Critical Reflection Of Communication Personal Development Essay

Critical Reflection Of intercourse Personal Development Es put down forwardIn 2006, a tolerant named robin became pregnant. In the 5th month of pregnancy, the diligent began having trouble with diarrhoea and and so developed a severe infection in her upper respiratory system. robin redbreasts obstetrician immediately infirmaryized her and within 24, hours, redbreast had a temperature of 105 degrees and was in preterm labour. Just before Christmas, robin was diagnosed with Acute Viral Pneumonia. by and by getting permission from the doctor to go base for Christmas, Robin was back at the hospital 15 days later because she was in preterm labour notwithstanding a get into. It was then that Robin was introduced to a gastroenterologist who diagnosed her with Crohns Disease. Robin was immediately put on medications to try to save her and her unborn childs lives. On 3rd February, Robins contr portrayalions were five proceeding a exposit but her due date was the 17th of March. Robi n came to the hospital and within one hour, I performed an ultrasound on Robin, lone well-nigh(prenominal) to allow her know that her unborn baby boy was no longer alive. After the funeral of her son, Robin was diagnosed with Deep Vein Thrombosis (DVT) in her inner thigh.Reflection social colloquy skillsListening is an active and basic process that dissembles not but taking the content of the person speaking by looking at their body language and listening to their actors line, but also existence perceptive. serious listening skills atomic number 18 sh cause by attending behaviour that is practiced by establishing eye contact, maintain a relaxed posture and sending appropriate put acrosss to the enduring of through gestures. Attending behaviour works well in that it incites the uncomplaining of to verbalise their feelings and ideas freely. During listening, the suck paraphrases the words of the enduring in few words so as to make sure that the nurse understood wha t the unhurried wants. Paraphrasing is an great part of listening because it exposes and clarifies any mixed or dual messages sent when the patient fails to make a commit controversy. The third part of listening is enlightening. Clarifying goes beyond paraphrasing with an intention of bringing vague poppycock into sharper focus. Perception checking is an trenchant part of ensuring accuracy of a communicating because it is a method of giving and receiving feedback from the patient. When helping Robin, I plenty say that I had trenchant listening skills. I do a taper of listening to what Robin told me and I made sure that when she was talking, I made her feel comfortable and showed that I was interested in what she was saying.Leading is a colloquy skill that encourages the patient to respond in an open intercourse so as to invite verbal expression. The helper slightly anticipates what the patient is sentiment and where those thoughts are headed. In anticipating these tho ughts, the nurse leads the patient so as to stimulate the discourse. Leading encourages the patient to retain primary responsibility for the counselor-at-law of the communication and helps them to be active in the process. Leading also encourages the patient to explore and elaborate on their feelings. One of the tools utilize in tether is using open questions that earth- reasont be answered by more than tho a yes or a no. Choosing appropriate questions lead to light for the patient. Another tool used in leading is by cosmos indirect when leading the patient. Indirect leading keeps the responsibility of keeping the communication going on the patient. Indirect leading allows the patient to control the bang of the communication and protect their ideas. Direct leading on the other reach specifies a topic and the nurse uses suggestions to direct the patient. Direct leading is serious in elaborating, clarifying and illustrating what the patient has been saying. In the case of a patient who has multiple problems or is vague, focussing is an important aspect that should be used in leading the communication. Focussing is a way that emphasizes on a certain idea or feeling and helps the patient get in touch with their feelings. I did not use leading skills when communicating with Robin and this is a skill I should in the future. I ordain get up my abilities in leading skills by using open questions that will encourage the patients to share their ideas and feelings freely.Reflecting feelings, experience and content of the patient expresses that the nurse understands and wants to perceive the earthly concern as the patient does. Reflecting the patients feelings brings those feelings into clear awareness from the vague expressions that they were. Helping the patients to own their feelings is done by identifying both the obvious and subtle feelings that are isolated behind words. In reflecting experience, the nurse broadly observes the patients verbalised fee lings and their nonverbal feelings. alike(p) paraphrasing, reflecting content involved repeating the essential ideas of the patient in fewer and fresher words. When the patient is having difficulty in expressing an idea, reflecting content helps the nurse to clarify those ideas. During communication, reflecting helps the patient to recognise and express their feelings effectively. In communicating with Robin, I sounded two-dimensional and insincere when I began my reflection with saying, It seems you were very upset even after yelling for everyone to get out. In saying this I also give tongue to words that that Robin was unprepared for because they had too lots depth of feeling. In future communication with patients, I should not read more interpretations into the statement than was mean, and I should use less monotonous words that sound sincere.Confronting the patients is intended to help them recognize what is going on or what the nurse infers is going on. A patient may feel threatened and anxious at first when they are confronted. However, the patient is also grateful for the honesty albeit direct expression that shows that the nurse cares. Confronting the patient presents feedback that is difficult to hear, and as such, the nurse should poses unspoiled timing to ensure that the patient is ready for honest feedback. Some metres I find it clayey to confront patients. In Robins case, I was finding it hard to understand and deal with her. I know that confronting the patient is one of the crucial skills that I must poses. I must recognize my feelings as the nurse and share those feelings with the patient. I must be able to involve myself in self-reflection as a form of confrontation. I believe that by practicing, bringing up and observing others, I rout out develop my confronting skills.Using interpretation helps the patient to see their problems in new ways. Unlike paraphrasing where the patients frame of reference is maintained, in interpreting, the nurse offers the patient a new frame of reference. The nurse adds his or her own meaning to the patients basic meaning. When the nurse adds on to the basic message from the patient, and the patient understands the new idea, then communication is accelerated. Interpreting is useful in helping the patient get a broader perception their feelings. Interpretation is a communication skill that I used with Robin. While talking to Robin, she mentioned that she entangle up that the nurses around her were angels who lit her fire up in a time when she needed much encouragement. I told Robin that the way I saw it, she could join also become a nurse. Due to the Crohns disease, Robin could only live a stress-free life. However, after living the hospital, the first thing that Robin did was to go to Upper Valley Joint Vocational School where she employ for pre-requisite classes in the Licensed Practical Nurses (LPNs) program. Robin graduated in November 2009 and has been works in the nursing p rofession since then.The most important thing that a nurse can do for the patient is sharing simple facts. communicate is a communication skill that is integrated with giving advice. Under some circumstances, where advice giving does not foster dependency and is not arrogant, giving advice can be helpful to the patient. Communication through informing gives the patient a recommended course of action that the nurse has experience with. Through giving suggestions, the patient can decide the course of action that he or she will take. Crisis situations where the patient has to adjust to a readjustment in life are an appropriate situation for giving the patient advice. In Robins case, after she had a stillbirth, I advised her to take her time with her son, asa dulcis. I encouraged Robin to spend as much time as she wanted attribute the five pound fifteen ounce baby boy. As much as Robin did not want to, I took pictures of robin and Benjamin for the memory album. I knew that that was t he best albeit hardest thing robin had ever done.Summarising skills involve paying attention to what, how, why, when and the effect of what the patient said. After communicating with a patient, the nurse should try to gather all the ideas and feeling expressed in one statement. Summarising is important in that it gives the patient awareness of progress in exploring ides and feelings, problem solving and learning. In summarising, the communication ends in a inwrought note that clears a way for new ideas and clarifies scattered ideas. Patients also gain confidence in that the nurse was attentive to them throughout the conversation. The nurse can use summarising as a means to check the accuracy of the ideas and feelings that were communicated by the patient. When communicating with Robin, I did not use summarising skills. In future communications, I should use the ideas from the patients to make a abridgment of the statements made. Instead of making the summary myself, I could ask th e patient to summarize the themes, agreements and plans made during the communication.Enablers and impediments to interpersonal communicationWhile communicating with Robin, the physical environment did not pose as an obstacle. However, my tenderness as a nurse was an obstacle when communicating with Robin. This discomfort originated from death and dying in general. I dealt with this discomfort by thinking that it was not my responsibility to communicate with Robin about hospice care and prognosis. My passion to maintain positive thoughts in Robin and her parents was also an obstacle. I would put off discussions about Robins possibility of a stillbirth until I felt that Robin and her parents could handle that conversation. In the future, I will initiate communication on prognosis and hospice care without thinking it is too much trouble. I will also control fear that emerges after telling the patient bad news. The patient can also be an obstacle to effective communication when he or she is unwilling to accept prognosis or hospice care. This unwillingness that was evident in Robins case is ascribed to her non-acceptance of her sons death and her diagnosis with Crohns disease. In helping with Robins acceptance, I encouraged her by letting her know that I would be there to help her and listened to her. Because this worked well, I will continue being an encouraging factor for future patients. Cultural and social issues did not act as an obstacle while I was communicating with Robin. During Christmas, Robin when home to celebrate the holiday with her family, and when she was admitted back a few days later, I gave Robin a Christmas present that facilitated communication.Conclusion and recommendationNurses play an important role in communicating with patients because they are always in close contact. A nurse-patient relationship is improved by communication and as such, having effective communication skills is an important factor and a priority for every nurse. I mus t develop my skills further in leading, confronting and summarising by participating in training activities. By participating in learning activities, I can develop strategies and acquire new skills as well as effectively employ those skills. Another strategy I will use is practicing signalize skills with actors and simulated patients because I will be able to control the character and complexity of the task. Lastly, I must use the communication skills acquired in practice.