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Related Concept Videos

Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

Role of Communication in the Nursing Process I: Assessment and Diagnosis

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The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
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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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Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

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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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Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Creating Shared Meaning: Communication Between Nurses and Physicians in Nursing Homes.

Donna C Owen, Alyce S Ashcraft

    Research in Gerontological Nursing
    |March 23, 2019
    PubMed
    Summary

    Implementing Situation, Background, Assessment, Recommendation (SBAR) communication training in nursing homes improved shared meaning between nurses and physicians. This approach can enhance structured communication and mutual understanding in elder care settings.

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    Area of Science:

    • Gerontology
    • Healthcare Communication
    • Nursing Home Care

    Background:

    • Effective communication between nursing home (NH) nurses and physicians is crucial for resident care.
    • The sensemaking model provides a framework for understanding communication dynamics.
    • Structured communication tools like Situation, Background, Assessment, Recommendation (SBAR) aim to improve information exchange.

    Purpose of the Study:

    • To gather pilot data on an SBAR communication intervention in NHs.
    • To explore the construct of shared meaning in nurse-physician communication within NHs.
    • To evaluate the impact of the intervention on communication processes and outcomes.

    Main Methods:

    • An exploratory sequential mixed-methods design was employed.
    • A pre-post quasi-experimental approach was utilized.
    • Grounded theory, including interviews and medical record analysis, informed the qualitative phase.

    Main Results:

    • The Pathway to Shared Meaning model supported the application of the sensemaking model to nurse-physician communication.
    • While not statistically significant, the intervention focused on shared meaning and SBAR training.
    • Qualitative findings indicated the potential for strengthening structured communication in NHs.

    Conclusions:

    • Shared meaning is a vital component of effective nurse-physician communication in NHs.
    • Training in SBAR can be a valuable strategy to enhance structured communication.
    • Further research is warranted to optimize communication interventions in long-term care settings.