertive communication therefore,
creates room for student nurse and the nurse to creatively confront and get a mutual satisfying

LITERACIES AND COMMUNICATION FOR HEALTHCARE 3
solution to a problem. SBAR according to (Bach & Grant 2015) is one of the best
communication tool for the second scenario. The tool is utilitarian for authorization of the
authority transfer from the nurse to the trainee. The nurse was required to offer a description,
diagnosis, status assessment of the client and an endorsement on how the student was supports to
handle the patient. The tool would equip the student with skills and the mistake done would not
have occurred.
The nurse addressed the student colleague in a very inappropriate, unethical and
unprofessional manner. The communication between the two nurses was there not effective.
Adhering to the nursing code of ethics that demands respect for colleagues is quite important in
developing a good communication and working environment. In order to achieve health care
goals good communication is really essential. The nursing governance concept is often
associated with poor cooperation and ineffective communication in a health care setting. It
causes devastation to some health care providers if not well utilized. The shared governance
affects interpersonal communication especially where direct communication among health care
givers is a prerequisite. For the nursing governance to be effective, accountability and
responsibility are key. The needs and the comfort of the patient should be given the first priority
for any effective communication to take place (Kear et al 2012). Accountability helps people to
reflect and review their action in order to determine the future decisions and be responsible of
their own actions.
In scenario 2 the nurse is aggressive to the student hence distorting the communication of
the idea intended to be driven home. Aggressive people will only pursue their desires without
caring the distress they cause others in the process. The aggression of the nurse hurt the student
nurse and upset the patient who was being attended. The communication would be really good if

LITERACIES AND COMMUNICATION FOR HEALTHCARE 4
the nurse used the assertive skills in the right manner. Assertiveness respects and recognizes the
rights of other people.it also helps one to build up some creativity of seek a solution to a
problem. She was supposed to express her/his feelings and ideas without demeaning the ability
the student nurse. Instead, the nurse was hash and rude consequently hurting the colleague.
He/she arrogant and thinks the student is too incompetent to dress a simple wound.
Communication difficulties are acknowledged when the set objectives are not achieved or
in cases where employee handover is extremely high. According to (Well et al 2012)
communication among the nursing workforce may tremendously impact patient’s results.
Healthcare practitioners should be at the fore front to scrutinize and establish communication
difficulties. Then attempt to implement proper ways in resolving them in their line of duties.
Nursing governance concept can be applied in model two case study to create a corroborative
link between the first-year nurse student and the mentor in order to eliminate any existing
communication obstacles. Hence improving the treatment skills of the student. With respect to
(Xie et al 2013) a good relationship among the nurses improves service satisfaction.
Assertiveness is a weighty quality for the nurse practitioners to consummate the needs of their
clients. Therefore, effective communication and aggressiveness between the trainee and the
mentor creates a stable trust among them thus allowing them, to make wise decisions. That
means the nurse on duty is expected to own decent understanding, proper communication and
attitudes towards the first-year student nurse. If the nurse is able to implement assertive
framework, then the trainee will have assertive in her work to offer a competent service. The
assertive framework also allows the co-investigators to seek the extent of skills acquired by the
trainee through the healthcare programs. In case of any insufficient then the trainers can employ
the right measures to equip the student.

LITERACIES AND COMMUNICATION FOR HEALTHCARE 5
One of the strategies with respect (Cornell et al 2013) used to communicate during
handovers is the ISBAR technique. The technique ensures everyone involved with the patient
must understand the procedures during the administering of the treatment to that particular client.
The adoption of ISBAR communication tool according to (Aebersold et al 2013) helps to
enhance nursing communications. Though the technique requires appropriate application.
Identifying the situation, background, assessment providing proper recommendation contributes
greatly to proper communication skills. Thus, allowing the nurse practitioners to offer a
substantial communication in a satisfied manner. The communication tool could be assimilated
to the second scenario to boost the communication skills of the nurse trainee and the mentor.
ISBAR tool exploit the standard language to pass a complete critical message. The tool takes
care of common jargons which could lead to misappropriate interpretation of any contradicting
instructions. Hence the nurse in charge could have introduced the student through the ISBAR
communication tool. If the nurse applied the ISBAR tool appropriately, the mess from the
student could never occur.
The paper discus a scenario where a nursing student in first year is mishandle by the
nurse works with. He is harassed in the presence of a patient he is attending to. Later, he seeks
for a way to settle down the matter with the nurse he who victimized him. The essay examined
the concepts, the framework and the tool of conversation within the nursing health care. Nursing
governance concept, assertive communication framework and the SBAR tool are utilized to
facilitate good communication within healthcare service settings. Governance concept emphasize
the need for accountability while assertive communication is used to demonstrate a suitable way
of approaching matters within nursing health care. SBAR was a tool used to help the nurses

LITERACIES AND COMMUNICATION FOR HEALTHCARE 6
changing shift to communicate the condition of the patient easily. The issues discussed are
important for any nursing student to help them deal with different situations of their career
References
Flicek, C. L. (2012). Communication: A dynamic between nurses and physicians. Medsurg
Nursing, 21(6), 385.
Kear, M., Duncan, P., Fansler, J., & Hunt, K. (2012). Nursing shared governance: Leading a
journey of excellence. Journal of Nursing Administration, 42(6), 315-317.
Well, E., First, F., Dignity, P., it Out, W., & Training, C. B. (2012). How nurse leaders can foster
a climate of good governance. Nursing Management, 19(5).
Aebersold, M., Tschannen, D., & Sculli, G. (2013). Improving nursing students’ communication
skills using crew resource management strategies. Journal of Nursing Education, 52(3),
125-130.
Cornell, P., Gervis, M. T., Yates, L., & Vardaman, J. M. (2013). Improving shift report focus and
consistency with the situation, background, assessment, recommendation protocol.
Journal of Nursing Administration, 43(7/8), 422-428.
Xie, J., Ding, S., Wang, C., & Liu, A. (2013). An evaluation of nursing students' communication
ability during practical clinical training. Nurse education today, 33(8), 823-827.
Bach, S., & Grant, A. (2015). Communication and interpersonal skills in nursing. Learning
Matters.

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Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences.
Yoo, M. S., & Park, H. R. (2015). Effects of case‐based learning on communication skills,
problem‐solving ability, and learning motivation in nursing students. Nursing & health
sciences, 17(2), 166-172.
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care
in evidence-based practice. FA Davis.