1. Hello, Mrs. Edith Jackson and Mr. Williams. I would like to inform you that last night Mrs. Edith fell down while going to the bathroom and this occurred because of the fault and negligence of our staff. I would like to deeply apologise for this as this occurred because of the negligence of the nurses present at the ward at that time. The fall occurred because some thing was lying on the floor and Mrs. Edith tripped over it. It was the duty of the nurse to ensure that the Mrs. Edith was safe and the environment around her was safe. We have allocated another nurse for the care of Mrs. Edith and I assure you such mistake will not be repeated.
2. During the situation of harm to patient, contacting senior clinicians and management is important to engage in proper discussion process, initiate the open disclosure process and identity the desired course of action needed during such situation. This would help to timely report about events and enter into negotiation with patient and their family members (Australian Commission on Safety and Quality in Health Care, 2013)
1. In this situation, I have the responsibility to contact the enrolled nurse and make her aware about obligations in relation to use of social media according to the Nursing and Midwifery Board of Australia. I will inform her that while using social media, considering all obligations mentions in the National Law, their National Board’s Code of Ethics and professional conduct and the Guidelines for advertising regulated health services are important (Nursing and Midwifery Board of Australia, 2014). I will advice her that she has professional obligation to follow the Code of Conduct and maintain privacy and confidentiality of patient information. This will make her aware that posting information related to patient may lead to breach of patient’s privacy and confidentiality.
2. Advocacy can be defined as the process by which people take the responsibility to advocate for heath promotion of patient and take patient centered care approach to meet diverse needs of patient. It can also be defined as an approach to support patients from overcoming major barrier during accessing care.
I would advocate for the client in this situation by taking the responsibility to protect confidentiality of the client by making the enrolled nurse aware about the breach of privacy and confidentiality policy by posting information about patient’s message on the social media. I would also provide all the documents that restricts use of social media for revealing patient’s private detail as per the National law and Code of conduct ((Nursing and Midwifery Board of Australia, 2016). Being aware about legal and ethical regulations related to use of social media can help the enrolled nurse to avoid using such post in the future.
3. Four strategies I could use to deliver a constructive outcome, when providing this feedback would be to be very specific, convey my perspective respectfully, avoiding blaming language and use appropriate tone while speaking. I would try to give assertive feedback to the enrolled nurse by avoiding by describing what is wrong in her behaviour without judging it and concretely connect the behaviour to its consequences in professional life. I would also try to be honest while giving suggestions to promote trust among services users.
4. Hi, I was reviewing my social media site and I came across a post about your experience with a patient in practice setting. I understand you just wanted your friends to know about your experience. However, I would like to point out that posting such message can lead to ethical and legal consequences in your professional practice. This is because as per the National law and Australian Midwifery Board of Australia, clinical professionals are prohibited from using patient’s private details on social media (Balzer Riley, 2017). From my perspective, it is better that patient’s name and any clinical detail is not used in social media. I would prefer if you review the documents for social media policy. You can then understand what conduct is acceptable or not while using social media.
1. Close ended questions are those that are developed in such a way to get a simple ‘yes’ or ‘no’ option. Close ended questions limits options but provides the ability to get necessary information without wasting enough time issue (Gault, 2017). Hence, it can be used during emergency situations with David.
Two examples of closed question are as follows:
Have you taken any medications to control your anger or aggressive behaviour?
Have you ever taken psychological treatment in the past?
2. Open-ended questions are those are developed in a way to get long answers from the responder. This types of questions gives people the liberty to provide answers in their own way either using too little or too much information. This type of question will be useful in case of Davis when the purpose is to extract any detailed information about his health issue (Gault, 2017).
Two examples of such type of questions include:
3. The term ‘active listening’ refers to a communication skill required during listening which involves paying attention to hear not only words as well as interpret feelings or hidden emotion behind the words of the speaker. While engaging in active listening, minimising environmental distractions and maintaining appropriate posture is important.
While communicating with Mr. David, active listening can be achieved by following the SOLER acronym. This involved sitting in a comfortable distance away from the person (S), having an open and relaxed posture (O), leaning slightly forwards (L), making eye contact (E) and maintaining relaxed posture (R) (Gault, 2017).
4. The following are the elements that are needed for effective communication in nursing:
5. De-escalation is a type of psychosocial intervention which involves to avoid situations of conflict and using positive approach to engage in conflict resolution
For example, De-escalation is the first line of treatment for responding to violence and aggressive behaviour of patient in health care setting (Hallett & Dickens, 2017). Nurses in clinical setting have used the approach of building rapport and engaging in emphatetic communication with patient using non-confrontational language. Honesty and confidence is also an effective de-escalation skill (The Nurse Path, 2016).
6. Debriefing is an important part of interprofessional team communication during any incident and it involves sharing thoughts and feelings about the problem at hand, reflection on the situation and problem solving strategies used to control the situation. During incidence of adverse events in clinical setting, debriefing plays a role in sharing all knowledge related events that took place during the incident and the challenges faced and interventions implemented during the shift
Debriefing will be important after Mr. David’s display of verbal and physical aggressiveness as this would help to be aware about the things that happened after David became aggressive
7. The three strategies that I can use to effectively receive feedback from the supervisor are as follows:
Clarifying feedback: To make sure that I understand the feedback, I will actively ask question from my supervisor and respectfully ask to repeat the feedback if I have not understood (Balzer Riley, 2017).
1. Communication and behaviour support for nurses-practice package was implemented to support nurses who are working with patients and families with a disability. The main purpose of the document is to make nurse aware about behaviours that can promote efficiency while caring for people with disability. Hence, the document can be used as a self-directed learning material as well as part of core standard learning (NSW Government, 2014b)
2. The four domains that has been identified within the standards for the communication and behaviour support for nurse-practice package includes the following:
3. The main advantage of completing the “communication and behaviour support for nurses appraisal” is that it can increase nurse’s knowledge regarding ways to develop skills related to communication and behaviour support while delivering care to patient with a disability. The appraisal can make nurse aware about ways t communicate with people with disability, identify different levels of communication with client and find link between communication and behaviour support while developing care. The appraisal also gives knowledge about different challenging behaviours in client (NSW Government, 2014a)
4. Two organization procedures surrounding electronic health records for health care personnel include:
5. While utilising information technology to access data, the following three tips will be useful for nurse to ensure that the web page accessed is reliable:
6. Nuring clinical practice, participating in group meetings and discussion is important. Some of the procedures that the nurse need to be aware about includes the following:
7. The three objectives of forming small groups are as follows
8. To ensure that all persons in the group responds and provide feedback during the meeting, it is necessary that person leading the meeting have a clear goal and objectives of the meeting. While starting the meeting, the nurse should make proper plans regarding the key topics that will be discussed and the main rationale behind the meeting. The other members will be encouraged to take active part in the discussion and suggest their opinion about the topic of the meeting. Communication skills like asking clarifying question or requesting for new suggestion would help to ensure that all members are actively involved in the meeting
9. To ensure that the meetings are of value, the nurse can focus on the following 5 things while conducting the meeting:
10. The following communication techniques to effectively understanding feedback in relation to performance improvement conversations:
11. The three step communication technique of ‘commend, recommend and commend’ is important while providing balanced feedback. The first step ‘commend’ starts with the approach to praise the person regarding the good things or achievement that the person has received so far. After this, the person can be recommended to further improve his skills by using communication techniques like ‘one way you could improve the communication skills are. The final step is to again commend the client by praising the person for receiving the feedback in a positive manner
12. While giving or receiving feedback, use of appropriate language and respectful manner is important to avoid conflict during the process. There are two strategies that reflect use of appropriate language and respectful manner during the feedback:
Another strategy is to provide balanced feedback by never giving personal comments and starting with commending the client first. Word of encouragement can have positive impact on client and by using the commend, recommend and comment technique, the person can be motivated to change his or her behaviour based on feedback.
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