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Patient Centered Care And Communication Essay

1365 words - 6 pages

Patient-Centered Care and Communication in Critical Care
Pikes Peak Community College

Patient-Centered Care and Communication in Critical Care
Introduction
Communication is a key component in nursing care. As nurses we must communicate with our patient’s, patients’ families, and a wide variety of healthcare team members. Communication can be vital to patient’s lives, informative to physicians, and calming or educational to families. The communication method, or theme, that a nurse uses as part of her care can positively, or negatively, affect every aspect of patient care. Communication plays a huge role in the way I care for patients and their families. Without positive, ...view middle of the document...

The data collected for this study contained a combination of interviews, direct observations within the ICU, family conferences, and informal conversations that took place between a patient’s family member and healthcare providers.
Summary
Analysis of the collected data found that the majority of nurses’ involved in the study communicated most often in the biopsychosocial, patient-as-person, and clinician-as-person domains. The biopsychosocial domain focuses mainly on information exchange. A majority of the nursing communication interactions observed were in this domain. Communication between the nurse, the patient, and the patients family were often related to life-sustaining interventions, however, the implications as to why these interventions were necessary was never directly addressed. Many communication behaviors also fell into the patient-as-person domain. Within this domain the nurse seeks to understand a patient’s personality outside of their illness. Non-verbal communication behaviors were frequently noted in this domain. The clinician-as-person domain involves interactions between the nurse and other clinicians, most often a physician, and recognizing one’s own emotional response to a particular patient and the situation. In the two remaining domains, it was noted that the participating nurses’ generally refrained from communication in these areas. Sharing power and responsibility includes the active involvement of a patient, or family member in treatment decisions and forming an agreement about the plan of care. The therapeutic alliance domain includes a clinician that is involved with learning the patient’s desires and then working together alongside the patient to agree on a plan of care. A majority of the nurses’ interviewed agreed upon the importance of these two domains, they felt that it was not a part of their nursing role. Instead they regarded that the shared power and therapeutic alliance domains should be fulfilled by a physician.
Once the communication behaviors were analyzed and placed into one of the patient-centered care domains, further evaluations were done to understand any reasoning as to why nurses chose to communicate more in certain domains and less in others. During the evaluation of nurses’ roles in communication two themes were discovered. These themes tended to guide nursing communication behaviors based on their perspective of a nurse’s role within the patient-centered care domains. In the first theme nurses’ felt their role was to act as translator between the physicians, the patients, and the patients’ families. As a translator, nurses’ are able to clarify the overall plan of care for patients and the patient’s family members that may have been missed or misunderstood. It was also recognized that nurses’ sometimes acted as only one-way translators. This involved reporting patient information to the physician only. The nurses’ felt it was not their role to translate any critical...

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