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PICO: How does the communication process in nursing affect team function and quality of health care?

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PICO: How does the communication process in nursing affect team function and quality of health care?

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                                                            References 

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                                                            References 

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Al Sayah, F., Szafran, O., Robertson, S., Bell, N. R., & Williams, B. (2014). Nursing perspectives on factors influencing interdisciplinary teamwork in the Canadian primary care setting. Journal of Clinical Nursing, 23(19/20), 2968-2979. doi:10.1111/jocn.12547

Boswell, C. (2016). Board governance: Yes you can. Nursing, 46(7), 49-51. doi:10.1097/01.NURSE.0000484025.58124.60

Kærnested, B., & Bragadóttir, H. (2012). Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nordic Journal of Nursing Research & Clinical Studies / Vård I Norden, 32(1), 10-15

Kenward, L., Whiffin, C., & Spalek, B. (2017). Feeling unsafe in the healthcare setting: Patients’ perspectives. British Journal of Nursing, 26(3), 143-149.

Kilpatrick, K. (2013). Understanding acute care nurse practitioner communication and decision-making in healthcare teams. Journal of Clinical Nursing, 22(1/2), 168-179. doi:10.1111/j.1365-2702.2012.04119.x

Lancaster, G., Kolakowsky-Hayner, S., Kovacich, J., & Greer-Williams, N. (2015). Interdisciplinary communication and collaboration among physicians, nurses, and unlicensed assistive personnel. Journal of Nursing Scholarship, 47(3), 275-284. doi:10.1111/jnu.12130

Mayor, E., Bangerter, A., & Aribot, M. (2012). Task uncertainty and communication during nursing shift handovers. Journal of Advanced Nursing, 68(9), 1956-1966. doi:10.1111/j.1365-2648.2011.05880.x

Olsen, R. M., Ostnor, B. H., Enmarker, I., & Hellzén, O. (2013). Barriers to information exchange during older patients' transfer: Nurses' experiences. Journal of Clinical Nursing, 22(19/20), 2964-2973. doi:10.1111/jocn.12246

Rouse, R. A., & Al-Maqbali, M. (2014). Identifying nurse managers' essential communication skills: An analysis of nurses' perceptions in Oman. Journal of Nursing Management, 22(2), 192-200. doi:10.1111/jonm.12222

Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology Nursing Journal, 41(5), 447-457.

YouTube Videos

[Trevormnsu]. (2011, December 5). Bad nurse/doctor communication. [Video File]. Retrieved from https://youtu.be/pykBbrG2xz0.

[Trevormnsu]. (2011, December 7). Effective nurse doctor communication. [Video File]. Retrieved from https://youtu.be/Hn_Z8s241Z4.

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Nurses acquire a foundation of communication techniques during their education, they have the skills to communicate in stressful events and take in many sources of information at once. Mastering these skills will lead to successful information exchange and initiate quality health care delivery with improved patient outcomes.

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Research proves that nursing actions directly improve patient outcomes. This is to say that how well a nurse cares for her patients can be positively beneficial to their lives. Due to the dynamic and fast paced environment of the healthcare industry, nurses must be alert and dedicated during every informative session to maintain excellence. Any time in the process that she becomes careless will create opportunities for errors that may harm patients.

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Having a positive demeanor, establishing eye contact, repeating the message, as well as asking for confirmation were strategies listed as enhancing good communication (Lancaster et al., 2015).

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Staff agree that face-to-face interaction is the best and most effective way to transfer information.

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SBAR is a technique in healthcare that can be used to facilitate prompt and appropriate communication.

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Factors that would enhance communication would be excellent organization and leadership, trust and respect, and positive team relationships.

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Successful transfer of information requires good communication, adequate resources, clear instructions and expectations, and understandable policies.

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May cause harm, death, or injury to the patient.

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May cause harm, death, or injury to the patient.

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Kenward, Whiffin, and Spalek (2017) reported on several studies which confirmed “lack of information and communication contributed to patients feeling unsafe” (p. 145).

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LACK of motivation, control, knowledge, confidence, resources, accessibility, staff continuity and unclear responsibilities negatively influence information exchange (Olsen, Ostnor, Enmarker, & Hellzén, 2013).

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Kærnested and Bragadóttir determine barriers to effective communication and they note that lack of trust and confidence, teamwork, and poor communication techniques lead to decreased quality of care to patients (2012).

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Inadequate knowledge at the beginning of work may continue throughout the shift because the nurse is playing “catch up” and receiving new orders throughout day.

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                            Barriers to Effective Communication

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                            Barriers to Effective Communication

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Accreditation organizations, such as the Joint Commission, report that poor communication among health care providers is the most common cause for patient care errors, causing 250,000 deaths per year.

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Accreditation organizations, such as the Joint Commission, report that poor communication among health care providers is the most common cause for patient care errors, causing 250,000 deaths per year.

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          Sometimes separate healthcare providers barely speak to each other and this can lead to misunderstandings and conflicts (Lancaster et al., 2015). Poor communication between teams will negatively impact the care provided to the patient, especially when it is crucial that the teams coordinate care and interventions.

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          Sometimes separate healthcare providers barely speak to each other and this can lead to misunderstandings and conflicts (Lancaster et al., 2015). Poor communication between teams will negatively impact the care provided to the patient, especially when it is crucial that the teams coordinate care and interventions.