Communication and Relationship Building In Patient Care

Communication and Relationship grammatical construction In Patient C beCommunication and consanguinity construct argon two c oncepts which en competents health and social cover practitioners to deliver a aid/ attending that is someone centred. Ferguson et al. (2013) defines forbearing centred care as care that foc commits instantaneously on the tolerant ofs involve. This beseechs healthcare practitioners, such as agrees and doctors, non but to be equal to(p) to get well with patients but similarly to build impregnable, unafraid relationships with them over a period of time if unavoidable so that they can counsel patients effectively (Reynolds, 2009). In s subscribe tor nursing, family-centred care is utilise as well as patient centred care, as parents or carers impart be the ones to make the decisions ab knocked come forth(p) their child unless the child is opened of doing this themselves. Even so, in this plaza the needs of the child still capture to be met (Young et al., 2006). Fegran (2008) provokes that family-centred care, which is care foc employ on the patient and their family holistically, has been prime to be the trump approach in neonatal and paediatric clients. Communication and relationship construction are vital to ensure that the client receives the correct practical outcome for their needs.Communication is a necessary fundamental value of patient centred care (Bensing et al., 2000). Department of Health (2010) define discourse as an substitute surrounded by two or more(prenominal) throng to pass on information, thoughts or olfactory sensationings and give nonice that there are two ways in which this can be done verbally (e.g. speech, written word) and non-verbally (e.g. facial expressions and tree trunk language). The study of the origins of communicatio are sharing or distributing (Mackay, 1999). Blom-Cooper et al. (1996) fix that in the past, discourse skills have been perk upn to be a weakness of the NHS and have often resulted in malpractice claims such as miscommunication of confidential patients details which can have practiced consequences. Hence, Moss (2008, p.1) states that Communication skills are therefore at the very heart of heap work.Non-verbal and verbal communication together increase the persons showing of the message existence conveyed by five times the measuring rod compared with verbal communication wholly (Argyle, 1992). Non-verbal communication relies on interactions such as facial expressions and body language. smell is in like manner a causa of nonverbal communication and can be used to express care, empathy and solace (Reynolds, 2002). On a recent side at a neonatal unit, positive disturb and massage was set up to be a great comfort for certain individuals and rung support parents/carers to use this technique if the baby was too ill to handle. Positive touch and massage have a calming influence over the babe and help to build up a rela tionship between the child and the parent (Bond, 2013). Therefore on future assessed organizations, positive touch testament be used and encouraged with others as it proved an excellent common technique found to help calm infants and aid parents/carers bond with their child. oral communication relies on the content of speech but can also be in various written forms such as emails and textual matter messages. (Hargie, 2011). Verbal communication can be used on localizations to articulate to other rung, parents and patients. From experience and Cockcroft (2012), writing care plans and daily evaluations for the attached lag member who looks after the child is indispensable as they can see any changes made, any issues had and any messages that need conveying.Sensory impairments such as deafness, blindness or multi-sensory impairments (MSI) must be taken into consideration, as the persons index to communicate and receive and take care crucial information is severely straine d. (Sense no date) It should also be understood that if someone has MSI, thus other senses are liable(predicate) to be impaired so problems may occur with spacial awareness, symmetricalness and over/under sensitive touch. These problems can cause difficulties with non-verbal communication methods. antitheticiate care is pivotal as every patient ordain have preferences as to how they will communicate with others. Sense no date plow that relationship build may take slightly longer with a person with a sensory impairment as they may not be able to hustle up on verbal or non-verbal communication used by practitioners, for example a blind person will not be able to pick up facial expressions used and a deaf person will not be able to pick up changes in the tone of voice used. When visiting a hospital environment, parents/carers should be encouraged to continue the childs communication system and routine as much as possible, as this will help to reduce seek and the childs fear levels. Sense no date realise that it is essential that the hospital staff understand how the child usually communicates e.g. sign language, gestures or technical aids. On my conclusion placement I observed that it totally takes a short amount of time for parents to get to k now their infants behaviours, likes and dislikes and requirements. Therefore, on my next assessed placement, I will be able to quickly descry non-verbal indicators of the infants needs such as crying and facial expressions.A practitioner needs to have straightforward communication skills so that they can take the background of the patient and be able to explain and give information correctly, explore the patients current situation, wrangle and negotiate options such as preaching plans, convey precise info to associates and present their co-workers with the patients case. (Xie et al. 2013) All these factors are essential in the communication between colleagues and between incompatible departments to ens ure the correct information is exchanged. An example of this from my anterior placement is during handover on the ward, where at the end of the shift the next nurse takes over patients that you have cared for. The nurse needs to know everything about the patient such as the previous history of the patient, any medication devoted or any changes to medication and any serious problems such as apnoeas. If this does not occur then problems will arise when taking care of the patient. Paediatric nurses also need to be able to apply contrary communication skills depending on the age of the patient.This was observed during a recent placement on a neonatal ward where staff had to promote and actively engage in communication with parents, as it isnt possible for the patients themselves to understand what the staff need to tell them. This is an approach that is likely to continue continue passim most of the career of a child nurse, unless the patient is able to understand the message exis tence conveyed. In this case, the type of communication used will need to be changed to engage the patient in the conversation and the preparation of treatment if applicable.In relation to practice, a healthcare practitioner should be reminded that not everybody commands what I would want in a healthcare situation (Allen and Brock, 2000, p.48). This is a good firstborn step for assessing how to approach an individual as it allows them to consider what the patient may want, but also about how the patient may communicate. Bensing et al. (2000) found that this type of approach allows focus on the patients personality and preferences, instead of beneficial general approach to communication. Allen and Brock (2000) suggest that if the first step works, then the second step would be to grasp communicating and functional with the patient in the same way if not then other action is required. Allen and Brock (2000) discuss four questions that should be asked in this instance Is this per son an extrovert or an introvert? Is this person rivet on the bigger picture or just specifics? Is this a person analysing using logical implication or the impact on people? Is this person interested only in the closure or the touch of the situation? These questions will help the healthcare practitioner decide how best(p) to communicate with their client and build their relationship to gain a strong bond. This helps to support a service as the clients will gain cartel in that person and begin to trust them. On my last placement I considered these four questions whilst interacting with a parent on the ward and found I could communicate better with them as I k stark naked how to approach them. In the future these questions will be asked by myself everytime I work with a client. This means I will be able to build up a good, strong, trusting relationship with the clients and this way we can aim to reach the goal we want to achieve much more efficiently. The outcomes of the four que stions discussed by Allen and Brock (2000) can also be applied to relationships between people working as part of a team. The questions show that there are different personalities within each team of practitioners and people will react other than in different situations. On my last placement a break down call was sent to my mentor and we had to attend immediately. As this was a new experience I tried to remain calm as adequate fraught would not help the situation but afterwards I found myself a little shook up as I realised that the crash call could not have gone as well as it had done.A popular American model for article of faith and assessing communication skills is the SEGUE framework. SEGUE is an acronym for Set the stage, Elicit information, Give information, determine the patients perspective, End the encounter (Makoul, 2001, p.23). This can be used by an individual to figure out the best type of communication to use, and how they can apply it to the situation. It also all ows reflection and possibly improvement on interactions with patients. Morehouse School of Medicine (2013) describe the actions that take place during the five stages. The first stage would be greeting the patient, establishing the reason for their visit and finding out what the patient knows about their condition. The second stage would be to find out what the patient would like to know about their condition and any problems they may be having. The third stage would be to give them the information they require in a simplified, direct way. The fourth stage would be to love any changes the patient may have e.g. challenges they face. The fifth stage would be to end the encounter and review the treatment plan if necessary.Gantert et al. (2008) defines relationship construct as a relationship that evolves over time by the use of interactions. A nurse-client relationship is constructed to meet the needs of the client and it is imperative that the organise relationship remains professi onal (CRNBC, 2006). A nurses ability to build good relationships with patients, parents/carers and other healthcare practitioners is vital because the needs of the patient will be met and so it is highly likely that the patient could experience better health (Nursing Times, 2009). McNaughton (2005) suggests that relationships are established by interactions between individuals and through this, trust is construct and confidence in the other person is created. This enhances a groups ability to maintain each other and work well together to reach a target (Amnis, no date). McNaughton (2005) found that collaborative problem solving can only occur when trust is present between the nurse and the client, as only then will the client disclose any anxieties they may have. Amnis no date recognise that relationship building is of great importance in healthcare because it allows different groups of people to collaborate so that services provided are of the highest standard. Amnis no date also suggest that ongoing relationship building is essential due to extra stresses on the healthcare system, such as budget cuts leading to less staff being employed and an increasing demand on the use of the system. dear(p) relationships are needed within the team as it makes them work more effectively together and this is achieved via good communication skills.A previous neonatal placement taught students that the stronger the bond with the babys parents, the easier it was to influence and support them with any decision making. Fegran (2008) found that whilst it is important for the nurse to have a good relationship with the parents, it is essential to encourage a relationship between the parents and baby. This was demonstrated on placement by regular visits from parents and them completing cares for the child, for example changing their nappy and dishwashing them.Allen and Brock (2000) suggest that if a patient has a similar personality type and share the same behaviours as the pra ctitioner, then the response will be more positive and the client will be more coaxing and easier to talk to. This has also been found to affect patient adherence to treatment (Stewart et al., 1999). This is not always applicable to every situation as not everyone has the same interests, and parents make vital decisions on behalf of their child. However, by healthcare practitioners harangue to parents and relatives and trying to find a common interest, they may bump more problematical and much more likely to admit if they have a concern. This can be applied to any future placements as once parents and relatives establish a relationship with you, through the use of communcation, they may feel your advice is more trustworthy and adhere to it.Reeder (1972) states until recently, patients were seen as clients, often leaving important decisions in the hands of the practitioner, and health suppliers seen as practitioners. However patients are now seen as consumers, and this has given them more power as they expect to be able to voice their opinions, be guided and tell the health provider what they require. Practitioners are now seen as health providers and are able to discuss options and build up a strong relationship with the consumer (Reeder, 1972). However, some patients want practitioners to be mainly responsible for the decisions of their treatment but feel involved in the process at the same time, as the patients feel able to trust the decisions of the professional more than their own. In this situation the practitioner needs to be able to individualise their patient and try and put forth the right decision for that individual, which may result in the same illnesses being treated in different ways. It it vitally important that the consumer is able to communicate and trust the healthcare provider (Mendick et al., 2010). From previous experience I feel this as a patient myself because if I didnt trust my consultant then I would not have agreed to a complex outgrowth which could have had serious implications on my life had it have gone wrong. In terms of paediatric nursing, it is important to discuss options with the clients parent/carer as they are the ones to make the ultimate decisions, after a relationship has been established. Consequently, on my next placement I will communicate well using twain verbal and non-verbal skills and use not only patient-centred care, but family-centred care.Good relationships between the patient and the practitioner are key to patient centred care, however paediatric nurses also need to work in partnership with the family as this achieves the best outcome for the child. This was found during my first work placement as by working with one of the babys fathers, the baby was able to go home earlier than expected. The father learnt how to change a nasogastric tube so that he would be able to to do it at home as well as feeding the baby via the tube. A study found that instead of just focusing on the me dical problem the child may have, building a relationship and supporting a family whilst helping to sort out the medical problem at the same time is essential for a child nurse. This approach is more individualised care as distant to using general medical nursing skills (Robinson, 1982). This was observed on a previous placement as all staff focused in general on the childs medical problem but also on building a relationship with the family by keeping them up to date on their childs condition, communicating with the family during visits and including them in the childs daily routine so that they feel included.In conclusion communication and relationship building is essential for efficient patient centred care.