Reflective writing nursing breaking bad news

Lenka and Petra were here to discuss research on family carers and end of life care.

Reflective writing nursing breaking bad news

AHPs, especially those that work autonomously, cannot afford to shy away from sensitive issues when interacting with patients as they may miss key information or an opportunity to help the patient further [2].

Our in-service training package was designed to aid AHPs in developing effective communication skills which can translate to difficult situations that may arise in their own healthcare setting.

This includes understanding the benefits of effective communication, identifying barriers to initiating communication and selecting appropriate techniques to enhance communication. Resource Aim To highlight the need for ongoing communication skill development for AHPs and provide a resource which can be used to facilitate this process.

Audience This package is designed to help all Allied Health Professionals improve and develop their communication skills. However, this is not exclusive to AHPs and can be used by other healthcare professionals wishing to enhance their communication skills. To encourage AHPs to critically reflect on their existing communication skills and their impact on patients 2.

Recognise and assess patient perceptions of how AHPs currently deal with difficult issues with the aim of improving future AHP practice 3. To critically evaluate the evidence underpinning the use of current and emerging approaches to sensitive issues with the aim of enhancing communication between patients and practitioners 4.

To recognise and appraise the changing patient demographics and the role of AHPs in their treatment eg: By the end of this package the reader will be able to apply advanced communication techniques to sensitive issues Ineffective Communication Mental Health According to the Mental Health Foundation, in any given year one in four people will experience a mental disorder [4].

Allied health professionals may treat patients with mental disorders as a primary condition or part of multiple co-morbidities [5] ; [6]. Individuals with mental health disorders are more than twice as likely to have other chronic co-morbidities, such as diabetes, pulmonary disease and cardiovascular disease [5] [7] [8].

Therefore, healthcare providers must be equipped to treat patients with mental illness in a variety of settings including outpatient, inpatient and community [5] [6].

However, individuals with mental health disorders still face inequalities with access and quality of healthcare compared to the general population, despite their increased needs [7]. All healthcare providers, especially those working autonomously, should be able to effectively communicate with patients about mental illness to ensure that the patient is receiving adequate care and is referred on to the appropriate care pathway [9].

Providing treatment and care for patients suffering from mental disorders is emotionally demanding and requires a high level of communication [10].

A study on the challenges of treating mental health comorbidities in acute settings found that even if a practitioner was formally educated on mental illness, they were not immune to feelings of negative stigma towards patients [5].

The inability of healthcare providers to empathise with patients, especially with those having self-harming behaviours, was another major barrier to effective communication [7] [11]. It was found that empathy was scored very low on self-appraisal and very high in areas which they believed specific training was necessary [12].

Time constraints, lack of knowledge about mental illness and frustration were also found to contribute to ineffective communication between patient and healthcare provider [5] [9] [11].

In summary, the negative stigma associated with mental illness appears to be a major barrier to effective communication and treatment for this population.

Obesity The World Health Organization reports that inover 1. The various comorbidities associated with obesity such as type 2 diabetes, cardiovascular disease, osteoarthritis and certain types of cancer, suggest that AHPs will encounter obese patients in a variety of settings [14] [13].

There is a recognized need to discuss obesity with patients to promote health and well being, however, many AHPs are often uncomfortable communicating the need for weight loss to their patients [15] [16]. Therefore, more than half of the patients that would benefit from a weight loss conversation do not get the assistance they need from their healthcare provider.

A focus group of physicians identified negative stigma and insufficient knowledge as major barriers to initiating the weight loss conversation, as well as frustration, lack of counselling skill and time constraints [15].

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Negative stigma, also referred to in this context as weight stigma, exists between AHPs and obese patients with the perception that they are unable or unwilling to change their behaviours because they do not possess self-control [17] [18].

This perception predisposes the AHP to be less active in the provision of weight-loss conversations as well as in counselling the patient on how to change their behaviours [19]. AHPs with insufficient knowledge about weight loss methods or techniques feel uncomfortable approaching the conversation and tend to avoid it completely [18].

Reflective writing nursing breaking bad news

The AHPs own perceptions of their weight will influence their willingness to part-take in a weight loss conversation [20]. A survey of physicians found that those with a BMI betweenwhat is considered normal, were more likely to initiate a weight loss conversation [20]. Finally, patients and AHPs often believe that the current weight issue occur from different causes and this can be a source of frustration when trying to initiate behavioural changes [18].

End of Life Discussions regarding death and terminal illness are a difficult challenge for patients, family members and AHPs.

As AHPs often try to protect their patients from bad news, end of life discussions are often avoided [21].A CPD article enhanced hospice nurse Charlotte Dale’s understanding of communication in palliative care. This CPD article improved my knowledge of effective communication in breaking bad news, which is a frequent part of my new role in an adult hospice.

The Porter Medical Center Auxiliary Board of Directors has approved a contribution of $, to Porter Hospital in support of a state-of-the-art patient monitoring system upgrade project. A nurse with good communication skill is someone who really listens to the patients, understands their problems and queries and answers in a way the patients will understand.

Communication in nursing profession can be a complicated process, and the possibility of sending or receiving incorrect. The incident is illustrated in the form of an exemplar, using the format of a nursing reflective model that enables the use of critical reflection, thinking and analysis.

Finally the assignment is summarised, concluding the assignment. After writing this in my in-class journal discussing my transition from five-paragraph writing to actual formation of thoughts without a specific format, I realized that this process was a larger undertaking than I originally thought.

Reflective Practice.

Related Pages

International and Multidisciplinary Perspectives. Breaking the silence surrounding childhood sexual abuse: consequences for our practice and selves as teacher educators challenges for students when reflective writing about their childhood for assessment. Michelle Newcomb, Judith Burton & Niki Edwards.


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