• Subject Name : Nursing

Nurse's Communicative Role in Nurse-Patient Relations

Patient Interview Summary

The interview started with me asking the patient name and age. He stated that his name was Joe and his age is 68 years. After that, I asked him why he is in the hospital facility today and what problem he is facing. He mentioned that he has been feeling very tired lately. His urination frequency has also increased and that he is most of the time hungry. He also said that his wife is 65 years old and bedridden and all of his health problems are causing the problem in taking care of her. After that, I asked Mr. Joe about his medical history and patient history. So, for that, he told me that he has hypertension and his both parents were diabetic. He also stated that 6 months before he checked his blood sugar levels and the lab report stated that they were elevated but he did not want to concern his wife, that is why he did not check that again or visited a doctor. Mr. Joe explained that he had shifted from China to Australia a few years back because his daughter lives here. In addition to that, he told me about his medicines which he takes for hypertension.

Gibbs’ Reflective Model

While talking with Mr. Joe, I asked him relevant questions in the interview so that important information could be gained for his disease diagnosis. First of all, I asked him about his name and age and then I acquired the knowledge of why he is here today in the hospital facility. In response to that, he told me about his current problems. With that, I also gained information about his medical history and family history. I got to know that he was previously living in China a few years back and has moved to Australia to be with her daughter. While interviewing him, I acknowledge that he was not able to speak and understand English properly and because of that, I have to repeat each and every sentence. I also paraphrased his words and then confirmed the meaning of them. However, I missed asking him other significant things which are related to his condition.

While interviewing Mr. Joe, I felt that there can be communication gap if I do not understand him completely and that would ultimately lead to improper diagnosis of his disease. I felt a little bit nervous and stressed as he was speaking broken English. So, for that, I paraphrased his words and asked him again if this is what he meant. In addition to that, to make him understand what I am saying, I spoke to him very slowly and with actions for his better understanding. I realized that effective communication is very important while talking with the patient because it will help in better delivery of care. With that, later on, I recognize that I did not ask him about other important things such as whether he drinks or smoke or since when he is facing the problems. I felt bad as I missed this important information.

The good thing about interviewing Mr. Joe was that his disease signs and symptoms were known. He answered the question for his current symptoms properly and also provided a brief history of the family and medical condition. He also communicated effectively while telling about his daughter and his wife. However, the bad thing in the interview was that multiple important things were left to ask. For example, I forget to ask about his habits of smoking and drinking and since when he was facing the problems. I also did not ask him why he is coming to the facility now. In the registered nurse standards for practice also, it is mentioned that nurse should communicate with the patient effectively and should provide support for better health-related results or outcomes. Therefore, I lack in acquiring information from the patient which should not have been missed.

Proper interviewing plays a significant role in patient-nurse communication. Because of an effective interview, proper nursing care could be given to the diseased individual as healthcare requirement of the patient could be known. It also helps in building a therapeutic relationship with the patient and an emotional and empathetic connection (Fakhr-Movahedi et al., 2016). The interview also helps in the correct diagnosis of the patient disease and thus helps in delivering correct intervention for its treatment or management. The problem-oriented interview assesses the diseased individual past and current health concerns and issues. This helps in better knowing the patient condition. A face to face talk with the patient gives a personal and emotional insight of the patient case and provides the healthcare provider with the knowledge of disease onset, intensity, remitting factors, social history, allergies, hospitalization, current medication, exacerbating factors, associated symptoms, medical history, surgical history and other conditions. Hence, this information guides towards diagnostic path (Slade & Sergent et al., 2019).

From the patient interview, it can be known that patient medical history and family history was known. The patient also provided the information about his current conditions and what are the problems which he was facing. He also stated why he did not check with the doctor before even when he knows about the abnormal vitals. However, multiple mistakes happened in the interview as various details about the patient and his problem was not known or asked. If those have been known then more correct diagnosis could be made and patient needs could be more properly assessed. Information about Mr. Joe’s disease onset, allergies, past hospitalization, exacerbating factors and surgical history could be recognized which would have further help in providing him with nursing care and diagnosis. Therefore, it can be said improvement in interviewing styles could be made so that better patient outcomes could be achieved.

To improve the interviewing style, it is recommended that the interview questions should explore the diseased individual experience with the illness and sign and symptoms. Also, the person who will be talking with the patient should be prepared with the questions already so that important questions would not miss while conducting the interview. The interview should take place as per the convenience of the patient so that he would feel more comfortable and ease (McGrath et al., 2019). Also, for better understanding, a third person could be invited so that proper communication could take place and there will be no confusion. In addition to that, it is very important to actively listen to the patient so that more information could be gained. The interviewer could talk less and thus can use silence as an effective catalyst in the conversation. With that, honest and open interest should be shown towards the patient so that he feels important while the interview is going on (McGrath et al., 2019).

Communication Strategy and Its Contribution in Patient Interview

One communication strategy which was used by me during the interview was active listening. Communication being a significant component is very crucial in nursing practice. It is important to note that it does not only include writing and speaking but also listening. Active listening makes use of non-verbal cues and verbal items and in it, facial expressions, attentive silence, eye contact, reflect content and feelings are involved. Listening requires concentration and it can help with maintaining effective communication with the patient. For the listening process, proper attention is paid towards the patient and the information that is being provided by him (Jahromi et al., 2016). Because of this, essential data is known so that the correct diagnosis could be made and prevention or treatment of the disease could be started. For active communication, it is required that the patient is not interrupted but listen to quietly. Also, in this, the information which is provided by the patient should be checked by rephrasing it and stating it again in front of him. By this practice, confusion and miscommunication will be avoided. Active listening thus aids in maintaining commitment and trust. It also makes the patient feel better about them. With that, relationships which are building between the patient and nurse will also improvise and will be therapeutic in nature. There will less tension between both the parties and with that, a better environment will be created. Active listening also helps in improved problem solving with that it facilitates in stress management of the patient (Jahromi et al., 2016). Furthermore, active listening leads to the building of empathy among the healthcare providers for the patient and the disease condition. It also aids in providing patient-centred care in which every needs and requirement of the patient is taken care of. The sharing of information among the people involved also becomes more easy and convenient. Active listening also provides insights into patient feelings and self-emotions. Therefore, it can be said that active listening can help in achieving improved patient outcomes. It also results in greater satisfaction of the patient as it makes him feel more important. The information from the patient could be more properly gained and therefore correct diagnosis could be made easily (Haley et al., 2017).

References for Mr. Joe Hypertension Case Study

Fakhr-Movahedi, A., Rahnavard, Z., Salsali, M., & Negarandeh, R. (2016). Exploring nurse's communicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences5(4), 267–276. https://doi.org/10.15171/jcs.2016.028

Haley, B., Heo, S., Wright, P., Barone, C., Rettiganti, M. R., & Anders, M. (2017). Relationships among active listening, self-awareness, empathy, and patient-centred care in associate and baccalaureate degree nursing students. NursingPlus Open3, 11-16. https://doi.org/10.1016/j.npls.2017.05.001

Jahromi, V. K., Tabatabaee, S. S., Abdar, Z. E., & Rajabi, M. (2016). Active listening: The key of successful communication in hospital managers. Electronic Physician8(3), 2123–2128. https://doi.org/10.19082/2123

McGrath, C., Palmgren, P. J., & Liljedahl, M. (2019). Twelve tips for conducting qualitative research interviews. Medical Teacher41(9), 1002–1006. https://doi.org/10.1080/0142159X.2018.1497149

Slade, S., & Sergent, S. R. (2019). Interview techniques. StarPearls. StarPearls Publishing: The United States of America.

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