[Ebook PDF] Communication in Nursing, 8th Edition

• Delivery: Can be download Immediately after purchasing
• Version: Only PDF Version.
• Compatible Devices: Can be read on any devices (Kindle, NOOK, Android/IOS devices, Windows, MAC)
• Quality: High Quality. No missing contents. Printable

_____________________________________________________________

[Ebook PDF] Communication in Nursing, 8th Edition

ISBN-13: 978-0323354103
ISBN-10: 0323354106

Author: Julia Balzer Riley RN MN AHN-BC REACE (Author)

Immerse yourself in the topic of communication in the workplace with an interesting conversation about the communication demands of today’s nursing practice! Communication in Nursing, 8th Edition adopts a uniquely practical and personal approach, providing extensive examples, exercises, and techniques that help you understand important concepts and apply communication skills in a variety of clinical settings. With its conversational tone, this relatable text takes you beyond theory to show you how to use communication as a tool to limit stress in your nursing practice. A new Active Learning feature that promotes goal-directed reading, and additional QSEN exercises highlight the importance of assertive communication in promoting quality, safe care for clients ― all in an easy-to-read magazine layout.

• QSEN preface and exercises stress how communication impacts safety and quality of care.
• Moments of Connection boxes highlight beneficial outcomes of successful communication and provide concrete examples of how communication techniques work.
• “Reflections on…” boxes provide thoughtful summary exercises at the end of each chapter that give you a specific task to help you integrate chapter material into the broader scope of nursing practice.
• Wit & Wisdom boxes present selected verses and quotations relevant to chapter topics, adding interest and humor. These boxes keep your attention by providing moments of relief from serious topics and “a-ha” moments when theory becomes linked to practice.
• Exercises throughout each chapter help you master chapter techniques and strengthen your communication skills.

Preface
For more than 20 years, communication has been identified as a major factor in healthcare quality and safety. In fact, communication continues to be cited as a contributing factor in 70% of healthcare mistakes (Kohn, 2000; Institute of Medicine, 2003).
Many initiatives across all healthcare settings are seeking to  improve the way healthcare professionals communicate and interact within interprofessional teams. Maintaining quality and safe care depends on clear, concise, and accurate communication of observations, assessments, patient data, and instructions. Nurses have roles and responsibilities in direct care and therefore spend more time with patients than do other members of the healthcare team. Nurses are accountable for accurate assessment and observations to identify patient and family needs. Nurses must communicate this crucial information to other team members to enable team members to make best practice decisions. The eighth edition of this basic resource continues to offer learning strategies to prepare nurses to develop essential communication skills so that nurses are fully participating members of the healthcare team. The focus on communication prepares nurses to coordinate care and use their voice to contribute to care planning. This book helps address the multiple types of situations in which nurses need to develop communication skills. Each chapter includes multiple types of learning exercises, and selected chapters offer opportunities to develop the quality and safety competencies now integrated into all nursing standards. All nurses are expected to achieve the six competencies developed in the Quality and Safety Education for Nurses (QSEN) national project:
patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Cronenwett et al, 2007). These competencies derive from the 2003 Institute of
Medicine (IOM) road map for dramatic changes in how health professionals are educated if we are to achieve twenty-first century goals for improving quality and safety. The IOM framework states that all health professionals should be educated to collaborate in interprofessional teams to deliver patient-centered care based on the most current evidence-based practice guidelines and monitored for quality improvement (2003). Each competency was described by the QSEN project (www.qsen.org) with the knowledge, skills, and attitudes (KSAs) for nurses to provide specific guidance in implementing into their nursing education and practice.
The goal of the QSEN competencies is to transform nursing by integrating the KSAs for these six competencies into nursing that also includes application into clinical learning experiences.
Cronenwett et al (2007) describe each competency and the KSAs that pre-licensure nurses should master (www.qsen.org).
• Patient-centered care recognizes and respects the patient’s family as full team members and includes them as partners in providing compassionate and coordinated care guided by the patient’s
preferences, values, and needs. Understanding unique aspects of the patient’s cultural background is important in planning care, assessing pain management with ethical considerations, and communicating plans of care and outcomes with honesty, accurateness, and timeliness.
• Teamwork and collaboration are critical to quality and safe care by effectively working within nursing and across other disciplines using open communication, mutual respect, and shared decision
making. Team members must recognize the scope of practice for each discipline and recognize authority gradients that guide the hierarchy in making decisions. Transparent communication is important with all team members, including that with patients and their families.
• Care consistent with the most current evidence base requires skills in informatics to complete data-based searches and evaluate the evidence for applicability, yet recognize when to make decisions
that may be different from the standard of care to acknowledge patient and family values and beliefs. Inquiry, or asking questions, should form the foundation for practice; nurses who ask questions about what they do, why they do it in a particular way, and what other ways to consider are in fact applying critical reasoning, clinical judgment, and reflective practice to constantly advance their expertise.
• Quality improvement (QI) is the process by which outcomes of care are monitored. Data are collected on standard measures such as patient falls, hospital-acquired infection, and other aspects of care managed by nurses. The data are then compared or benchmarked against data from other departments or institutions to be able to identify gaps in performance or where there is a need to improve quality and safety outcomes.
• Healthcare has adapted safety science from other industries to bring a system focus on ways to minimize risk to patients and providers by examining system effectiveness as well as individual performance. New attitudes toward errors mean that errors are reported as always, but with the intent of learning from them through a systematic review, often root cause analysis. By tracing the pathway of an incident, we can learn where in the process different choices could have led to a different outcome. One example is misconnecting tubes for the multiple ports a single patient may have, when the wrong tube is connected to the wrong device (e.g., the nasogastric tube connected to the IV bag). By collecting data about this error, nurses can learn ways to manage the multiple tubes that prevent the mistake from happening by all providers.
• Informatics skills can help nurses achieve the goals of these competencies by seeking information from multiple sources, using decision support tools, managing data for quality improvement, reporting errors, and documenting care in the electronic health record. Nurses should further be involved in the design of the informatics systems used in their facilities to ensure they address nursing issues as well as respect patient privacy and preferences. Informatics also has a role in monitoring applications for safety alerts to warn nurses of changes in patient condition, medication and fluid administration, or other safety
parameters.
Developing these competencies enables nurses to apply principles from new safety science. Organizational philosophy based on safety culture includes processes for caregivers to identify and report errors that are then analyzed for each stage of decision making; identifying steps that can be redesigned to prevent future errors is an essential aspect of communication with the patient and family to ensure improvements in care. Each competency helps nurses develop skills that form the foundation for communication that can improve safety. In summary, communication is the critical skill in delivering the complex care required by patients in the twenty-first century.
Coordinating across disciplines such as physicians, pharmacists, and others involved in a patient’s care requires that nurses develop high-level communication skills. Nurses then will be able to both lead and participate in briefings (planning), huddles (problem solving), and debriefings (process improvement). The exercises in this book can help develop the emotional intelligence required to have the self-awareness, self-monitoring, and self-management to be an effective team member. Communication really can be the difference in healthcare outcomes; accurate, timely, and effective communication can reduce patient suffering and improve teamwork that in turn improves the working environment for nurses.