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Related Concept Videos

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
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Improving Communication Through Resident-Nurse Shadowing.

Heather A Walsh1, Adriane A Jolly Inouye2, Ellen F Goldman3

  • 1Children's National Medical Center, Washington, District of Columbia; and hwalsh@childrensnational.org.

Hospital Pediatrics
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Summary
This summary is machine-generated.

Pediatric residents shadowing nurses improved understanding of nursing workflows and patient care priorities. This nurse shadowing experience enhanced communication, relationships, and practice changes, positively impacting patient care.

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Area of Science:

  • Medical Education
  • Healthcare Communication
  • Qualitative Research

Background:

  • Reduced resident hours and communication methods led to resident and nurse frustration regarding patient care prioritization.
  • A need for improved teamwork and communication between residents and nurses was identified.

Purpose of the Study:

  • To evaluate the impact of a 4-hour nurse shadowing experience for first-year pediatric residents.
  • To understand the perspectives of residents and nurses involved in the shadowing program.

Main Methods:

  • A basic interpretive qualitative study was conducted.
  • Semistructured interviews were used to gather data from residents and nurses who participated in the program over the past three years.

Main Results:

  • Seven themes emerged, highlighting improved communication between residents and nurses.
  • Shadowing fostered greater resident understanding and appreciation of nursing roles and workflow.
  • Enhanced relationships, reported practice changes by residents, and peer connections were observed.

Conclusions:

  • Nurse shadowing is a valuable experience for residents and nurses.
  • The program demonstrated a positive impact on participants and potentially on patient care delivery.