MODULE TITLE: PROFESSIONAL PRACTICE DEVELOPMENT

Module Title: Professional Practice Development



Professional Practice Development

Introduction

As a nurse, I sometimes come across patients who, for whatever reason, refuse to take the medications prescribed by their in-patient doctors.  Some patient refuses out of fear. Because some doctor told them, years ago that taking such medication would make them worse.  Some patients refuse out of ignorance of their disease process.  Most of the time however, they just don't understand why the medication is necessary.  Some patients just refuse out of stubbornness.  And some patients refuse because they have a really good reason.

Once in my career adult was diagnosed with Cancer of the throat. He was anxious & stopped talking to anyone. Doctors and patient's family decided a PEG tube insertion on patient's behalf without involving him. This made the patient sadder as he liked his food.

Discussion and analysis

As emergency peg was inserted and patient didn't have enough counseling. He got very depressed and was at risk of dying. Side effect of treatment higher risk than nutritional benefit but this is very necessary for saving the life of patient; I succeeded to motivate a patient to get back towards its normal routine life, this experience recognize me the importance of communication between patient and a nurse. (Bortin, 1993,Pp.916)

Interactions between nurses and patients are dyadic encounters in which two people communicate for the purpose of meeting shared goals. Communication between nurses and patients is multifaceted; many factors influence how the interchange progresses and is experienced by each party. Particular characteristics of nurse or patient can play a role in nurse-patient communication; these include gender, age, ethnicity, socioeconomic status, health status, and health literacy. Nurse-patient communication involves elements of verbal and nonverbal communication that can influence the patient's ability to adhere to medical recommendations as well as patient satisfaction with medical care. (Waechter, 1988, Pp. 1168)

Nurse-patient communication is a form of science communication in that the patient needs to understand both a condition and associated treatment options to participate fully in making an informed decision as well as to be motivated to comply. However, many social and affective (or emotional) factors influence the exchange of information between nurse and patient. Great strides have been made in research on factors that affect nurse-patient communication and on ways in which to improve this dyadic communication exchange. It is evident that helping patients to be involved in their care is essential to helping patients feel they have informed collaborative choice in treatment decisions and share partnership in the medical care process. Patient involvement can be achieved through humanistic medical care and nurses' use of empathic bedside manner, with a patient-centered approach to communication. (Waechter, 1988, Pp. 1168)

Cooperation of patients

It is important for the patients and family to understand and agree with nursing diagnoses and the associated goals and interventions. The nurse should emphasize to the client and family that nursing diagnosis terminology is designed primarily to give nurses consistent language for communicating this ...