Poor Nurse Patient Communication In Mental Health Setting Nursing Essay

pal testify Nurse Patient dialogue In noetic Health Setting Nursing EssayCommunication is defined asthe imparting or interchange of thoughts, opinions or information by speech, writing or signs. It is the lance which strengthens healthcare provider-patient role relationship through which therapeutic goals are achieved (Park et al, 2006). Effective intercourse sinks when a desired consummation is the result of information sharing, while pal filter conference leads to uncertainty and frustration. There are many situations where poor communication brush off lead to confusion. It intromits non only building rapport but also leaders to patients queries unanswered, discussing medical issues at patients bedside while ignoring them, talking harshly to patients etc. This can result in neediness of support, disrespect and particularly, harm to the patients.During my Mental Health Clinical at a private Hospital, I encountered a patient with diagnosis of Schizophrenia, and his Ment al Status Examination (MSE) revealed that he had circumstantial ideas. I asked him a capitulum and he talked irrelevantly about it. The nurse, who was listening to our conversation, scolded the patient saying why was he not tell relevantly. The nurses way of talking was very rebuking and needed empathy. Upon getting scolded, the patient got aggressive and embarrassed, yet left silently. I visited the patient later, crossd the MSE politely, and he answered me well.In my patients scenario, the nurse emotionally abused and demoted my patient rather than encouraging him. I believe this lowered my patients self-pride and shattered him mentally as evident by his gesture of expiration the room in silence due to aggression. Gadit (2011) states that verbal abuse can cause significant psychological problems in later years and brain damage. This means that skilled communication of a nurse helps a patient reduce his worries, making him comfortable. Moreover, patients verbalization of fee lings and thoughts aids a nurse in correctly identifying his problems and do interventions. Therapeutic communication holds importance as it contributes to a patients emotional growth or reinforce his or her illness. (Masilani, 2010, p.02). Thus, poor communication shatters the nurse-patients therapeutic relationship and acts as a barrier in expression of patients feelings which may lead to flawed nursing care. Nurses poor communication leaves a negative image in a patients mind regarding nurse and the institution, impacting greatly on his treatment. Patient would not express but build on feelings deep inside, which can lead to depression. My patient was not able to answer promptly due to his unhealthiness process. Through positive regard, assurance and encouragement, the nurse could have helped the patient. Instead the nurse demoted him and lowered his self-esteem.A ensample by Shanon and Weaver (1949) explains where the gap was formed. This model has 8 elements source is an in dividual or a convention that wants a message to be delivered encoder is the specified format for later interpretation message is the idea that is existence propoundd channel is the route that the message travels on noise is any interference in the communication decipherer is the interpretation of the message from its original form into the one that the receiver understands receiver is the intended recipient who takes in the message that the source has sent and feedback relates to the source whether their message has been received, interpreted correctly or lost in the noise. In the supra scenario, I was the source who put the model into action. Encoding was my speech and expressions. I was doing the Mental Status Examination and it was my message. Noise was the nurse who interrupted and distorted my message. When the noise over rode the source, problem in the decoding occurred, leading the receiver to get aggressive and embarrassed. This gave the feedback that the message that w as sent has got an error and needs to be revised. Building on the feedback, I gave patient sometime, and interacted with him later to continue his examination for his benefitBarriers to effective communication can impede or deform the message. There may be physical barriers that often occur due to the environment. Example of this is the shortage of staff, lack of time, increased workload, improper building etc. In the above scenario, the unit allotted for psychiatry was undersized and less spacious. Nurses and the patients were locked in the small unit, where they could easily listen to for each one others conversations. Second barrier can be the system fault. It refers to problems with the system in an organization. Examples include a lack of clarity in responsibilities, supervision and preparation. Keeping the scenario in mind, a nurse has the basic responsibility to perpetrate empathy, as studies link empathy with therapeutic relationship (Reynolds Stewart, 2002 Neumann et al , 2012). Attitudinal barriers occur as a result of problems with staff. Examples include poor watchfulness, communication errors, personal attitudes of individual staff due to lack of motivation and insufficient training etc. The above Private Hospital setup reflected that there was no supervision and the staff did not seem much competent.When looking into the socio cultural context, a news report reveals that mental health is the more or less neglected field in Pakistan (Qasim, 2012). In such conditions, if the communication flaws persist, a patients mental health is probable to be devastated. Another survey in Pakistan shows that patients satisfaction depends on a healthcare providers communication and demeanor with them during their length of hospital stay (Danish, Khan, Chaudhry, Naseer, 2008). As psychiatric patients usually have repeated admissions and prolonged hospitalizations, hencely therapeutic communication can allow a nurse to deliver quality care to the patients, thus satisfying their needs. Moreover, departments of psychiatry in Pakistan are not well equipped specially in scathe of psychiatric manpower (Gandit 2006). Literature emphasizes that swift pace and content is required in the field of research. little communication can be attributed to a number of factors. Lack of understanding, which includes value to proper communication and empathy in therapeutic relation, is one of the causes . Sometimes patient factors do not allow healthcare practitioner to communicate properly as it has been observed that harming behavior, emotional blocks and other psychotic symptoms do not allow nurses to continue therapeutic communication (Pfeiffer, 1998). It was also evident in my patients case that nurses communication can lower self-esteem and promote distress. Excessive poor communication of the nurses can lead to constant aggression and anxiety of communication, lastly worsening patients mental health.To sustain a therapeutic nurse-patient relation ship I would recommend that institutional management should arrange communication skill workshops for staff, as researches show that workshops help in improving nurses communication skills and their feel of preparedness (Lamiani Furey, 2009). The nursing supervisors should also identify the causes which hinder in communication. Moreover, nurses could reflect daily upon their communication skills, die the mistakes and try to work on it, as reflection is a powerful educational tool in nursing that can enhance clinical experience (Bradbury-Jones et al, 2009). They can also take ongoing feedbacks from colleagues and try to improve on their weak points. Since psychiatric patients have problems in communicating and forming relationships (Hem Heggen, 2003, p.102), therefore I would conjure that psychiatric nurses should have profound awareness of when to show empathy during communication. In my opinion medical and nursing students should stress on efficient communication while studyi ng psychiatric course, so they can continue to manage it precisely. Furthermore, as discussed above, a barrier to effective communication is the lack of supervision. For that, ongoing rounds and evaluations should be done by the higher authorities to witness the exact situation and happenings, since it is noticed that in the supervision of the higher authorities, communication is more therapeutic. Thus, I recommend institutions to keep an eye on their staffs communication techniques in order to pick at negligence.In conclusion, nurses may commit errors but practice can make them perfect especially in a skill like communication. Thus, nurses must practice as much as possible and try reducing communication errors. As discussed, there are several causes and effects of poor communication especially in psychiatric nursing. But nurses should use themselves as a therapeutic instrument (Hem Heggen, 2003), so that they can help the psychiatric patients for their early recovery.Word Count 1,342 Words