HLTENN036 Lesson 2: Complex Communication in Nursing Practice
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Questions and Answers

What has been identified as an essential component for quality healthcare and patient safety?

  • Effective communication (correct)
  • Visually impaired person
  • Physical impairment
  • Cultural safety
  • According to Koutoukidis et al., what are some aspects of communication skills that can impair effective communication?

  • Cultural safety
  • Barriers to communication (correct)
  • Hearing impaired person
  • Strategies to break bad news
  • What is the main focus of strategies to communicate with a person from a non-English speaking or culturally diverse background?

  • Cultural safety
  • Physical impairment
  • Breaking bad news
  • Overcoming language barriers (correct)
  • In healthcare, what is the significance of addressing actual and potential constraints to communication?

    <p>Improving patient outcomes</p> Signup and view all the answers

    Which group of individuals require specific communication strategies to ensure effective interaction?

    <p>Physically impaired persons</p> Signup and view all the answers

    What is a common barrier that inhibits effective communication as discussed by Koutoukidis et al.?

    <p>'Communication Skills'</p> Signup and view all the answers

    What is the acronym used to deliver distressing information to patients and their families?

    <p>SPIKES</p> Signup and view all the answers

    In the SPIKES model, what does the 'S' stand for?

    <p>Setting</p> Signup and view all the answers

    What is the main goal of using the SPIKES model when delivering distressing information to patients?

    <p>To provide support and collaborate on a treatment plan</p> Signup and view all the answers

    What should clinicians establish during the 'Setting' phase of the SPIKES model?

    <p>The physical context and privacy</p> Signup and view all the answers

    Why is it important for clinicians to gather information from the patient when delivering distressing news?

    <p>To tailor the information and support provided</p> Signup and view all the answers

    What should clinicians explore when addressing 'Perception' in the SPIKES model?

    <p>What the patient understands about their illness</p> Signup and view all the answers

    What should healthcare providers do when communicating with a person wearing glasses and hearing aids?

    <p>Ensure they are allowed enough time</p> Signup and view all the answers

    Why should healthcare providers not argue over the correct words or names during communication?

    <p>To respect the individual's communication style</p> Signup and view all the answers

    When should healthcare providers utilize family members for translation purposes?

    <p>When the patient prefers it</p> Signup and view all the answers

    Why is it advised to avoid using a family member for translation during distressing conversations, such as end of life care discussions?

    <p>It could lead to misunderstandings or distress for the family member</p> Signup and view all the answers

    How can healthcare providers show respect, professionalism, and provide holistic care when dealing with cultural differences?

    <p>By providing translated information brochures</p> Signup and view all the answers

    What proficiency level in English might prompt the use of flashcards in the patient's language to ask questions?

    <p>Minimal English proficiency</p> Signup and view all the answers

    What is a recommended way to communicate effectively with a person who is hearing impaired?

    <p>Reduce distance and optimize lighting</p> Signup and view all the answers

    When communicating with a vision impaired client, what should you avoid?

    <p>Channeling conversation through a third person</p> Signup and view all the answers

    What is a key suggestion for effective communication with a vision impaired client?

    <p>Speak naturally and clearly</p> Signup and view all the answers

    In a group situation with a vision impaired client, what should you do first when introducing the other people present?

    <p>Name the other people present accurately</p> Signup and view all the answers

    How should you modify your speaking pace when communicating with a person who is hearing impaired?

    <p>Speak clearly and slowly</p> Signup and view all the answers

    What should you do to confirm that a person who is hearing impaired understands you?

    <p>Check for understanding</p> Signup and view all the answers

    Which healthcare professionals can be involved in assessing the needs of a client?

    <p>Social worker, case manager, medical officer</p> Signup and view all the answers

    What is the primary role of advocacy in healthcare?

    <p>Speaking up for a client</p> Signup and view all the answers

    Why is it important not to attempt to support a client alone?

    <p>To link the client to experts and make referrals</p> Signup and view all the answers

    Which book is associated with the fundamentals of nursing and midwifery?

    <p>Kozier and Erb’s Fundamentals of Nursing Vol 3</p> Signup and view all the answers

    What is the main message conveyed regarding client support in the text?

    <p>Know the supports &amp; resources available to the client</p> Signup and view all the answers

    Why should individuals reflect on their thoughts and feelings according to the text?

    <p>To build emotional intelligence and self-awareness</p> Signup and view all the answers

    Study Notes

    Barriers to Communication

    • Communication has been identified as an essential component for quality healthcare and patient safety
    • Koutoukidi et al. (2014) states that there are several aspects of communication skills that can impair effective communication
    • Barriers to communication can be addressed and overcome with strategies such as re-clarification/reiteration of information and improving communication skills

    Strategies to Communicate with Patients

    • Communicating in a culturally safe manner involves understanding and respecting cultural differences
    • Strategies to communicate with patients include:
      • Using closed-ended questions (yes or no) and short sentences with simple explanations
      • Using visual cue cards and family members to translate when appropriate
      • Ensuring body language matches verbal language and using interpreter services
    • Communicating with non-English speaking patients involves:
      • Assessing the need for an interpreter
      • Using minimal English proficiency and flashcards in the target language
      • Providing translated information and assuring confidentiality of interpreter services
    • Avoid using family members or bilingual coworkers as interpreters, especially for distressing information

    Communicating with Hearing Impaired Patients

    • Gain attention by facing the person and avoiding background noise
    • Speak clearly and slowly, using facial and body expressions
    • Check hearing aids are working and in place

    Communicating with Visually Impaired Patients

    • Identify yourself, speak naturally and clearly, and use accurate language when giving directions
    • Avoid leaving a conversation without saying so and asking for help when needed
    • Use thoughtful language and avoid situations with competing noise

    Advocacy

    • Advocating involves speaking up for a client and working with them to establish needs
    • Assessment of needs can be established by the healthcare team and linking clients to experts and resources

    Breaking Bad News

    • The SPIKES strategy can be used to deliver distressing information to patients and their families
    • SPIKES stands for:
      • S: Setting (establishing a private and comfortable environment)
      • P: Perception (establishing what the patient already knows)
      • I: Invitation (allowing the patient to ask questions)
      • K: Knowledge (providing clear and empathetic communication)
      • E: Empathy (providing emotional support)
      • S: Summary (summarizing the conversation)

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    Description

    Explore communication skills in nursing practice, focusing on addressing constraints, cultural safety, and strategies for communicating with individuals with different impairments. Written by Twinkle Mashruwala from RMIT.

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