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Barriers To Effective Communication In Nursing Nursing Essay

A nurse with good communication skill is someone who really listens to the patients, knows their problems and questions and answers in ways the patients will understand. Communication in nursing profession can be a complicated process, and the likelihood of sending or receiving inappropriate messages frequently is present. It's important to know the key the different parts of the communication process, how to improve the nursing skills and the actual problems that can be found with mistakes in communication. In this case, we have a nurse for example. A nurse who are able to explain in a straightforward manner to a unwell man why a specific diet is very helpful to get well soon, is said to have good communication skills. Both verbal and non-verbal communication performs an essential role in communication in nursing.

For most patients, the nurse becomes the principal contact in the medical world. The nurse functions as the liaison between doctor and patient. She must understand the doctor's instructions and the patient's concerns. Her communications skills focus on both supplying and obtaining information as well as creating an environment of confidence.

The relationship between nurse and patient should be a therapeutic nurse-patient marriage. Relating to Pullen and Matthias (2010), a restorative nurse-patient romance is defined as a helping relationship that is dependant on shared trust and esteem, the nurturing of trust and hope, being delicate to self while others, and assisting with the gratification of your patients physical, psychological, and religious needs through your knowledge and skill. In other words, a healing nurse-patient relationship focuses mainly on the individual.

Today, it is sad to say that we now have many nurses who fail to grasp the value of good communication between your nurses and the patients and restorative nurse-patient romance. They disregard their obligation to keep the needs of the patients as their first priority.

Poor communication is dangerous as misunderstandings can lead to misdiagnosis and even medication problems.

This area is also one of the primary sources of claims made to the health service ombudsman annually and some assume that a separate component for communication should be utilized in medical training rather than being subsumed into the basic curriculum.

The obstacles to good communication skills a wide range of you need to include time pressures (nurses are so active ad might not exactly be capable of geting time to take a seat and talk with patients); lack of privacy; skills mix on the wards can mean there's a shortage of skilled nurses who are available to talk to patients; insufficient training; and different languages.

There are also several useful things to bear in mind in having good communication including being well prepared and know very well what you are going to say; having the right information to give when patients ask questions; maintain eyesight contact and observe the patient's body language; listen properly; pick up on the non-verbal indications as well as the verbal ones; avoid the utilization of medical jargon; and in conditions of breaking bad news, be emotionally well prepared, try to find the right environment, and be sensitive, genuine and compassionate.

In this task, however, I'll only discuss on factors that lead to poor communication in nursing.

Research Problem

1. Problem Statement

The problem affirmation for this research is 'To determine the factors that lead to poor communication skills in nursing'.

Poor communication skills in nurses are a major problem today and can be greatly observed in most clinics and clinics. There are numerous cases where the nurses speak rudely to the individual and ignore any questions asked by them. They can be more worried about their own welfare than that of the individual and many nurses be reluctant and feel embarrassed to ask questions whenever there are things they don't understand. Their ignorance and poor communication skills can be due to several factors such as mental stress, language barriers, overworking, fear and education or experience spaces.

This problem of poor communication, if it's not handled at its preceding stage can lead to the damage of the delicate relationship between your patients and the nurses. The individual will no longer trust the nurses and this may well not only provide a bad name to the nurses but also to a healthcare facility.

I think that, when the main of this poor communication in nurses has been determined, we may take immediate action to improve and enhance the current communication between the nurses and the patients.

In this research, our scope is at the Miri Standard Clinic. The nurses in a healthcare facility act as a mediator between your doctor and the patients. Nurses will be the group of clinic staff that are the eligible to describe any inquiries of the patients and give comfort to patients. This is the main reason good communication skill is a compulsory trait that all nurses must have got.

It is out of this research that I hope, we are certain to get a better knowledge of the reason for poor communication in nurses and following that, and we will have the ability to take necessary steps to overcome this problem.

2. Research Objectives

(a) To understand the importance of good communication skills in medical.

The best relationship between a nurse and her patient is the therapeutic nurse-patient relationship. Healing nurse-patient relationships are based on common trust, nurturing, and sensitivity to the patient's needs. In such a research, we wanted to determine why good communication is very important in the medical field. What exactly are the features of good communication in medical and what exactly are the drawbacks of poor communication in this field.

(b) To determine if overworking is the cause of poor communication in medical.

Nurses today have significantly more responsibilities compared to nurses of previous times. Today, nurses not only are responsible for the welfare of the patients but their paperwork fill has increased. Nurses also need to ensure the cleanliness of the ward especially if the housekeeping staffs aren't around. They have to have the ability to fix the machineries if the technicians are not available. All these additional obligations lead to the overworking of nurses and therefore contributes to them not having enough time to converse and work together well with the patients.

(c) To determine if lack of nurses is the cause of poor communication in nursing.

With each transferring year, there are usually more sick patients that want a lot of time and attention from the nurses. But scheduled to insufficient nurses, there is only very limited things a nurse can do for every patient. The nurse allocates an extremely short while to wait her patients, not having time to speak or listen to the patient's questions or questions. This can make the individual feel neglected and unattended to. This high nurse to patient proportion can also be a reason that plays a part in the indegent communication between nurses and patients and also degradation of healing nurse-patient romance.

(d) To ascertain whether language barrier is resulting in poor communication in nursing.

Language plays an important role in communication. The shortcoming to comprehend a language can result in misunderstanding and miscommunication, most severe still, misdiagnosis. In medical, it is very important that the nurse should understand what the individual tries to mention to them and vice versa. If both nurses and the patients cannot understand each other due to utilize of different dialect, it'll lead to numerous problems and misunderstandings. Vocabulary can also be a factor that brings about poor communication in nursing.

(e) To find out if fear is one of the contribution to poor communication in nursing.

One common reason for poor communication is the fact that it is due to a nurse having a lack of comfort or fear in communicating with another nurse or doctor. These kind of issues usually occurs whenever a nurse feels threatened by a co-worker, fears the possibility of getting a blunder and doesn't say anything to avoid judgement or lacks self-assurance in her skills as a competent nurse.

(f) To find out if education and experience spaces brings about poor communication in medical.

An education or experience difference can occur whenever a less informed/experienced nurse works with another older nurse who is much more educated and/or experienced and the junior nurse has trouble understanding the ideas, techniques and/or medical terminology employed by the more capable nurse. These types of gaps can result in bafflement, misinterpretation, inaction and problems because of the inability to talk effectively and completely understand what's being communicated.

(g) To find out whether psychological stress contributes to poor communication in nursing.

Nurses who are experiencing a lot of psychological stress or a trauma may have difficulty focusing or expressing or interacting their thoughts, perceptions, beliefs and attitude towards certain situations. This may lead to faults being made and/or reduce the amount of attention they are able to put towards their work, patients and co employees.

3. Hypothesis/ Research Questions

I attended to assume that present day nurse-patient relationship is going through serious strain credited to poor communication between the nurses and the patients. There are many factors that may contribute to this issue.

Firstly, the modern nurses are being overworked, causing them to absence in their communication skills. When nurses work long shifts for extended periods of time it can cause fatigue, which decreases their focus, performance and ability to converse effectively with patients and personnel. Today, nurses must spend an inordinate amount of time completing redundant paperwork in several different places, hunting for supplies, using multiple hats and doing other tasks. For example, if the need for a cleanup arises and the housekeeping staffs are not present, nursing staff must address it. If the remote control is not performing properly and the maintenance staffs are nowhere found, the nurse is usually the person who must make an effort to resolve the problem.

The next reason is due to scarcity of nurses. Each year there are more sick patients that require much of the nurses' time. This leaves them with very limited time with other patients. The nurses may be doing their job but they fail to form a romance with the patients. We take for example, a nurse nearing the bedside to clear a patient's indwelling urinary catheter. As she contacted she didn't make any eyesight contact and duly went about emptying the catheter, noted the details on his liquid balance graph and walked away. Never during the process performed she speak. This example shows how essential communication skills are when looking after patients. Possessed he wished to ask a question, the opportunity was lost. At this time, it could have been a good opportunity to take a look at the patient and perhaps ask how he was sensing. Poor non verbal communication also brings about poor nurse-patient communication.

Poor communication also occurs when the nurse and patient speak different first languages. Idioms and frames of guide can carry colours of meaning in one language that might not exactly exist in another. Mispronunciation or incorrect signing may be misleading to the nurse or patient, creating the patient to lose his trust on the nurse. This issue usually occurs among older people patients as well as the foreign patients. Because of the difference in vocabulary, both the nurses and the patients fail to convey each message to some other. Especially in Malaysia, a country packed with different races and languages, it is impossible for the nurses to be able to understand and speak each one of these different languages. There's also some patients, especially those who stay in the interiors; they cannot speak the national dialect but only their one indigenous language. This sensation also causes poor communication skills.

Poor communication also will evolve out of the level of electricity within hospitals. The presence of hierarchies in hospitals tends to boost the odds of poor communication producing at some level or another within the vertical electricity structure. The main cause of this communication failure is due to dread but hierarchical firm of electric power in hospitals is not really a bad thing-it just means that it can lead to poor communication to build up discrimination within the medical hierarchy. Among these places is between physicians and nurses. Nurses frequently be reluctant from asking physicians probably "obvious" or unimportant questions. As both health professionals and nurses are extremely much mixed up in health care and support of patients, major communication malfunction between them could lead into serious medical difficulties for his or her patients. For example when a medical professional instructs a nurse to mention important medical information to patients but the nurse will not fully understand the information and due to dread, she does not require further explanation from the doctor and gives the wrong information to the patient. Poor communication between physicians and nurses also often develop when medical professionals fully count on written purchases to mention instructions to nurses. They'll write important details into patients' medical files- including critical instructions for nurses, for example when to manage a particular treatment. If nurses happen to miss looking at patients' medical documents, they will also skip the important instructions that were written in them. Although this increases the crucial question of why doctors continue steadily to utilize this indirect setting of communication to the amount they do, and nurses don't object to it, will not suggest that written communication should be prohibited, but that written communication is an unhealthy substitute for immediate verbal communication. One reason why written communication remains is the fact that nurses fear questioning what they might consider to be a standard practice among all doctors. Here again it could be seen that the reluctance to question the methods of superiors may lead to a communication breakdown-or, more really, to a complete communication failing.

As nurses usually feel inferior to the physician in charge, so do junior nurses feel inferior to the senior or more experienced nurses. Younger nurses wait to ask questions to the older nurses in concern with being labelled as not well educated. Sometimes, the senior nurses points out a certain process or information to the junior nurses, but credited to lack of experience, she might not exactly grasp it and be reluctant to ask any questions from then on. The mature nurses also neglect that the junior nurses understand all that is explained. Miscommunication as a result is very dangerous as it will affect the individual.

Nurses will be the backbone of any medical unit. The stresses of overtime and long working hours build a work leads to stress, which will affect the fitness of the nurses. All nurses have to do shift work or sign up for emergencies at night and this stress of switch work can also worsen the nurse's health issues leading to depression, low morale, and low inspiration. Other factors such as long commuting hours and long traffic increases their stress impact the employee's efficiency and efficiency. All these can affect the nurse's romance at home as well as face to face. Home stress contributes significantly to the stress faced by nurses. Their house life is disturbed anticipated to nights shifts, overtime, vehicles problem, and difficulty in getting leave. They constantly fret about their children and their studies not being properly supervised. Nurses have to look after the home, cooking and cleaning as they can not afford local help. This can have a negative influence on the physical and psychological health and business lead to psychosomatic disorders. Psychosomatic illness is a disorder that affects the body and the mind. These health issues have emotional roots creating physical symptoms. A few examples are acidity, anaemia, backache, and tightness in the neck of the guitar and shoulders. Sometimes, in the lack of doctors, nurses are on the front line and also have to handle verbal maltreatment from patients and family members for conditions that may not be directly connected with their work. Assault and aggressiveness is also on the rise in patients and their relations. Demanding patients and their family members can cause turmoil and business lead to more stress. Another reason behind stress is financial loss to the business due to mistakes, wrong decisions, wrong choice, lack of attention, and harm. Each one of these stress factors demotivate the nurses triggering them to slack in their communication skills.


Communication in nursing is specifically used to identify the nurse-patient relationship amongst other stuff; a few of the ways include translating, learning you and building trust to ensure the patient gets the best treatment (Fosbinder, 1994).

In a place where a person's health and well-being is basically determined by the amount of assistance amongst nurses and other doctors who are helping them, there are things that are more important than education, training and open up communication.

Poor communication often brings about big faults such as prescribing the incorrect medication, improper examination of a patient disorder or condition, administering the incorrect treatment ideas and occasionally even death of an individual due to misdiagnosis scheduled to insufficient communication.

We also know that nurses and doctors are trained to talk differently. Nurses learn to communicate when you are descriptive, detailed, and narrative while health professionals figure out how to summarize, diagnose, mend, and repair. This makes nurses the best mediator between the physician and the patient as nurses are trained to explain and give information in the most understandable manner to the individual.

Communication reaches the heart of the goals and patients are being motivated to become more involved in their care. This may only be achieved if patients truly understand what is available and feel empowered to make those selections.

Therefore, when talking to a patient next time, take time to reflect how you think the appointment went and how maybe it's improved upon. Determine whether you utilize jargon or abbreviations that the patient may not understand, and more importantly have you find out if the individual understood what had been said.

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