Nurse Reflection

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verbal so that the message could be understood and do not break the nurse-patient communication. In my opinion, I evaluated that it does not a matter whether it was a patient-centred communication or task-centred communicationbecause both communication mentioned by McCabe (2004) actually doesinvolves communication to the patients. So it was not a problem to argue whichtype of communication involves in my conversation with my patient. After analysed the situation, I could conclude that I was be able to know the skills for effective communication with the patient such as approach the patient, askingquestions, be an active listening, show my empathy and support the patientemotions (Walsh, 2005, p.34). Actually helping the adult was a good practice indelivering the nursing care among adults.My action plan for the clinical practice in the future, if there were patientsthat I need to help in feeding or other nursing procedure, I would prepare myself better to handle with the patients who would have some difficulty incommunication. This is because, as one of the health care worker, I want thebest care for my patients. So in related to deliver the best care to my patients, Ineed to understand them very well. I have to communicate effectively as this isimportant to know what they need most during warded under my supervision as anurse. According to my experience, I knew that communication was thefundamental part to develop a good relationship. Wood (2006, p.13) express thata communication is the key foundation of relationship. Therefore a goodcommunication is essential to get know the patient’s individual health status

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(Walsh, 2005, p.30). Active listening could distinguish the existence of barrier communication when interactions with the patients. This is because, activelistening means listening without making judgement to listen the patients’opinions or complaints which give me chances to be in the patients’ perspective(Arnold, 2007, p.201). On the other hand, it also crucial to avoid the barriersoccurs in the communication with the patients. I could detect the languagebarriers by interviewing the patients about their health or asking them if theyneeded any help in their daily activities living. However, I would remind myself for not interfere my communication with barriers such as using the open-endedquestions, not attending to non-verbal cues, being criticising and judging, andinterrupting (Funnell

et al

, 2005, p.453). Walsh (2005, p.31) too summary thatmaking stereotyping and making assumptions about patients, perceptions andfirst impression of patients, lack awareness of communication skills are the mainbarriers to communications. I must not judge the patients by making my firstimpression and assumption about the patients but I have to make patients feeldevalued as an individual. I should be capable to respect their fundamentalvalues, beliefs, culture, and individual means of communication (Heath, 2000,p.27). I would be able to know on how to build rapport with the patients. Thereare eleven ways suggest by Crellin (1998, p.49) which are becomes visible,anticipate needs, be reliable, listening, stay in control, self-disclosure, care for each patient as an individual, use humour when appropriate, educate the patient,give the patient some control, and use gestures to show some supports. Thisways could help and give me some guidelines to improve my communication

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skills with the patients. Another important thing to add on my action plan list is toknow which the disabilities of the patients have such as hearing disability, visualimpairment and mental disability. Once I could know the disability that a patienthas, I could well-prepared my method of communication effectively as Heath(2000, p28) mention that communicating with people who was having somehearing impairment, sight impairment and mental health needs required theparticular skills and...
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