The current research deals with analysis on the challenges nurses face to hand-over patients share information regarding the deteriorating patients, discussion on the possible ways to mitigate those. In this assignment, the proper communication frameworks and tools for the nursing professionals will be identified. The assignment will also include discussion on the issues, and how the framework can be applied in the chosen situation to prevent the issues.
Identification of concept and tools
The person centered care is an approach that enable the nurses to deal with patients on basis of people, dignity, respect and compassion, co-ordination to deliver support, care and treatment , offering personalized support, care and treatment as well as enabling people to live independently through identification and development of strengths and abilities (Arnold & Boggs, 2015).
Figure 1: Person centered care in Nursing
(Source: Ncbi.nlm.nih.gov, 2018)
Figure 2: Conflict management strategy in Nursing
(Source: Riley, 2015,pp-129)
The conflict management framework helps the nurses to solve the difficult situations in formal or informal way on the basis of conflict dimensions and desired outcomes. Using this framework, the nurses can mitigate conflict, either in formal or informal way. In addition, they can involve the other parties also in the conflict management process, if necessary.
ISBAR tool: The ISBAR tool helps the nurses to maintain smooth flow of communication within a multi-disciplinary team (Adams et al. 2017). The ISBAR tool assists the nurses to communicate in five phases:
Identification: This stage deals with identifying who will be communicated and what will be communicated.
Situation: This stage deals with analysis of the current situation and the issues.
Background: In this stage, the nurse assesses the current background. This stage is effective for interpreting the present situation accurately.
Assessment: The problem is identified at this stage. The nurses use the background information to identify the problem.
Recommendation: On basis of the identified issue, the recommendations are identified in this stage.
Analysis on the model indicates that it serves mainly two purposes-disclosures of a information and identification of the issue. Families of the patients need to be informed about every detail of the diagnosis. Use of the ISBAR framework ensures that every detail of the patient is shared with the families (Kourkouta & Papathanasiou, 2014). The framework shows that when an issue takes place, the nurses can analyze it on basis of background information.
Hand-over tools: Use of hand-over tools helps the nurses to share information regarding the patients in accurate way. A structured hand-over method is effective for the nurses to share information about the patients at the time of shift change and transferring the patients to other facilities (Arnold & Boggs, 2015). The documents like hand-over forms, progress reports can be considered as communication tool for hand-over. Use of face-to-face communication is another effective technique for hand-over as it enables the nurses to clear the doubts regarding the patients immediately.
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Analysis of the chosen scenario
Effective interpersonal communication is given high importance in nursing as it results in positive patient outcomes. Peplau’s Interpersonal Relations Theory in nursing states that the nurses can develop a positive nurse-client relationship in four phases, namely, orientation, identification, exploitation and resolution. The orientation phase enables the nurse to engage patients with the treatment process whereas in the later three stages the nursing professional ensures that the healthcare professionals and the patients are working together to meet their needs (Adams et al. 2017)). Successful execution of all the stages depends on effective communication between the nurse and the patient parties. However, due to presence of several communication barriers, the nurses may not be able to develop a solid interpersonal relationship with the patients. Lack of support, time or strategies or the staff conflicts are the communication barriers that prevent the healthcare professionals to communicate with the patient and their families effectively. In this case also, lack of communication strategy among the nursing staffs created a communication gap with families of the patients. As a result, the strong interpersonal relation has not been created with such professionals and it led to creation of a conflict with family of the patient.
Application of communication tools
The communication gap between the two nursing professionals generated due to the lack of collaboration and information sharing strategies. Use of the hand over tool will help the nursing professionals to report the error to the higher authority (Sprangers et al.2015). It can be useful to share the key information regarding the patient at the time of shift change.
Finally, use of person centered care framework helps the nurse to take care of patients in a collaborative manner. It also helps the professionals to resolving communication barriers in a better way. Therefore, it can be stated that application of the person centered care framework, ISBAR and hand-over tool and identification of the communication barriers is able to provide the healthcare professionals with long-term benefits.
Apart from fostering effective communication, it is also necessary to ensure that the repetition of such mistakes is prevented, and families of the patient are fully satisfied. Use of conflict management framework in this case will help the nursing professionals to solve the issues with family of the patient and obtain their satisfaction.
Arnold, E. C., & Boggs, K. U. (2015). Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences.
Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia socio-medica, 26(1), 65.
Ncbi.nlm.nih.gov (2018). Figure 1, [Health Care Error-Communication Strategies]. - Patient Safety and Quality - NCBI Bookshelf. [online] Ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/books/NBK2652/figure/ch35.f1/ [Accessed 22 Mar. 2018].
O'hagan, S., Manias, E., Elder, C., Pill, J., Woodward?Kron, R., McNamara, T., ... & McColl, G. (2014). What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. Journal of advanced nursing, 70(6), 1344-1355.
Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences.
Sprangers, S., Dijkstra, K., & Romijn-Luijten, A. (2015). Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides. Clinical interventions in aging, 10, 311.