Reflection On Communication In Experiencing Mental Illness Nursing Essay

beamion On Communication In Experiencing Mental Illness Nursing EssayThe take of this assignment is to critic in ally reflect upon on aspect of my professional arrange and development that arose whilst out in clinical practice. The paper go out record emphasise based on communion. This reflection has been elect to highlight the deprivation for give sucks to leave therapeutic communication skills in order to provide holistic apprehension and encourage a good nurse- affected role relationship. Gibbs (1988) reflective cycle has been chosen as a framework for this paper. To satisfy the requirements of the Data protection human satisfy (1998) as well as the NMC (2007) code of professional conduct, all name calling make been changed to protect identity in concordance with confidentiality purposes.Reflection is a focus of analysing a past incident in order to embolden erudition and development. Gibbs (1988) reflective cycle piece of ass be seen as orbitual in nature which incorporates six stages to enable me to continuously improve my lcapitulumning from the event for better practice in the future. The six stages are 1. exposition 2. Feelings 3. Evaluation 4. Ananlysis 5. Conclusion 6. deportion plan.DescriptionWhilst out in arrangement I witnessed both positive and negative communication. During handover I was certain Maisey has dementia, deafness, hostility and short term memory sacking. During handover Maisey approached the nurses int he office who appeared to look real anxious and roll. The stave nurse awakend her voice and in a fixed tone told Maisey to return to her bedroom, shouting we are to busy now, go back to your room. The nurses and health care assistants present in handover giggled amongst themselves, exchanged intimate glances and mimicked Maiseys voice saying she can be such a nuisance. Having not previously met Maisey I avered to assist her with her individualized hygiene emergencys and to cook her bed. I knocked on her bedroom door to which I then entered. Maisey stood up defensively and appeared to be very agitated and irate. She shouted that she wanted answers. I exempted that I came to protagonist her and would do my best to help her. Maisey then explained that no one had explained to her why she was in hospital nor did she know the where abouts of her daughter (main care giver). Reviewing Maiseys care plan I found out she had a decline at her daughters (Barbara) house and her son informed me that Barbara was away(p) on pass for a week. aft(prenominal) the discussion with Maisey I documented it in her notes so that other members of the Multi-disciplinary team would acknowledge that Maisey was uncertain about the situation she was in.After speaking to my mentor and organism more knowledgeable on Maiseys situation, I returned to her with my mentor close by. I pulled up a chair spatial relation by side(p) to her and in a calm, reassuring, comforting manner explained the fence why she was in hospital. However Maisey appeared to look confused and asked me to speak to her in her left ear as she was deaf. I patient ofly repeated what I had s care, she looked b redresser after I mentioned her daughters name. Maisey asked a few more questions and I tried to answer them accurately and confidently. Maisey smiled and confided she is sensitive that she can be for hastenful but come ups that she is being neglected and that no one cared to what she had to say. She also said she could not sleep as other patients were disturbing her. After the discussion I gave Maisey assistance with her personal hygiene needs to which she thanked me for taking the eon and just talking. Maisey had said she mat up a lot better that someone took the metre to listen to her concers and explain what was release on or else of being ignored and left in the dark.FeelingsI matte very angry and disappointed that the staff easy agreed as a team that Maisey was just confused and describing her a a s nuisance, without investigating as to why she seemed upset. I was in finish shock that as nurses they could be so quick to dismiss Maisey the way the did. I was highly annoyed that they all felt it was alrite to mimic and prank at a patient. I felt a bit discourage how no one took the m to explain what was going on to Maisey. once I helped Maisey I felt happy that I took the while to get to know her and in turn see a different side to things. I felt proud I was able to ascertain and slacken Maisey so she could rest properly.EvaluationI tone of voice I throw off learnt a lot from this get wind with Maisey and how the nurses reacted to her when she was at a very unsafe time. It was not a nice encounter as I life things like this should not happen in practice, however in impairment of a learning prospective it was good as it taught me that it is paramount to be sensitive towards a patient who is feeling distressed. It went well as I have learnt how important it is to b e patient, to take the time to listen to a patient as this can have cumulative make on that persons well being and the outcome as to how they are feeling. The way the staff nurses reacted was not in the best interests of the patient. I did not like their approach, as they did not make an effort to institute support or every instinct as she was known as a difficult patient. Stockwell (1972) wrote the notorious book The Unpopular Patient where she explains that studies of communication in nursing certify inadequacies in nursing practice. Stockwell (1972) describes the nurse-patient fundamental interaction, insisting that such interaction is not incessantly satisfactory, especially when dealing with a difficult or less-traveled patient. I feel the nursing team were ignorant to the fact that Maisey had difficulty in hearing which must have made it irritating for staff to nourishment repeating themselves. This could have been part of the reason as to why Maisey was considered an unpopular patient as she was seen as demanding.AnalysisThere was no interaction between nurse and patient as Maisey approached the nurses station, and to be mocked then ignore must have been a terrible experience for her. Davis (2008) explains how hectic time of the day such as handover, mealtimes and ward rounds leave insufficient time to help patients who need it. However, if the nursing team had engaged in a little conversation with Maisey, she might have felt valued and understood, instead of upset and belittled. The NMC Code (2008) clearly states many standards of conduct which a registered nurse should be trusted to do, these including You must dish out people kindly and considerately and You must listen to the people in your care and respond to their concerns and preferences. If as nurses we should comply with The Code (2008), a lot of work is required to raise the awareness of the enormousness of communication in the delivery of care. In 2007 the NMC introduced infixe d Skills Clusters. These Essential Skills are to be delivered by all registered nurses, one of these clusters containing Care, gentleness and Communication. The NMC introducing these clusters show the importance of interpersonal skills in nursing care, and significance of communication in the nursing profession. On this occasion, the nursing team did not show care or compassion for Maisey, and certainly did not engage in therapeutic conversation.As a student nurse I felt I had the knowledge and skills to approach the patient to appropriately calm and reassure her. Heyward and Ramsdale (2008) explain that a patient who thinks his nurse is not hearing to them will lose faith in the service a nurse provides, and in the nurses willingness and dexterity to do as they have promised. They explain that sympathising with a patient shows willingness to witness their anxieties and make the patient feel more comfortable. As I entered the room the patient stood up with a defensive posture, w hich I fabricated was employ non-verbal communication to inform me that she was suspicious and distrustful of me. This was caused by the nursing teams disability to make the patient their first priority and to listen and respond to her concerns. Santamaria (1993) tells us that nurses must deal with the full range of human behaviour, and at the same time deliver the highest quality of care. I acknowledged that Maisey was upset and gave her the opportunity to ask questions and voice her concerns, and in turn made her feel special by giving her my time. As Maisey asked me to speak loudly into her right ear I wondered if her history of deafness had been accurately assessed, as she was decidedly not deaf but having communication difficulties. Eradicating this problem with help of a speech and language therapist or a hearing aid would have helped Maisey and the impatient staff enormously in this situation.Although I had been informed that the patient could be aggressive, I managed the situation by relating to her position and understanding her point of view. Leadbetter and Patterson (1995) explain the prevention and management of aggression should be dealt with by showing empathy and respect for the patients individuality and being genuine, utilising an open and honest manner. Finally, integrity, and being aware of ones own competence to handle the situation. Egan (1990) considers non-verbal communication to prevent untamed situations such as considering body posture, nodding to show interest and making eye contact, but not as though to threaten the patient in any way. Fortunately, empathy and respect for Maisey helped her to trust and confide in me.The reason for analyzing this particular section of the scenario was to answer the question, Why did the nurse not feel efficiently equipped to approach the patient herself, instead leaving the potentially aggressive situation with an unsupervised student? In the NMC Code (2008), advice for a registered nurse is to r ecognise and work at heart the limits of your competence, but also to have the skills and knowledge for safe and impressive practice. I believe communication skills within the nursing team must be rigorously developed and keep as one professional alone cannot meet a patients requirements. We need to work collaboratively to provide maximum care delivery.Maisey felt more relaxed, valued and safe, after we identified and resolved her concerns. Older people generally have more barriers to communicating effectively. These barriers are worth investigating, as the acquisition of a little understanding and basic skills is a simple and rewarding exercise. (Myerscough, 1992) The barriers Maisey faced, was the time the nurses had to spend with her, and the fact that she was deaf. Myerscough (1992) explains that this is overcome by speaking loudly and clearly, using clear lip movements to assist lip reading. Through actively listening to the patient and encouraging conversation we managed to focus on the problem that was make unease. I do believe that Maisey was discriminated against because of her conditions and illness, as she was not given the time and energy that was given to other patients. The Human Rights Act (1998) Article 14 explains that every person should be treated equally without any variety on any ground. This section of the act was broken when the staff failed to treat Maisey as they would the other patients. Maisey was confused and upset that she had not been given time to adapt to her surroundings, and was in fear due to the insularity from her main caregiver. virtually patients do suffer a degree of anxiety and apprehension and access code to hospital is in particular a disturbing experience for anyone. (Lloyd and Bor, 1996) They offer explanations for these anxieties, such as being in an unfamiliar environment and separation from family and friends. Loss of personal space is a factor mentioned, as is loss of independence and privacy. One that c losely relates to the scenario is uncertainty of diagnosis and management. Maisey was uncertain of what was going on. By providing her with the information she required, she could understand a purpose for her admission and the decisions being made.ConclusionThe reason for Maisey being upset, and the nursing teams reluctance to help her, all stem from the same thing. As we have discovered communication and ones ability to reflect on practice have enormous effect on the capability to provide the highest possible quality of care. Additionally time and loading to our patients is priceless as it can never be taken away from them. We also need to realise that ones own values have effects on interaction with our patients, so appreciating that our client has different values and beliefs to ourselves help us gain insight into the reasons they think and behave as they do. somewhat consider interacting with others as hard work, but we as nurses need to understand that communication is the ga teway to successfully helping our patients and improving our skills.Action designingOn reflection I saw first-hand how easily communication can break down, if not between nurse and patient, then within the multi-disciplinary team. I will take the experience with me throughout my nursing education, remembering the importance of effective communication, and also the ability to look back at an experience and break it down to discover what really happened. Taylor (2000) defines how reflection on action occurs perfectly. He explains that only when details of events are recalled and analysed, unpicked and reconstructed considering all aspects of a situation, can one gain fresh insights and amend actions. He quotes unfavourable thinking is essential for safe practice. (Taylor, 2000) This should be an ongoing and extensive turn for all nurses in practice. I will be more aware of my interaction with others and will constantly reflect on my experiences to see the consentaneous package of care delivery.REFERENCESBecker, E.L. (1991) Churchills Illustrated Medical Dictionary. 3rd Edition. USA Churchill LivingstoneData security department Act 1998 capital of the United Kingdom HMSODavis, C. (2008) Tea and Empathy discussing a project focusing on patient centred care. Nursing Standard. Vol 22, no. 32, p.18Elliss, R.., Gates, B., Kenworthy, N. (2003) Interpersonal communication in Nursing. second Edition. London Churchill LivingstoneEgan, G. 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