Communication Breakdown Cases. Essay Sample

Communication breakdown is caused under an individual is mistreated as a result of ineffective communication within the Healthcare setting. This often results in more harm than the intended good towards the patient. (Muller et AL., 2018). Where the communication breakdown happened. The first communication breakdown occurred on March 12, 2012, when Ann was taken to the hospital with her husband. Initially, she presumed that they were both being taken to see the doctor. The information as to who was necessarily going to see the doctor was not clear; the communication breakdown here implied an uninformed decision about what exactly was going to transpire.

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The second communication breakdown occurred at the hospital after Ann's admission. She was left alone in the hospital room; there wasn't any amicable communication apparent in her state. As no one told her anything about her state or even her medical condition, she was left alone in the hospital room, actions that inspired her to call 911 for appropriate help. This instance of communication breakdown intensified while Ann was in the room alone, and perhaps no one was there for her help.

Thirdly, a communication breakdown occurred when Ann underwent an MRI and PET scan, where she could not communicate with the physician regarding the events done to her. This undermotivated her and ignited the desire to be kept on a definite end. It also prompted her decision to talk to the tech first before any other scan. Communication breakdown also occurred the instance after Ann refused to perform the second scan because of not being able to talk to anyone, actions that led to her sides and arms being tied at the sidebars against her will. This infuriated and created more fear than the anticipated healing.

Finally, an instance of communication breakdown occurred at a hospital where she was kept at a room with only a mattress against her will, and not even told why she was kept in such an environment. When her husband asks why she was without a bed, instead of telling the truth, the caregivers proceed to say to her close friend that she was there because the bed was dangerous for her.

What would they do differently if caring for this patient?

While handling this patient, both the involved doctors, psychiatrist, and the respective nurses should effectively manage her and keep her informed. They should advise her on the benefits of the whole actions that were being conducted hot her. Effective communication would have induced her willingness to perform the exercise as desired by the medical personnel.

Secondly, the supporting team would have adhered to Ann's desires, such as allowing her to talk to the tach and see the equipment as per her wishes. This would have minimized friction and reduced her anxiety to resist the practices aimed at improving her condition.

Finally, the medical staff should have effectively kept open communication and encouraged the response and feedback approach from the patient; this would have enhanced useful understanding between the health caregivers and the patients. While the team was acquiring details on how the patient was feeling through the induced feedback, the medical staff would have used clear communication to improve the patient's condition through the health care administration consecutively.

How communication breakdown can be avoided in health care systems.

Through health care reorganizations- health care reforms play an integral role in effecting the re-establishment of effective administrations of patients' desires to inform of communication. According to (Lang 2018) operation, inefficiency in Healthcare mainly attributes to communication breakdown. Through consolidation- consolidation of healthcare systems results in merging and expanding patients' handling criteria and personnel; this also results in the improvement of Healthcare systems to effectively treat patients' desires. Practical training enhances patient management through effective communication in the consolidated Healthcare system (Moore, 2018). Finally, the incorporation of technology. Technological devices have facilitated improvements in communication between patients and caregivers. This has significantly eased out the intense communication breakdown (Sahay & Walsham, (2017).

What needs to be in place to enhance therapeutic communication at all levels of care?

Therapeutic communication effectiveness requires the presence of the following activities. Respect, presence of connections, highly motivate self-confidence and stimulate the patients to open up during communication freely. Respect also promotes the dignity of Healthcare providers to handle patients at all levels maturely. The connection also results in understanding and respecting patients' desires and dignity (Nyholm & Koskinen, 2017). Secondly, the assessment of verbal and non-verbal communication from the clients. Useful assessment tools facilitate easy understanding hence efficacy in contact at all levels of care provision.

Support is a fundamental tool that highly promotes communication between the patients and the caregivers, support encourages the patients to feel appreciated; as a result, allowance of smooth communication and interaction. Proactive listening tools. Listening is one of the integral role for Healthcare givers; active listening highly motivated patients to air about their desires. Furthermore, heeding to those desires induced effective communication here, promoting the enhancement of communication.

The roles of nurses from ANA scope and standard practice to enhance therapeutic communication in the development of the nurse/patient therapeutic relationship in all caring environments

American nursing association stipulates therapeutic communication as a fundamental face-to-face interaction with the patients to evaluate their desires. This also forms the basis of understanding the patient's and wants needs and forms the basis of care provision. The role of nurses includes. They act as patient advocates. Nurses play a vital role in assessing the patients' needs through communication. After the assessment, they represent the patients' desire for the higher-ranking staff. This is an advocate-client relationship in so doing they end up acting as an intermediary between the patients and the higher rank staff. The advocate role of nurses mainly works on the therapeutic environment as they are the closest ones to the patients on the ground; this highly facilitates the growth of a therapeutic relationship between them and patients.

They also play the role of caregivers; this is the primary role called upon to do by the ANA; nurses execute the task of care for the patients. The effectiveness of this role results in the development of a healthy relationship as a result of the therapeutic process. Similarly, nurses act as parent surrogate, nurses take over the parenting role of the patients from their initial parents or guardian, conduct cleaning, feeding as well as providing material guidance comfort and advice to the patient. This forms a fundamental obligation of their nursing duties as well; the nurse's actions highly developed a more potent therapeutic relationship.

References

Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ open, 8(8), e022202.

Patel, M. R., Jensen, A., Ramirez, E., Tariq, M., Lang, I., Kowalski-Dobson, T., ... & Lichtenstein, R. (2018). Health insurance challenges in the post-Affordable Care Act (ACA) era: a qualitative study of the perspective of low-income people of color in metropolitan Detroit. Journal of racial and ethnic health disparities, 5(1), 78-85.

Links, M. J., Watterson, L., Martin, P., O'Regan, S., & Molloy, E. (2020). Finding common ground: meta-synthesis of communication frameworks found in patient communication, supervision, and simulation literature. BMC Medical Education, 20(1), 1-16.

Moore, P. M., Rivera, S., BravoSoto, G. A., Olivares, C., & Lawrie, T. A. (2018). Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database of Systematic Reviews, (7).

Sahay, S., & Walsham, G. (2017). Information technology, innovation, and human development: hospital information systems in an Indian state. Journal of Human Development and Capabilities, 18(2), 275-292.

Nyholm, L., & Koskinen, C. A. (2017). Understanding and safeguarding patient dignity in intensive care. Nursing Ethics, 24(4), 408-418.