If the nurse is not sensitive to these minute needs, it can cause the patient to be unable to trust the medical team meeting the needs, and understanding the importance of more serious issues. As a nurse, it is important to understand state and institutional policies regarding certain situations. Restraints are not recommended for this patient who is able to respond appropriately to questions and express needs. A nurse must consider the serious consequences that applying restraints may lead to, and with this knowledge, restraints would not have been considered. As a nurse it is important to make sure that tasks are being delegated appropriately to UAPs and they understand when they need to report problems of concern to the nurse.
It is extremely important nurses can do this in different ways such as verbally and non-verbally and uphold the Principles of Nursing Practice set out by the Royal College of Nursing as the fifth of eight principles is related to effective communication. Interpersonal communication is essential in the delivery of health information. Without it, health professionals would fail to assist and inform those without knowledge, in need of advice and support. Listening is significant when it comes to communication and is a key skill required by nursing staff. It is essential that patients know you care and want to help them.
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.
Problem solving is another area of informal leadership a professional nurse possesses. Upon encountering a problem, whether noted objectively or overheard through another’s complaint, the nurse employing leadership will not vent and complain to others, but take a different approach such as discuss with others with questions such as ‘have you noticed a problem when; entering this information in the computer, working with the IV pump, difficulty replacing universal precaution equipment, working with a Dr. Smith during procedures?’ etc. After garnering this information and determining if this is a static problem or ongoing, the nurse exemplifying the problem solving leadership will determine the next step whether further investigation is required, increasing an order of supplies, or approaching management and communicating with them. These actions will define and determine if the nurse is an effective leader. The assigned titles “manager”, “director”, “administrator” do not determine the leader, but the actions, attitude, and professionalism of the person determines the level of leadership.
Being an authentic leader means they must be true to themselves and their values and act accordingly. Only through authentic leadership will nurse managers and leadership be able to become the “glue” to hold together a healthy work environment under the stress of a constant change. The nurse leader will be faced with more difficulty in achieving positive and productive working relationships due to the more specialized practice roles or experts in the workplace. Typically experts are less likely to share information amongst one another, to help one another complete jobs, or to share resources. The leader in 2021 must be able to demonstrate a high level of collaboration themselves and create a community with clear communication and resolving conflicts
Peplau (Cherry, 2011). This theory speaks to the importance of helping the client move forward when the stressors of an illness keeps the client at a standstill. Using therapeutic interpersonal communication, the nurse can help the client to identify the stressors involved and provide avenues to move past them by the use of goal setting. The nurse employs several interventional processes and resources, mentoring and educating, and drawing on personal experiences to help the client to achieve the desired outcome (Cherry,
For this assignment the poor and positive communication skills demonstrated by staff towards a vulnerable patient, and inter-professionally will be identified and analysis. The paralinguistic elements of communication such as the volume, tone and pitch of the voice, in addition to the speed at which the speaker speaks are all important to convey a message, as well as any attached emotions or attitudes (McCabe and Timmins, 2006). In this scenario the loud volume, high tone and pitch of the staff nurse’s voice is inappropriate when she communicates with the patient. The staff nurse comes across as very confrontational, and instead needed to employ a much quieter, softer and lower tone to create a more positive nurse-patient interaction. The Department of Health’s Essence of Care (2010) Benchmarks for communication states “All staff must demonstrate effective interpersonal skills”.
She was concerned about the accuracy of the work due to the way these readings compared to previous readings. Instead of discussing this with Brigite, she decided to do it all herself and retest everyone. The nurse in this scenario becomes part of the problem; obviously she does not trust Brigite’s ability to do the job right. Passiveness, nonassertive, and avoidance is the form of communication the nurse is using in this scenario. The nurse is avoiding asking Brigite about the readings of the vision tests (Hansten, & Jackson, 2009).
You must engage yourself to the team to be a safe and effective nurse, here are some examples. Being a patient advocate, to me, is the first in line. We as bedside nurses are the patients first and sometimes only defense to getting the right and correct care. They need to be able to trust you to advocate for them. Another way to take an active role is communication, two way communications with the team members or other interdisciplinary teams plays a vital role in the care of a patient.
Different to the supportive elements to determine success, there is also a large range of barriers that both the client and the professional may face. It is extremely important for a human service professional to gain a full understanding of their client and their background and make sure all paper work is filled out correctly before meeting with them. It is best to set up the first meeting in a comfortable environment so that the process is not intimidating which could harm success. Other than preparing the initial duties before meeting the client, it is also important to keep in mind