Communication in Nursing Practice Assignment 1 (Apr 2019 Semester)Name: Nurul HidayahStudent no.: S10193305JTut/Prac grp no.: T10/P19 Email:Contact. no.: 96514023SafeAssign%:Tutor’s name: Ms Beatrice NAYAGAMSection A: Discussion on three learning pointsLearning Point One: The Self in CommunicationPart I: New learning I have learnt the importance of self-communication and how it actually determines our quality of life. One important point that I’ve learnt was self-esteem and how it can be interchangeably used with self-worth. I’ve come to understand that self-worth and self-esteem are both interdependent when it comes to our well-being and that we should always have-a-down-to-earth view of ourselves as a unique individual.Part II: Application of new learningPersonal Reflection Through the activity in lecture, I found out that I have lower self-esteem. 2 out of 3 of my ideal self was focused on my physical appearance. It made me realized that the cause that lead to my low self-esteem was how people in social media and the society have finely coated and packaged unrealistic levels of beauty. However, when you learn to value yourself, you’ll feel worthwhile and confident of yourself. Action Taken I have to intend to apply this new learning in my daily life and in my nursing practice. In my daily life, I will do something that scares me every single day because it helps to push me out of my comfort zone. An example will be dressing up in colors I’ve never imagined myself wearing. When it comes to nursing practice, I will make positive affirmations to myself daily to boost my self-confidence.Learning Point Two: The use of SBAR for effective communicationPart I: New learningI have learned that SBAR is used daily by healthcare workers for vital information to be transferred accurately between individuals. It is definitely a powerful tool to improve communication and hospital effectiveness. By using the sequence of ‘Situation, Background, Assessment, Recommendation’, in a clinical setting, I am now able to fully comprehend that this could also minimize errors among healthcare workers.Part II: Application of new learningPersonal Reflection After looking through an example using SBAR in the lecture notes, I was able to grasp the key points for each components. It was really detailed and it intrigues me that this tool was really useful in many ways. I learnt that Action Taken I have intend to use this new learning in my nursing practice. Be it as a nursing student or a staff nurse, I will definitely utilize the SBAR communication tool in a clinical setting Learning Point Three: Types of Non-Verbal Communication Part I: New learningI have learned that there were a few types of non-verbal communication and it is really helpful in terms of how I am able to communicate with my patient through body language. Your gaze, gestures, facial expression, paralanguage and touch are non-verbal cues that speak the loudest. Especially eye contact, looking at someone can communicate many things, for example, interest.Part II: Application of new learningPersonal Reflection I am amazed that non-verbal communication is as critical as verbal communication. Since nurses communicate with patients on a regular basis, there are times that they pay more attention towards our non-verbal cues and it is really important to convey our message clearly through our body language. However, facial expressions and eye contact seems a little complicated because there are times where you won’t be able to read what they are feeling. Action Taken I will take this as a learning takeaway for me to apply it on my daily life as well as my nursing practice. When it comes to personal life, I could use non-verbal communication to my friends using gestures which can replace certain words as this give a more direct approach. As for nursing practice, I could use for example touch which could convey affection, personal attention and emotional support.Section B: Service learning with CCE Thoughts on Clinical Attachment/CA and importance of CA for nursing students. Personally, I think that Clinical Attachment is a good exposure for nursing students because it serves as a platform for us to enhance our nursing skills and it is also a good learning experience for us to adapt in a hospital setting. We will also be embedded in the daily care of patients, engage in hands-on clinical practice and fully immerse ourselves as an individual who play a role in delivering quality care. From my point of view, Clinical Attachment is really important because in school, we are thought theoretically as well as experiencing practical learning, therefore all the knowledge, skills, and attitudes that we acquire are fundamental in providing nursing care. In fact, we are able to experience a clinical learning environment in school. Hence, with the skills that has been implemented in us, we get to convert this knowledge to a variety of skills in CA and understand our role better.Needs of patient/caregivers and social issues(s) It is important to give a priority to the needs of patients and caregivers. As for patients, there are a few key factors that we as student nurses have to take note with patients’ welfare. Examples will be their emotional and physical needs. Patients’ who have been hospitalized, be it for a short or long period requires us to approach them for moral support as this event could be an emotional roller-coaster for them to find strength to continue. Usually, patients may feel an emotional distress such as a loss of independence or social isolation. In physical needs, they may have mobility difficulty or physical symptoms such as pain or nausea. Caregivers may also experience social issues like financial strain due to caregiving that takes away their working time or being afraid to ask for help from others as seeking for assistance may be a sign of weakness and they will feel guilty for not providing the best care.Communication skills needed at CAAs nurses, communication is the key aspect for us to deliver information towards our patient. Communication is a very broad topic and it can be branched out into different factors. In a clinical setting, we are bound to meet patients from different ethnicity and backgrounds and there could be a possibility whereby English may not be their main language. We may seek help from other staff nurses but knowing at least the basics of other Mother Tongue Language would be useful in the long run. Other than that, we will also meet some elderly patients or caregivers, hence it is only right for us to speak in a respectful, calm and assuring manner. Furthermore, when we approach a patient to conduct an aseptic or clean procedure and even when we’re doing documentation, it is crucial to talk slowly and clearly so that the information that is being passed on is understandable and will not cause any miscommunications.Responsibility and respect in CADuring Clinical Attachment, it is important to advocate respect and responsibility. We can show respect in various ways. An example would be respecting diversity among patients as well as our friends and the staff nurses in the hospital because we are all individuals that come from different backgrounds. We should also practice basic courtesy like greeting the staff nurse and patient or calling the patient by their preferred name as this also show our friendly personality. It is also our responsibility to take the initiative and learn what is needed and ask questions when in doubt because this will enhance our learning experience and improve our nursing clinical and behavioral skills. Since the patient is our responsibility, we should also always keep an eye on them.