Scholarly Writing in Nursing

Clear def and why it is important – definition is foundation as to the 3 concepts
What can happen if care not effective
Why its important? Relate what you are saying
Link all paragraphs and concepts to each other - linking sentence
Acknowledge that they are individuals

Effective patient care is all about the patient. We have to remember that without patients, there would be no healthcare industry. Through this essay I will discuss three main points. Therapeutic relationship, Communication and ZCommunication is the essential foundation of nursing practise; it is primarily dependant upon verbal and non-verbal communication making it vital for effective patient care.

Having good communication with patients helps them in many ways.It’s common for people who need health care services to feel anxious about their health, about what tests and treatment they might have to undergo and about what the future holds for them.

This can sometimes lead them to speak out of character, perhaps being a bit rude or aggressive.

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Having good communication with health care workers will reduce their anxiety and build their confidence. As described by (Kissane, 2012) "Good communication skills have been linked to higher patient satisfaction, greater patient adherence to treatment, better patient health outcomes, fewer physician malpractice claims, reduced patient anxiety, increased recall and improved understanding."

Patients make impression of the nurses’ based on how these nurses communicate and relate with them, and the impression nurses pass to patients will influence their satisfaction and hence their healthcare output (Papagiannis, 2010). Faulkner (1998) argued that, being able to communicate effectively with others is at the hearts of every client care.

Clear and kind communication affects the client’s response to health care service.

Berengere et al., (1997) stated that clients who understand details of their illness and treatment, whom perceive and believe the provider is concerned about their well-being, often show great- er satisfaction with the care received and are more likely to follow with treatment re- gimes.

It’s easy for people to feel that they give up all control of their lives once they enter the health system. If they’re in hospital, for instance, even simple everyday things they normally control, like when they get out of bed, when they wash and when they eat, might be dictated by someone else. Losing control can make people feel helpless and hopeless, which isn’t good for boosting their chances of recovery from illness. But good communication can avoid these feelings, it can help people to see that they still have a say and are still in charge of their own lives.

The most precious thing we can give to another person is our time. When we show we’re prepared to lay aside all the other things we need to do to spend time with someone, to listen to them, get to know them and understand how they are feeling, we’re showing that we really value that person. Being able to communicate well helps us achieve this with patients/clients.
Ineffective communication, which leads to poor co-operation and co-ordination of care, is a major cause of errors and adverse events in patient care (World Health Organization 2009)

Use theraputic as first point then link to communication Para 2 – Theraputic Relationships
What it is and how it effects???

An important primary goal of nursing is to facilitate the development of trust and to build upon a therapeutic relationship between the patient and members of the health care team. Demonstrating the skills of effective communication is key.
To develop a quality therapeutic relationship you need to make patients feel respected and important. Behaviours used to convey respect include active listening being accessible, being consistent, following through, taking patients seriously and interacting in an equal partnership .

In addition, accepting the patient with their faults and problems is vital to convey respect; helping the patient see themselves as worthy and worthwhile. Attributes such as understanding, being there, being genuine, and interacting in an equal partnership are maintained. Interpersonal and communication techniques such as summarizing, clarifying, reflecting, and providing eye contact are considered essential to understand and relate to the patient.

For the therapeutic relationship patient to evolve, patients must feel safe and comfortable Feeling safe and comfortable occurs through the supportive environment. Methods found to provide patients with support include active responses, such as giving suggestions and feedback, conveying hope reflecting concern in one’s voice and providing patients with reassurance Doing things for and with the patient; such as fetching a blanket sharing a cup of tea.