How could you use the Nursing Process to address a staff member’s performance shortcomings?

Member’s Performance Shortcomings N890

Module 4 Discussion

DQ1 Think about your current or former workplace. Are you aware of any specific actions that were taken to protect employees from workplace violence? What more could you suggest?

How could you use the Nursing Process to address a staff member’s performance shortcomings?

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Member’s Performance Shortcomings N890
Member’s Performance Shortcomings N890

What is effective nurse communication?
Benefits of effective communication in nursing require an understanding of the patient and the experiences they express, NIH says. This communication “requires skills and simultaneously the sincere intention of the nurse to understand what concerns the patient.” Nurses, to be successful, must understand the patient’s needs, as well as convey the patient’s communicated message back. “It is a reflection of the knowledge of the participants, the way they think and feel and their capabilities.”

To achieve the best communication with patients, nurses must be prepared to learn, understand and apply various aspects and applications of communication in various fields of nursing. Emphasis must be placed “on the importance of communication between nurse and patient and nursing education must focus on the communication skills of nurses.”

Likewise, (patient) communication is rarely “unidirectional” and the failure by nurses to recognize two-way communication can lead to negative conclusions and attitudes. However, communication is not only verbal; it can happen without words, and is an ongoing process. Non-verbal communication is expressed by facial expressions, gestures, posture and physical barriers, such as distance.

Nurses must be able to analyze patient communications during stressful situations and understand non-verbal cues to ensure patient safety. Additionally, nurses must understand that no two people communicate in exactly the same manner. Listening is important in communication; listening lets a nurse assess a situation to formulate a response for care.

Communication in nursing
Nurse and patient communication begin at first contact; at the initial moment of patient care. This communication lasts the duration of the care cycle. For the most benefit, the patient must feel comfortable, which requires a peaceful and private environment (as much as is allowed) and confidentiality. If such an environment is not made available, the patient may rescind speaking openly. Time also is a required element of quality communication between a nurse and patient. It takes time to create confidence necessary to best support the patient. “The patient who has the undivided attention of the nurse reveals his problem sooner, with the satisfaction that the nurse has listened and observed him,” the NIH paper, “Communication in Nursing Practice” points out.

When nurse-patient conversations are underway, the nurse must use language that does not bombard the patient with technical terms or words of little meaning. A patient may become quickly ashamed of their lack of complete understanding and hesitate, halting progress. They also may avoid seeking an explanation and bail on trying to attain a complete understanding of the situation. Nurses should bring the conversation to the language level of the listener so he or she may best meet patient understanding of what is being communicated. Eye contact also is extremely important.

Finally, honesty and transparency are vitally important to effective communication between caregiver and patient. Nurse communicators should “leave no suspicions, doubts, and misunderstandings,” researchers concluded in their NIH report.