Communication in Healthcare: Crucial Conversations
A crucial conversation which I was a part of recently involved an experience which concerned a patient going through end of life care. During this conversation I had to bring to the other nurse's attention the fact that some of her actions were offending the patient and the patient's family and that during this difficult time that really was not acceptable. For example, during the conversation I explained to the nurse that eye contact with this middle eastern ethnic group was supposed to be avoided, as was pointing as both were considered extremely offensive. The other nurse also tried to prevent candles from being lit and folk dishes from being eaten in the room. I explained to her that within this culture it was an inherent and important part of the ritual of death and a way to honor the dying. It was apparent that the other nurse was embarrassed by her behavior and by her own ignorance, as she avoided eye contact and nodded a lot, looking down at her feet. I tried to communicate as gently as possible as this other nurse simply didn't have the same amount of experience and just wasn't knowledgeable about end of life care. I tried to approach the situation as an attempt to communicate and to foster a teachable moment. Ultimately this conversation was beneficial as it led to the more active participation in a shared vision among this nurse and myself and a greater manifestation of the shared vision of the entire hospital at large (Grossman...
In this case, the stakes were high as it was end of life care. The strong emotions involved the younger nurse's level of embarrassment regarding her actions. The opposing opinions weren't crucial or destructive: they just meant that her opinion consisted of following hospital protocol more than others.
This was a crucial conversation that evolved slowly, with patient happiness and the correctness of end of life care at stake. The situation was ultimately handled well and resolved. Instead of letting anger and hurt feelings to take over, this dialogue turned into one which was more powerful and transformative for the both of us (Patterson et al., 2011).
Communication is vital in any professional working environment, though it becomes especially crucial in the world of nursing. Keeping quiet or silent can be dangerous to a patient's health or only contribute in helping to establish poor patient outcomes. One of the most important strategies involved in allowing communication to thrive is being aware of where reticence comes from. In many cases, there's a fear of sounding disrespectful (Maxfield et al., 2012). This is with good reason as well: disrespect can poison working relationships, resulting in tensions among colleagues and difficult working situations. Thus, with an awareness of…
Conversations The critical thinking framework mentioned in Chapter 7 includes assessment, diagnosis, planning, implementation and evaluation. This is an effective way of conversing with the patient because the nurse will be clear on all objectives rather than being confused as to what to tell to a patient with a dangerous disease. Being clear on everything and having a critically analyzed report would help the nurse to clearly and easily handle difficult
Communication Skills Self-Assessment Interpersonal Communication Speech and language pathologists are considered to be experts in the field of interpersonal communication. Yet these professionals readily agree that although they may be experts in disorders of communication, they "are not experts in 'communication,' particularly that of interpersonal communication" (Montgomery, 2006). A fundamental reason that someone might not be skilled in interpersonal communication is that they have difficulty attending to and processing all of the
Communication The Hunter-Worth situation is an interesting example of cultural communication breakdown. In this instance, the breakdown has led to several problems. There is conflict between Hunter-Worth and the Mexican plant, and there is a shortage of the toy. The problems are related. The communication breakdown has resulted in Hunter-Worth management not knowing what the problem with the toy is. While Moore might not think so, resolving the conflict is going
They allow for give-and-take and the expression of a variety of opinions, questions, and suggestions. However, if the goal is simply to disseminate information with no need for give-and-take, those attending may be frustrated if they have comments they want to make but the meeting is not intended for two-way communication. A memorandum or other such bulletin might be more suitable for one-way communication. COMMUNICATION SITUATION ANALYSIS MATRIX MESSAGE TYPE RECOM-MENDED JUSTIFICATION Publicizing a change
Communication: Arguments What is the communication problem? When two cultures meet, both are likely to be ethnocentric. Those from the United States, try to find similarities in the other cultures with that of their own. Brazil as a country is unique in many ways. It is stated that what was considered non-fashionable in U.S. -- for example being fat is taken as natural in Brazil. (Palka, 2006) Thus in that culture messages
The Board of Directors, shareholders, Hans Baumwolleh (CEO), the Senior Management Team, Human Resources and the Sales department will need customized messages as well. Engaging management from all levels will be essential to the success of the company plan in reaching the goals and objectives as they are stated. To achieve that success will take communication between all parties, all individuals and all departments. Communication, therefore, is essential to the overall