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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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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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Therapeutic Communication01:30

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Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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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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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Navigating Disharmony: Nurse Experiences Providing End-of-Life Communication.

Abby Seydel, Nefeli Moutsoglou, Brandon M Varilek

    Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association
    |September 29, 2022
    PubMed
    Summary

    Nurses experience disharmony communicating end-of-life (EOL) care due to denial and knowledge deficits. Enhanced nursing education in palliative communication is crucial for improving EOL experiences for patients, families, and nurses.

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    Area of Science:

    • Nursing
    • Palliative Care
    • Qualitative Research

    Background:

    • Effective communication is vital in end-of-life (EOL) care.
    • Nurses often face challenges communicating complex EOL situations.
    • The COMFORT Communication Model provides a framework for EOL communication.

    Purpose of the Study:

    • To explore and describe nurses' lived experiences communicating with patients and families at EOL.
    • To identify specific communication challenges encountered by nurses in EOL care settings.

    Main Methods:

    • A descriptive qualitative study design was employed.
    • An online survey with Likert-type and open-ended questions was administered to nurses (N=252).
    • Thematic analysis was used to analyze qualitative data from open-ended responses (n=201).

    Main Results:

    • An overarching theme of 'disharmony' emerged from nurses' experiences.
    • Key sub-themes included navigating patient/family denial, the impact of specific word choices, and knowledge deficits.
    • Nurses reported discomfort and a lack of preparedness in EOL communication.

    Conclusions:

    • Nurses experience significant challenges and disharmony in EOL communication.
    • There is a critical need to address knowledge deficits and enhance nurses' comfort with palliative and EOL communication principles.
    • Nursing education must integrate comprehensive training in EOL communication to improve patient and family care outcomes.