Communication for Nurses: Talking with Patients

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Communication for Nurses: Talking with Patients

Communication for Nurses: Talking with Patients

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Jimenez-Herrera MF, Axelsson C. Some ethical conflicts in emergency care. Nurs Ethics. 2015;22(5):548–60. of jobs for Nurses & Care Professionals. No.1 for UK nursing, care & healthcare jobs. Search Jobs Make Sure Patients Understand You Galedar N, Toulabi T, Kamran A, Heydari H. Exploring nurses’ perception of taking care of patients with coronavirus disease (COVID‐19): A qualitative study. Nursing Open. 2020. pmid:33318825 Monin JK, Schulz R. Interpersonal effects of suffering in older adult caregiving relationships. Psychol Aging. 2009;24(3):681–95. Similarly, a nurse who is attentive in her listening can understand an underlying reason for a patient’s concerns and fears about a procedure. The patient might be resistant to the hip replacement because she is nervous about adverse side effects, for example.

This is done by the nurses talking to the children so that the parents can hear them: They may feel that the child is screaming unnecessarily. Blount R. L, Piira T, Cohen L. L, Cheng P. S. Pediatric procedural pain. Behavior Modification. 2006; 30(1):24–49. [ PubMed] [ Google Scholar]

Results

Melhuish S, Payne H. Nurses’ attitudes to pain management during routine venepuncture in young children. Paediatric Nursing. 2006; 18(2):20–23. [ PubMed] [ Google Scholar] no, you are not taken into account for anything. If you were, sometimes things would have gone differently, at least from my own experience. You can argue, discuss, share opinions, it’s all useless. According to them, they are the captain and a sailor has to obey. Sometimes you are certain that the patient is going to die, but we still purify the blood and give antibiotics. We treat them with the most advanced and expensive therapeutic facilities Do you have any idea how much a haemofilter costs? Do you know how much unnecessary spending is generated? Do you know how much suffering we cause people? It is hard to live with this, I get angry, we talk about it with our colleagues... you can't do anything and feel helpless. However, when I see these atrocities, I tell them: ‘don't ever do that to me’. The most distressing thing is when the patient's family comes in and you see that agony. It breaks my heart and I realise that I am part of this...” Enf10 [ 9] The praising emotions are living like a positive feeling is reinforced when they are praised for their work and this leads to emotional well-being which improves their quality of life from both a personal and a professional point of view [ 36]. Limitations Hedström M, Haglund K, Skolin I, Von Essen L. Distressing events for children and adolescents with cancer: Child, parent, an nurse perceptions. Journal of Pediatric Oncology Nursing. 2003; 20(3):120–132. [ PubMed] [ Google Scholar] Nurses suggest that there are external constraints that cause these situations, such as the institutional structure and its bureaucratisation, as well as the strict hierarchy that exists among professionals in hospital. This situation has its origins in a power structure, more or less open, and, in other cases, invisible influences in the nursing/caring process.

Some nurses may encounter hiccups when patients do not want to turn their cameras on during the telehealth encounter. Many patients have technical reasons for not turning on their cameras, like wifi or device limitations. Now, effective communication is something that as students we've written about. As nurses, it's literally the crux of nursing. It's literally everything. It's something that, if patients are not receiving information clearly, they can't make an informed decision, because they've not been given the full information that they need. One of the duties of a nurse, as part of the ethical conduct, is to function as the patient's advocate (Balwin, 2003; MacDonald, 2007). Nurses also have four essential responsibilities: promoting health, preventing illness, restoring health, and alleviating suffering, which are quality requirements for Swedish registered nurses (Swedish National Board of Health and Welfare, 2005, p. 17). Furthermore, a part of a nurse's work is to ensure that the patient's pain is minimized (McCabe, 1997), and in the case of a child, one additional important aspect is to relieve the child's anxiety and worry because these experiences can intensify their feelings of pain (Wood, 2002).

Methods

The findings indicate that nurses use different types of conversation in their attempt to be supportive when talking to children and their parents. Metaphors can be used to facilitate an understanding between the child and the nurses, helping the child to become involved in the procedures. Most importantly, the nurses are able to talk in a language that the child understands. This finding is consistent with previous research from Kortesluoma and Nikkonen ( 2006) who maintain that children from the age of five are able to construct metaphorical expressions. Fleitas ( 2003) also discusses the benefits of using metaphors when talking with children in pediatric settings. We believe that nurses can be supportive by using metaphors although nurses have to be vigilant as there is a risk that children do not always understand, especially the younger children. Murad MH, Coto‐Yglesias F, Varkey P, Prokop LJ, Murad AL. The effectiveness of self‐directed learning in health professions education: a systematic review. Medical education. 2010;44(11):1057–68. pmid:20946476 Balwin M. A. Patient advocacy: A concept analysis. Nursing Standard. 2003; 17(21):33–39. [ PubMed] [ Google Scholar] Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: A scoping review. International Journal of Emergency Medicine. 2020;13(1):1–8. pmid:31931721

The nurses suggested that there are external constraints that cause these situations, such as the institutional structure and its bureaucratisation, as well as the strict hierarchy that exists among professionals in hospitals. Hierarchy often results in the abuse of power and this then results in internal conflicts, more or less open, and, in other cases, invisible [ 29]. At the end of the day, this comes down to the relationship between that provider and the patient,” Dudley advised. “If they can, providers can encourage patients to turn on their camera, to say, ‘I'm here to really support you and do everything I can. And I can do that better if I can see you, if that's possible, or you show me your medications.’” The engagement between nursing practice and patient in vulnerable situations such as emergencies has a strong emotional element. A patient may elicit compassion, concern, pity or indeed anger or frustration. The nurses felt that they were unable to develop caring science because technological tasks play a greater part than in the caring process in place of the human dimension of care. So how are we able to do this as nurses, Practice Nurses especially, because of the timeframe that we are given with each patient?Jameton A. Dilemmas of moral distress: moral responsibility and nursing practice. Clin Issues Perinat Womens Health Nurs. 1993;4(4):542–51. Duarte J, Pinto-Gouveia J. Empathy and feelings of guilt experienced by nurses: A cross-sectional study of their role in burnout and compassion fatigue symptoms. Applied Nursing Research. 2017;35:42–7. pmid:28532725

The intervention invites the patient to talk about whatever is important to him or her,” Allen and colleagues wrote in an articlein Family Medicine. Nurses in the current health-care environment are confronted by complex situations arising from the conflicting values and beliefs of other health-care professionals. In these circumstances, moral emotions arise from different feelings related to not being able to ensure the best interests of the patient and relatives. Understanding why and how moral emotions arise may help nurses to develop the caring process and make it visible to all health-care professionals. Our theory is that, if nurses are aware of their moral emotions, this will help them to cope in different situations and improve nursing practice. Definition of emotion The nurses point out that these positive feelings gratify and motivate them to continue advancing and developing a successful practice for both patients and professionals. Positive feelings prevent emotional exhaustion and help to prevent bad confidence [ 34]. Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh. 2015;47(2):186–94. Dworkin SL. Sample size policy for qualitative studies using in-depth interviews. Springer; 2012. https://doi.org/10.1007/s10508-012-0016-6

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Positive emotions are also present in clinical practice, even if, in many cases, emergency situations can be dramatic. These situations can, for example, give the professionals emotions such as gratitude and satisfaction. These emotions arise when nurses see that care meets the predicted goals and they have been able to respond to the needs. Positive emotions are beneficial for the professional experience [ 33]. The study had qualitative deductive design based on content analysis. Individual interviews and focus groups were conducted with sixteen participants. Results Llyod M, Urquhart G, Heard A, Kroese B. When a child says ‘no’: Experiences of nurses working with children having invasive procedures. Paediatric Nursing. 2008; 20(4):29–34. [ PubMed] [ Google Scholar] Lutzen K, Cronqvist A, Magnusson A, Andersson L. Moral stress: synthesis of a concept. Nurs Ethics. 2003;10(3):312–22.



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