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Identify The Nurse Patient Romance Nursing Essay

A nurse with good communication skill is someone who really listens to the patients, comprehends their problems and concerns and answers in ways the patients will understand. Communication in medical profession can be considered a complicated process, and the likelihood of mailing or receiving inappropriate messages frequently is out there. It's important to know the key the different parts of the communication process, how to improve the medical skills and the actual problems that exist with mistakes in communication. In this case, we take a nurse for example. A nurse who can explain in a simple manner to a unwell man why a particular diet is very helpful to get well soon, is said to have good communication skills. Both verbal and non-verbal communication plays an essential role in communication in nursing.

For most patients, the nurse becomes the primary contact in the medical world. The nurse acts as the liaison between doctor and patient. She must understand the doctor's instructions and the patient's concerns. Her marketing communications skills give attention to both presenting and acquiring information as well as creating a world of confidence.

The romance between nurse and patient should be a therapeutic nurse-patient relationship. Corresponding to Pullen and Matthias (2010), a therapeutic nurse-patient romantic relationship is thought as a helping marriage that is based on common trust and respect, the nurturing of faith and hope, being very sensitive to self yet others, and supporting with the gratification of your patients physical, emotional, and religious needs through your knowledge and skill. Quite simply, 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 duty to keep carefully the needs of the patients as their first main concern.

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

This area is also one of the main sources of grievances made to the health service ombudsman every year and some believe that a separate component for communication should be used in medical training rather than being subsumed in to the standard curriculum.

The obstacles to good communication skills are extensive and include time pressures (nurses are so busy ad may not be able to get time to remain and talk to patients); insufficient privacy; skills combine on the wards can mean there's a shortage of qualified nurses who can be found to speak to patients; lack of training; and different languages.

There are also several useful things to remember in having good communication including being ready and know what you will say; getting the right information to give when patients ask questions; maintain attention contact and take notice of the patient's body gestures; listen properly; detect the non-verbal indicators as well as the verbal ones; avoid the use of medical jargon; and in situations of breaking bad reports, be emotionally well prepared, try to find the right environment, and be sensitive, honest and compassionate.

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

Research Problem

1. Problem Statement

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

Poor communication skills in nurses are a major problem today and can be greatly observed in most nursing homes and clinics. There are several cases where the nurses speak rudely to the individual and dismiss any questions asked by them. These are more concerned with their own welfare than that of the individual and many nurses be reluctant and feel ashamed to ask questions whenever there are things they do not understand. Their ignorance and poor communication skills can be due to several factors such as psychological stress, language obstacles, overworking, fear and education or experience spaces.

This issue of poor communication, if it's not dealt with at its early on stage may lead to the destruction of the sensitive relationship between your patients and the nurses. The individual won't trust the nurses which may not only provide a bad name to the nurses but also to the hospital.

I think that, when the root of the poor communication in nurses has been identified, we can take immediate action to improve and enhance the current communication between the nurses and the patients.

In this research, our range is within the Miri Basic Medical center. The nurses in a healthcare facility act as a mediator between your doctor and the patients. Nurses are the group of hospital staff that will be the eligible to clarify any inquiries of the patients and give comfort to patients. That is the main reason good communication skill is a compulsory trait that all nurses must have.

It is from this research that I am hoping, we will get a better knowledge of the cause of poor communication in nurses and after that, and we'll be able to take necessary steps to overcome this problem.

2. Research Objectives

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

The best romantic relationship between a nurse and her patient is the healing nurse-patient relationship. Restorative nurse-patient relationships are based on shared trust, nurturing, and sensitivity to the patient's needs. In this particular research, we wanted to determine why good communication is very important in the nursing field. What are the advantages of good communication in medical and what 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 more responsibilities in comparison to nurses of earlier times. Today, nurses not only are in charge of the welfare of the patients but their paperwork fill has increased. Nurses also need to ensure the cleanliness of the ward particularly if the housekeeping staffs aren't around. They have to have the ability to fix the machineries if the technicians aren't available. Each one of these additional duties lead to the overworking of nurses and therefore brings about them devoid of enough time to talk and work together well with the patients.

(c) To ascertain if shortage of nurses is the reason for poor communication in nursing.

With each moving year, there are definitely more sick patients that require a lot of time and attention from the nurses. But credited to lack of nurses, there is only very limited things a nurse can do for each patient. The nurse allocates an extremely short while to attend her patients, devoid of time to talk or pay attention to the patient's questions or concerns. This will make the patient feel neglected and unattended to. This high nurse to patient percentage can also be a reason that plays a part in the indegent communication between nurses and patients and also degradation of restorative nurse-patient relationship.

(d) To determine whether language barrier is resulting in poor communication in medical.

Language performs an important role in communication. The shortcoming to comprehend a language can lead to misunderstanding and miscommunication, worst still, misdiagnosis. In nursing, it is vital that the nurse should understand what the patient tries to convey to them and vice versa. If both nurses and the patients cannot understand one another due to utilize of different terms, it'll lead to numerous problems and misunderstandings. Language may also be a factor that brings about poor communication in medical.

(e) To determine if dread is one of the contribution to poor communication in nursing.

One common reason behind poor communication is that it is due to a nurse having a insufficient comfort or fear in connecting with another nurse or doctor. These type of issues usually occurs when a nurse feels threatened by the co-worker, concerns the possibility of creating a blunder and doesn't say anything to avoid judgement or lacks confidence 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 educated/experienced nurse works with another mature nurse who is much more informed and/or experienced and the junior nurse has trouble understanding the concepts, procedures and/or medical terminology used by the more experienced nurse. These types of gaps can result in distress, misinterpretation, inaction and problems because of the inability to connect effectively and fully understand what is being communicated.

(g) To determine whether psychological stress brings about poor communication in nursing.

Nurses who are experiencing a lot of emotional stress or a stress may have a problem focusing or expressing or conversing their thoughts, perceptions, values and attitude towards certain situations. This may lead to flaws being made and/or decrease the amount of attention they could put towards their work, patients and co individuals.

3. Hypothesis/ Research Questions

I have come to think that present day nurse-patient romantic relationship is going through serious strain scheduled to poor communication between your nurses and the patients. There are several factors that might contribute to this problem.

Firstly, the modern nurses are being overworked, creating them to shortage in their communication skills. When nurses work long shifts for long periods of time it can cause fatigue, which reduces their focus, effectiveness and capability to speak effectively with patients and personnel. Today, nurses must spend an inordinate timeframe completing redundant documents in a number of different places, hunting for supplies, wearing multiple hats and carrying out other tasks. For example, if the necessity for a cleanup arises and the housekeeping staffs aren't 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 issue.

The next reason is because of lack of nurses. Each year there are usually more sick patients that want a lot of the nurses' time. This leaves them with not a lot of time with other patients. The nurses may be doing their job but they neglect to form a romance with the patients. We take for example, a nurse approaching the bedside to bare a patient's indwelling urinary catheter. As she approached she didn't make any attention contact and duly gone about emptying the catheter, documented the details on his fluid balance chart and strolled away. Never during the procedure performed she speak. This example shows how essential communication skills are when caring for patients. Had he wished to ask a question, the chance was lost. At this time, it could have been a good possibility to have a look at the patient and perhaps ask how he was sense. Poor non verbal communication also contributes to poor nurse-patient communication.

Poor communication also occurs when the nurse and patient speak different first dialects. Idioms and structures of guide can carry tones of meaning in one language that may not exist in another. Mispronunciation or wrong signing can mislead the service provider or patient, triggering the patient to reduce his trust on the nurse. This issue usually occurs among older people patients and also the foreign patients. Due to the difference in dialect, both nurses and the patients neglect to convey each subject matter to another. Especially in Malaysia, a country filled with different races and languages, it is impossible for the nurses to have the ability to understand and speak all these different languages. There's also some patients, especially those who are in the interiors; they cannot speak the countrywide vocabulary but only their one native language. This occurrence also contributes to poor communication skills.

Poor communication also tends to evolve from the level of ability within nursing homes. The occurrence of hierarchies in hospitals tends to increase the odds of poor communication producing at some level or another within the vertical power structure. The main cause of this communication failure is due to dread but this does not to imply that the hierarchical group of electric power in private hospitals is a poor thing-it only means that this can result in poor communication to develop multiple places within the medical hierarchy. Among these places is between doctors and nurses. Nurses frequently wait from asking medical doctors potentially "obvious" or unimportant questions. As both medical doctors and nurses are incredibly much involved in the care and support of patients, major communication malfunction between them could lead into serious medical challenges for their patients. For instance when a physician instructs a nurse to mention important medical information to patients however the nurse does not fully understand the info and scheduled to fear, she will not require further description from the doctor and gives the incorrect information to the individual. Poor communication between health professionals and nurses also often develop when medical doctors fully count on written purchases to convey instructions to nurses. They will write important details into patients' medical files-often including critical instructions for nurses, such as when to manage particular treatments to patients. If nurses missed looking at patients' medical documents, they as a result also missed the top instructions that were written in them. This boosts the key question of why health professionals continue to utilize indirect methods of communication to the level they do, and why nurses don't object to it. This is not to suggest that written communication should be prohibited, but that written communication is an unhealthy substitute for direct verbal communication. Perhaps one reason written communication remains widespread is the fact that nurses fear questioning what they might consider to be always a standard practice among all medical doctors. Here again it could be seen that the reluctance to question the practices of superiors may lead to a communication breakdown-or, more significantly, to a total communication failing.

As nurses usually feel inferior to the physician in control, so do junior nurses feel inferior compared to the senior or more experienced nurses. The younger nurses be reluctant to ask questions to the mature nurses in concern with being labelled as not well educated. Sometimes, the older nurses points out a certain procedure or information to the junior nurses, but credited to insufficient experience, she might not exactly fully understand it and hesitate to ask any questions from then on. The mature nurses also take for granted that the junior nurses understand all that is explained. Miscommunication therefore is very dangerous as it will affect the individual.

Nurses will be the backbone of any medical care unit. The stresses of overtime and long working time develop a work-personal life imbalance, which begins to affect the health of the nurses. All nurses have to do switch work or sign up for emergencies at night. The strain of shift work can also get worse the nurse's health issues leading to despair, low morale, and low drive. Other factors such for as long commuting time and chaotic traffic conditions increasing their stress affect the employee's efficiency and performance. All these can affect the nurse's romance at home as well as face to face. Home stress contributes significantly to the stress encountered by nurses. Their home life is disturbed credited to night time shifts, overtime, transport delays, and difficulty in getting leave. They constantly be anxious 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 home help. This can have a negative influence on their physical and mental health and business lead to psychosomatic disorders. Psychosomatic health problems is a problem that affects your body and the mind. These conditions have emotional origins causing physical symptoms. Some examples are acidity, anaemia, backache, and tightness in the throat and shoulder blades. Sometimes, in the absence of doctors, nurses are on the front line and have to handle verbal mistreatment from patients and relatives for issues that might not be directly linked with their work. Physical violence and aggressiveness is also increasing in patients and their relationships. Demanding patients and their family can cause issue and lead to more stress. Another reason behind stress is economical loss to the business due to errors, wrong decisions, incorrect choice, lack of attention, and personal injury. All these stress factors demotivate the nurses leading to those to slack in their communication skills.


Communication in medical is specifically used to recognize the nurse-patient romantic relationship amongst other items; a few of the ways include translating, getting to know you and creating trust to guarantee the patient gets the best treatment (Fosbinder, 1994).

In a place where an individual's health and well-being is largely determined by the level of cooperation amongst nurses and other doctors who are supporting them, there are things that are definitely more important than education, training and open up communication.

Poor communication often causes big flaws such as prescribing the incorrect medication, improper analysis of a patient ailment or condition, administering the wrong treatment strategies and in some instances even death of a patient anticipated to misdiagnosis scheduled to insufficient communication.

We also know that nurses and health professionals are trained to converse differently. Nurses figure out how to communicate by being descriptive, detailed, and narrative while medical professionals figure out how to summarize, detect, mend, and repair. This makes nurses the best mediator between your physician and the patient as nurses are trained to explain and give information in the most understandable manner to the patient.

Communication is at the heart of these goals and patients are being encouraged to become more involved with their care. This can only be performed if patients truly understand what can be obtained and feel empowered to make those selections.

Therefore, when talking to a patient the next time, take time to reflect on how you think the consultation went and how maybe it's better. Determine whether you use jargon or abbreviations that the patient might not understand, and moreover did you find out if the individual understood what have been said.

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