Communication and Inter-professional Work in Nursing

Communication and Inter-professional Work in Nursing Discuss how communication within an inter-professional team could affect collaborative working. WORD COUNTS: 1650 Introduction The aim of this essay is to discuss the concept of communication within Interprofessional team, critically analysing how this could affect collaborative working and with meticulous attention given to two key points; effective communication in terms of verbal, non-verbal and active listening and the development of mutual trust and respect. It will endeavour to critically examine the impact these key points and the impact they have on the dynamics of collaborative working. It will also seek to explore strategies that may be used to facilitate effective communication and collaboration between professionals. Modern healthcare is becoming ever complex due to the aging population, diverse range of co-morbidities and increasing expectations of health service quality and safety (World Health Organisation, 2011). Hence, there is exerting growing pressure on health and social care providers to deliver care that is effective thus to meet these demands. Pollard, Thomas and Miers (2010) advocates that in order for health and social care professionals to be able to cope with these demand, they have to work together as a team. For instance, during the hospital stay of a patient , they may encounter numerous professionals from diverse disciplines such as doctors, nurses, pharmacists, dieticians, physiotherapists, social workers and many more depending on the patient’s needs, therefore, professionals will need to collaborate together efficiently as a team. Collaboration requires professionals from different disciplines in health and social care to work together as a team by sharing of knowledge, ideas, expertise, resources and responsibility in order to tackle the most difficult health and social care issues and make effective clinical decisions regarding a patient’s care (ref). In turn, collaboration also ensures consistency in quality care for their patients, subsequently, improves services and outcomes (Social Care Institute for Excellence, 2015). However, for this to occur, effective communication is needed for a successful collaboration to be achieved (Brock et al., 2013) which is in line with the 6 C’s of care as highlighted in the Department of Health (2015) guideline. . In agreement, O’Daniel Rosenstein (2008) insist that communication forms the backbone of collaborative working and when lacking or incompetent compromises a cohesive collaborative team. Wood (2004) defines communication as â€Å"a systemic process in which individuals interact with and through symbols to create and interpret meanings† (p.9). Nemeth (2008) affirms that for communication to transpire between individuals it has to be effective and not the mere fact of interaction, as effective communication entails the transmission of information uninterrupted that results to understanding. Effective communication is argued, the key ingredient for the successfulness of interprofessional collaborative working within health and social care (NHS Commissioning Board, 2013). Hargestam, Lindkvist, Brulin, Jacobsson and Hultin (2013) further emphasised that communication is the key factor for the prerequisite for the team’s structure, collaboration and task performance. Alfredsottir and Bjornsdottir (2008) put forth the notion that where there is effective communication within a team, there is also good clinical outcomes. Kenny (2002) also suggests that positive collaboration alongside effective communication ensures sufficient sharing of valuable experience and expertise, thus, enhances levels of job satisfaction. In support, Almost et al. (2015) review of positive and negative behaviours in workplace relationships among healthcare members found that improved communication and teamwork reduces stress, increases job satisfaction and work performance in turn enhances communication between team members. Jerry (2011) ascertains that there are two major components of communication used within health and social care; verbal and non-verbal communication. Verbal communication involves professionals meeting face-to-face in the form of meetings or over the telephone which are one of the most common and preferred way of communication. This allows sharing of knowledge and skills, generating common narrative that draws team together. Jerry (2011) further illustrates that during this phase of communication, members should speak clearly and directly in a succinct manner while drawing from their own knowledge, warranting free flowing and efficient information thus avoiding errors of miscommunication and confusion. On reflection during MDT meetings in clinical placement, each member was given the opportunity to make critical points that endorsed other members to bring in ideas and make sound decisions. Browning and Waite (2010) however acknowledge that active listening plays a major role in verba l communication as it is the pedigree for a successful interaction, hence sustaining collaborative working among healthcare professional. Burnard and Gill (2013) further declares that how well professionals communicate is also dependent on non-verbal communication such as written notes, care plans, letters, maintaining of eye contact during meetings as they are key factors that enhances or detracts from the way professionals communicate. Fiske (2011) stresses that where there is lack of listening skills or clarity of information being transmitted, this often leads to potential conflicts and confusion to arise as a result of ambiguity or reception of message not being fully understood or misinterpreted. (ref) supports this stating that, when there is breakdown in communication, it hinders the efficiency and leads to insufficient information, ambiguous and unclear information being exchanged between professionals, consequently jeopardising the dynamics of collaboration. In their qualitative study of multidisciplinary communication at ward board rounds, Hellier et al. (2015) found that ineffective communication amongst he althcare professionals correlates with lack of appropriate information being available, conclusions often not reached and decisions of patients often deferred. A study by Wu et al (2012) suggests that, where discrepancies in the flow of information between professional were found to lead to misunderstandings and frustrations among healthcare teams which meant communication and cohesion barriers were formed (Burnard Gill, 2013). O’Daniel and Rosenstein (2008) further accentuate that barriers to effective communication may be due to members from different profession having varied behaviour and language affiliation part due to training, therefore, sets up the potential for miscommunication. Hence, Lingard (2012) advocates that poor communication shapes events that impact on professional working and patients downstream. Nonetheless, Wu et al. (2012) stated that when there is strong communication within a team, professionals are adequately informed as all members of a team are kept updated as they are in the loop of the information they need, hence a standardised common inter-professional language is established (Reeves, Lewin, Espin Zwarenstein, 2010). All the same, there is an array of literatures and cases that shows that communication and collaboration does not always occur in clinical practice. The Joint Commission (2010) found that an estimated 80% of serious preventable adverse events stems from miscommunication between caregivers. The detrimental effects of communication deficiency between professionals were evident in the Mid Staffordshire NHS Trust report (Francis, 2013). Central to the analysis of the Francis (2013) report was the evidence of egregious failings of communication between health professionals and organisations. The report showed that the quality of information exchange was often poor or failed to be passed on between hospitals, thereby affecting the way professionals interacted, delivery of services and patient care (Zwarenstein, Goldman Reeves, 2009). Devastating cases such as this illustrates the necessity of optimising communication among Interprofessional teams. Kenny (2002) illustrates that effective communication is the platform that creates transparency, encouraging professionals to develop trust, respect and form good working relationships where communication becomes more open and effective (Burnard Gill, 2013). This is in conjunction with McDonald, Jayasuriya and Harris (2012) qualitative findings of the influence of power dynamics and trust on multidisciplinary collaboration of diverse health professionals. Findings suggest that when effective communication is established especially through shared experience, technical skills and competence, opportunities for professional to rapport, gain mutual respect and trust is developed, thereby, forming alliance among professionals that facilitate cooperation. Result of the thematic analysis correlates with the author’s own experience observed in the classroom during Interprofessional education (IPE), as the author was able to work efficiently and show mutual respects to other students from other health educational sector such as pharmacy, child nursing and mental health nursing once effective communication had been established (Keller, Eggenberger ,Belkowitz, Sarsekeyeva Zito, 2013). This ensured that task sets out by the lecturer were achieved as everyone took turn to contribute and allowed ideas and decisions to be rigorously debated. Dixon-Woods et al. (2013) qualitative findings of culture and behaviour in the English National Health Service (NHS) among physicians, nurses and administrators accentuated that where there was lack of trust and mutual respect this led to lack of support, appreciation of individual professional expertise. Findings also showed that some professionals were not being consulted or listened to which cre ated conflicts, disagreement and miscommunication (Leonard, Graham Bonacum, 2004). The trustworthiness and reliability of the findings within the study is questionable as the researchers failed to provide full details of the methods used to collect data. However, findings was consistent with that of Ferlie and Shortell (2001) study which showed that where there was lack of trust and mutual respect between health professionals, there was deterrent to quality improvement work and on how well they communicated. O’Daniel and Rosenstein (2008) maintain that barriers to communication that affects collaboration between health professionals can be bridged by the use of a standardised communication stool. NHS Institute for Innovation and Improvement (2012) recommended that healthcare professionals implement a standardised approach to communicate such as the use of SBAR to make certain that information shared is structured by being concise and focused to maintain consistency of high quality of care. Randmaa, Mà ¥rtensson, Swenne and Engstrà ¶m (2013) prospective intervention study identified that SBAR improves communication between healthcare professionals, a proportion of incidents report due to communication errors decreasing from 31% to 11%. The study also highlighted that the tool sets out expectations between health professionals of how they should communicate. In terms of the limitation of this study, participants were not chosen at random which questions the study’s reliabil ity. Conclusion Evidence gathered suggests that effective communication and collaboration is imperative and should be used in correlation impetuously by professionals, thus to foster high quality care and promote practice to the highest calibre. 1 | Page

The Transition to Parenthood Essays -- Parenthood Pregnancy Fertilizat

The Transition to Parenthood Section 1: The case study Today, in western industrialized nations, the decision whether or not to have children is, as Berk (2004) describes it a â€Å"†¦.matter of individual choice† (p.460). This contrasts with many non western nations where what Michaels (1988, cited in Berk, 2004) describes childbearing as, â€Å"†¦an unavoidable cultural demand† (p.460). Research on the New Zealand population suggests that couples are having children at a much later phase of life. The median age for a woman to give birth is now 30.3 years, compared with her counterpart in the early 1970’s who gave birth at 24.9 years. There is also an increasing amount of individuals foregoing parenthood altogether. Statistics also show a trend towards later marriages and smaller families (www.stats.govt.nzfertility-rates) and couples living together especially in the early stages of the relationships (www.familiescommission.govt.nz). Many factors contribute to the marked shift from early to delayed childbearing. Berk (2005) suggests financial circumstances, personal and religious values and health conditions are influencing factors. While Barber; Tangri & Jenkins (cited in Berk, 2004) suggest that women with high-status, demanding careers will less often choose parenthood than those with less time consuming positions. Other factors may include how the parents feel a new baby will impact on their lives in terms of disrupted sleep, caregiving tasks and the couple’s relationship. Harry was 36 and Sally 34 when Sally fell pregnant. The previous 10 years were spent forming an intimate relationship, travelling, working and saving money for the future. Both focussed through their schooling years, earned high paying jobs and travelled intermittently. Both came from high socio-economic families and aspired to their parent’s life achievements. Being able to raise a child without concerns over money was the main motivation behind both Harry and Sally’s joint decision to delay childbearing. Financial independence, they felt would be achieved through owning their own property and having money in the bank. Once pregnant Sally suffered from morning sickness and her employer encouraged her to take time off when needed to rest; and at eight months pregnant Sally finished work, while Harry continued to work evenings and weekends. Harry’s long working hours had not ... ...he extended family, the couples workplaces, the support within the community, social services available and the overarching belief of a nation at that particular time all work together and ultimately provide a notion of how well the individual and the family unit adjusts. Reference List Berk, L.E. (2004). Development through the lifespan (3rd ed.). Boston, MA: Allyn and Bacon. Families Commission (2005). Let’s give a fair go to families. Retrieved April 26, 2005 from the World Wide Web: http://www.familiescommission.govt.nz/media/20041222.php Heath, P. (2005). Parent-child relationship: history, theory, research, and context (1st ed.). Upper Saddle River, NJ: Pearson Hutchins, T. & Sims, M. (1999). Program planning for infants and toddlers: An ecological approach. Australia: Prentice Hall. Lefrancois, G.R. (1999). The lifespan (6th ed., pp. 45-48). Belmont, CA: Wadsworth Publishing Company. Papalia, D. E., Olds, S. W., & Feldman, R. D. (2001). Human development (8th ed., pp. 501-503). Boson: McGraw-Hill. Statistics New Zealand (2005). Fertility rates. Retrieved April 5, 2005 from the World Wide Web: http://www.stats.govt.nz/popn-monitor/births/default.htm

Latino Gangs in Movies Essay -- Movies Films Gangs Violence Essays

Latino Gangs in Movies American filmmakers of the late twentieth century portrayed Latinos as merciless pursuers of the "American Dream". The Latino immigrants were characterized as "Urban Bandidos", seeking the path to ultimate wealth and power in a society dominated by Anglo authority. West Side Story, Fort Apache, and Scarface each portrayed the Latino character differently, but commonly depicted the "Urban Bandido" as a man in search of money and power in America. Not only do these immigrants fight for the warped American dream, but they often fight without fear, willing to risk almost anything to reach the top. In West Side Story, the Puerto Rican gang known as the Sharks always gets blamed for the conflicts that arise between the two groups. The Latino males are depicted as violent and angry, while the senoritas are portrayed as submissive and willing to assimilate into the anglo-governed society. The popular musical presents American audiences with the idea of interracial relationships in a society that looks down upon the mixing of cultures. Tony and Maria refuse to ignore their undying love for each other, and put that devotion before all other beliefs and concerns about their opposing social groups. As the two gangs fight for territory, Tony and Maria fight to make their friends understand that it doesn't have to be a "space†¦impregnated with cultural symbols and political significations for the relations, interactions, and social actions according to the "American Way of Life" (Sandoval, 167). Fort Apache conveys the image of a society where Anglos are the strong, heroic force and the Latinos take a submissive, incompetent role in the urban life. Paul Newman plays the white cop, displaying his hero... ...es to gaining the most material wealth possible. The Anglo characters of these late 20th century films play the role of the "good guy", always appearing when the need for a hero or savior arises. Overall, American audiences do not see a great change in the presentation of Latino characters in the storyline. They are portrayed negatively through time, although in the more recent films, the Latino is more of a violent, greedy druglord in place of the typical greaser or bandit that we are accustomed to seeing. The stereotypes remain present through the second half of the century, identifying Latinos as dark, violent, inferior bandits, and the Latinas as weak, unintelligible, sexual objects. It seems as though the American cinema has no intention of introducing the world to a more accurate representation of Latinos and Latinas even as we approach the end of the century.

The Financial Cost of Technology in Education Essay -- essays papers

The Financial Cost of Technology in Education Think about how much it costs you or your family to keep up with the latest computer technology. Also think about about how much you pay at home for a high speed internet connection. Not to mention, the security, adware, and virus protection software you must purchase to ensure your computer keeps working properly. Consider how much it costs to outfit a single classroom with this technology, or even an entire school. Schools are still expected to provide books, pencils, and paper; however, they are now also expected to budget in computers, scientific calculators, and DVD players. Computers cost up to one thousand dollars a piece; scientific and graphing calculators cost around one hundred dollars a piece; in addition wiring the schools to accept this new technology can cost thousands. The cost to implement technology into our schools is enormous, tens of thousands per school, and millions per school system. In the 21st century, people are becoming more and more dependent on technology. We rely on computers and cell phones more than books and meeting people face-to-face. The internet is becoming a main source of information and communication. Schools, as the primary educational source, must then teach children at a young age how to use technology as an efficient and effective tool. In schools’ haste to update and modernize everything, many concerns are overlooked; most notably, the necessity of additional technology and the amount of time and money required for the new technology. In many instances, the cost of technology is far greater than the rewards. The Washington Post reported that D.C. public schools lost $25 million and five years on a failed project to insta... ...aste.† The Atlanta Journal-Constitution. May 23, 2004. News; Pg. 1A. Retrieved from Lexis Nexis Academic on 10/18/04. 6. Hare, Mary Gail. â€Å"School officials explain rising cost of programs; County must pay the bills for state, federal initiatives.† The Baltimore Sun. August 6, 2004 Friday CARROLL Edition. LOCAL, Pg. 5B. Retrieved from Lexis Nexis Academic on 10/18/04. 7. King, Wayne D. â€Å"Taxpayers don’t have to be strangled by the cost of technology in schools.† (1998) New Hampshire Business Review. Vol. 20 Issue 23, p9. Retrieved from MasterFILE on 10/18/04. 8. Fickes, Michael. â€Å"How much does technology really cost?† (May, 2004.) School Planning and Management. Vol. 43 Issue 5, Pg. 16. Retrieved from Ebsco on 10/18/04 9. â€Å"The Price is Wrong.† (Nov/Dec 1997) Learning journal. Vol. 26 Issue 3, pg. 7. Retrieved from Ebsco on 10/18/04

Carpe Diem Essay

Seizing the twenty-four hours has a profound significance behind it. in Latin it is known as Carpe Diem. Carpe Diem refers to holding no fright to make something. taking opportunities and hazards. In the film â€Å"The Dead Poets Society† a character named Knox has a crush on a miss. while she was already dating another cat. Knox was seeking to prehend the twenty-four hours by seeking to pass clip with her. There are many more illustrations of carpe diem in this exceeding film. but this I feel is the most pertinent. Many of the verse forms that we read in category were besides related to the unrecorded life like it is the last. The film and the other verse forms are cardinal in explicating what carpe diem truly means. â€Å"The Dead Poets Society† is a great illustration of prehending the twenty-four hours. Knox taking hazards. inquiring a football player’s girlfriend on a day of the month shows that he has no fright. He had no fright of the effects that would likely happen if he was of all time caught. In another illustration of the film. a character Neil defied his male parent by traveling into moving. Neil’s father told him that he did non desire Neil to travel into moving. and go a physician. Neil went against his male parent. and was the lead in a drama. Neil seized the twenty-four hours by making the drama. and hope that his male parent would happen forgiveness in him. These illustrations from â€Å"The Dead Poets Society† are great illustrations of what carpe diem signifies. Another illustration of carpe diem is the great figure of verse forms that we read in category. These verse forms besides stated the same as the film and that was to unrecorded life to the fullest every bit shortly as possible. The verse form such as â€Å"O captain. my captain† by Walt Whitman expressed carpe diem. which is why it was a major portion of the film â€Å"The Dead Poets Society† . This verse form was related to Lincoln and the civil war. about taking opportunities and to prehend the twenty-four hours. Other verse forms stressed that we are non on this Earth everlastingly and clip is traveling by fast. so now is the clip to prehend the twenty-four hours. Poems that we read stressed the significance of carpe diem. particularly the verse form by Walt Whitman. These illustrations of the verse forms that we read in category. and the illustrations that came out of the film are great illustrations of what prehending the twenty-four hours truly means. The illustration of Knox holding no fright whatsoever by dating another guy’s girlfriend. shows that he is taking opportunities and wants to prehend the twenty-four hours before it is excessively late. The verse form we read such as â€Å"o captain. my captain† besides show prehending the twenty-four hours as good. So overall carpe diem refers to make non wait until it is excessively late. if there is an ch ance take it and prehend twenty-four hours no affair what the hazards or effects.

English as Lingua Franca Essay

Do you know that of all the languages in the world, English is the most entertaining and pleasurable language? The amusement of English expounds why we park our car on the driveway and drive our car on the parkway. When we explore in more detail of its paradoxes, we may later discover that quicksand can work slowly, boxing rings are square and guinea pig is neither from Guinea nor it is a pig. If we hurled back, English has been widely dispersed around the world when British Isle began with the growth of the British Empire. In Malaya, English is mandatory for each and every citizen during the colonial of British. Due to the colonization, it left a profound impact in Malaya as English became the second language among Malaysians. In spite of obvious influence of English to our daily life, Malaysians still find it difficult to converse in proper English. The standards of English deteriorate rapidly in our country. We often hear Malaysians speak the so called ‘rojak’ language; for instance, they say â€Å"You eat already ah? † instead of saying â€Å"Did you have your meal? † Therefore, we as Malaysians need to take up English Language as it is the cornerstone of success in life! In the era of consolidation and trying to unify various aspects of life, English is needed economically as it is the global language of mercantile. The headline, â€Å"Japanese Firms say no English, no job†, adapted from The Star on ninth of July 2010 clearly portrays the vitally importance of English for job seekers. The world of business today requires only employees with the excellent command of English. From email to presentation, marketing and exportation of information, English is essential as it is the dominant language. Let me impeach you, how would you survive without English during travelling business especially to English speaking countries? Could you communicate with the native speakers? Obviously not! Therefore, it is crystal clear that English is of utmost importance in the globalization of world trade. When we take command of this language, we open new doors for commerce. Besides, English Language operates as the lingua franca of this new millennium. It is a significant element to foster bridges gap and connects people around the globe. With English acting as an international language, it enables people who do not share a common native language to interact. This can be seen as English is well known as the medium of communication among travellers. It would catch your imagination if you wonder the absence of English to the world. For instance, while you’re having a stroll in the street, a Spanish guy approaches you and enquires about the route to the closest bank. He would say, â€Å"Excuse me, may I know where the nearest bank? † and you will definitely answer â€Å"It’s located behind the Grand Hotel. † What if he said â€Å"perdone, donde se encuentra el banco mas cercano? It is akin to communicate with an alien from Neptune because you do not really understand what they inquire. Hence, it is needed socially in linking the world together. Apart from communication, English Language is being placed steadfastly within the academic domain. By taking up English, it broadens our horizons because almost 60% of books in worldwide are written in English. A high level of proficiency in this language has lead our quotidian life filled with knowledge. Moreover, it enables professors and scientists around the globe to share their studies. It is convenient as professors from different countries can interact with each other without the need of a translator, which is a total waste of time. By sharing all the theories and discoveries, it becomes possible for us to gain further achievement in technology. Have you ever contemplated the possibility for us to for us to enjoy a luxury life of science without English as a medium of interaction between academicians? It is totally out of question! Thus, the role of English is vital as it makes our life more comfortable and continues to ameliorate the standard of living today. After carefully dissecting the importance of English Language, the verdict is clear: English plays a crucial role in our life. Paolo Coelho famously said â€Å"When you want something, the entire universe conspires in helping you to achieve it. † On a similar vein, when you earnestly desire to take up English, chances are usually you will succeed. The importance of English cannot be undermined as it is the determining factor in our ultimate quest: success. After all, there is no reason why learning English can’t be fun. Before I end this, let us have a brainteaser. There is neither pine nor apple in pineapple, but why do we called it pineapple?

Plato and Piety Essay

It seems that in the reading both Socrates and Euthyphro are both dealing with legal issues and they are discussing the differences and the similarities of their cases with one another. Socrates is a defendant in a suit accusing him of impiety which was brought against him by no other than Meletus who was not really in a position to bring suit against another but that’s another story all together. And then we look at Euthyphro who is a plaintiff in a murder action in which he brought against his own father. It seems that Socrates being of sound mind thought he should lend his ear to this young man who was very knowledgeable to help him come to the conclusion of what his crime truly was. He felt that he should be perfectly informed about the differences between piety and impiety before being tried for what he was not sure was a binding action against him. The first definition that Euthyphro gives is that piety is what is dear to the gods and impiety is what is not dear them. Socrates states that even if this was the fact could this really be a form of piety when discussing the case brought against Euthypro’s father he said looking at the evidence at hand could his father really be deemed a murder because he didn’t show piety. And then he asked the question what do you deem to be justice because what is justice for one could be ones punishment in another’s eyes. The second definition Piety is what is loved by the gods a redefined distinction between state and the act corresponding respectively to the adjective and the participle. Which Socrates states that piety and holiness is preceded by the act of being pious, not by the act of love. The third and final definition is that Piety is a form of justice. Socrates has during this time placed religion on a moral foundation. He is trying to find the balance between that of religion and morality which should be universal with all men in his eyes. I feel that Socrates was on to something we as humans depending on what we are raised to believe can find ourselves on either side of the argument. In the case of Travian Martin it seems that some toke piety on the death of the child and other deemed that it was not that much of a loss. I believe that if there is loss of life for any reason other than natural cases it is sad and should not of taken place. Do I think the man who shot this child is a murder yes, the police had told this gentlemen not to follow this young man and he toke the law in his own hands and shot an unarmed child. In the case of Euthyphro’s father I would not deem it a murder yes, it was a piety that the man died but it was not a crime. I truly believe that impiety is knowing how it would feel to be another man shoes and taking piety on him because it could very well be you in the same state. My definition of piety is looking at one and feeling sorrow for the persons state of being and then taking action. Next would be my definition of holiness to me it would be a person who lives above reproach in all things. In the world we leave in today there are those who take piety on the less fortune and those who turn their backs on them; in my book those who turn a blind eye are no better and should be made to feel the hardship that is very real in peoples everyday lives. Socrates was a great man who used logic and understanding to bring Euthyphro to a place of understanding through the knowledge that this young man already had but because he was blind by the things he was taught he was not truly being fair to his father in the case of murder that he brought against him. I feel that we do the same thing in life today we judge people by what we deem to be moral with seeing the bigger picture and weighing out all the things that could be a n influence in what is truly going on in the world around us. In my conclusion I think that before we come to the conclusion of what might be a sin we might want to take a look at all the things that make up the situation and listen to every side of the story because we deem as right could be wrong to another. Reference Page: Mosser, K (2010) Philosophy: A concise introduction†¦ Bridgepoint Education INC Plato : Euthyphro http://www. gutenburg. org.