Question

Title: The Causes of Poor Communication at a Nursing Station

1. Intro ending with thesis

2. Paragraph about first thesis key point (effect)

3. Paragraph about second thesis key point (effect)

4. Paragraph about third key point (effect)

5. If you have a fourth thesis key point, paragraph about fourth key point (effect)

6. Conclusion.

Answer 1

Communication is the exchange of ideas,thoughts,beliefs and views between two people. In nursing communication happens between nurses,with patients and other health care profesionals.Poor communication causes a breakdown in productivity. It may be that the employer does not relate goals and duties properly, in which case the employee can't perform the task.

Need for Good communication :

1. Improving patient satisfaction
2. Increases,patient safety
3. Increases the quality of Nursing care
4. reduces errors
5. Improves patient outcome

Causes of poor communication:

• language Barrier
• Poor understanding skills
• Lack of feedback
• cultural barriers
• stereotypes
• Low IQ levels
• Unclear goals
• Poor leadership
• Lack of team work
• Poor listening skills
• Physical conditions like deafness
• Psycological barrires

• THESIS

• "The Consequences of Poor Communication during Hospital to Skilled Nursing Facility Transitions: A Qualitative Study"

  Barbara J. King, PhD, RN,a Andrea L. Gilmore-Bykovskyi, MS, RN,a,b,c Rachel A. Roiland, PhD, RN,d,a Brock E. Polnaszek, BS,b,c Barbara J. Bowers, PhD, RN,a and Amy J.H. Kind, MD, PhDb,d,c

  Abstract

  Nurses in skilled nursing facilities (SNFs) play a key role in initiating/transitioning care for the >5 million patients who transition from hospitals-to-SNFs annually. Although hospital discharge processes are well studied, little is known about the SNF nursing processes or the SNF-based consequences of variation in transitional care quality.

  Objective

  To examine how SNF nurses transition the care of patients admitted from hospitals, the barriers they experience, and the outcomes associated with variation in the quality of transitions.

  Design

  Qualitative study using grounded dimensional analysis, focus groups and in-depth interviews.

  Setting

  5 Wisconsin SNFs.

  Participants

  27 registered nurses.

• Results

• SNF nurses rely heavily on written hospital discharge communication to effectively transition patients into the SNF. Nurses cited multiple inadequacies of hospital discharge information, including regular problems with medication orders (including the lack of opioid prescriptions for pain), little patient psychosocial/functional history, and inaccurate information regarding current health status. These communication inadequacies necessitated repeated phone clarifications, created care delays (including delays in pain control), increased SNF staff stress, frustrated patients/family members, directly contributed to negative SNF facility image, and increased a patient's rehospitalization risk. SNF nurses identified a specific list of information/components that they need to facilitate a safe, high-quality transition.

  Conclusion

  Nurses note multiple deficiencies in hospital-to-SNF transitions, with poor quality discharge communication being identified as the major barrier to safe and effective transitions. This information should be used to refine and support the dissemination of evidence-based interventions which support transitions of care, including the Interventions to Reduce Acute Care Transfers II (INTERACT) program.