Clinical Case Scenario Percentage: 40%
Introduction
Person-centred communication refers to healthcare frameworks that foster a humane, patient-centred approach (OLNeill, 2023). Of course, this approach is helpful in developing trust and interpersonal skills between the healthcare providers and patients hence enhancing patient adherence to their treatment packages and other clinical recommendations.
In this instance, it involves Leo, a First Nations 50-year-old man, Type 2 Diabetic, past CAD, Hypertensive, who had a previous poor experience with healthcare practitioners where they labelled him due to his Indigenous ancestry. He has finally succumbed to his family, and they want him to visit the doctor for a check-up and health plan, which can help him get interested in the healthcare sector once more.
Hence, the aim of this essay is to examine how the communicator can establish and enhance a therapeutic relationship with Leo, as well as how the communicator can document the interactions appropriately while being culturally sensitive. These strategies will improve the care for Leo by affording him more personalized and culturally sensitive care that looks at his overall health needs.
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Principles of Person-Centred Communication: Respect, Empathy, and Trust
Respect is one of the fundamentals of person-centred communication; every patient should be treated as important and worth listening to irrespective of his/her rank, looks, opinion, origin and much more (Ekman et al., 2022). In more detail, one of the facets of care that can be identified in the interaction with Leo is respect which presupposes acceptance of the patients cultural background and his experiences and perceptions of the healthcare system on his part without prejudice. Thus, empathy enables me to acknowledge the feelings that Leo experiences and recognize his emotions as valid to decrease the acuteness of his loneliness. According to Katz & Keyes (2020), to establish trust, and to make the interaction safer, patients need to learn that an employee of a healthcare organization like Leos designer is ready to listen to him and accept his emotions and experiences in the current and past work environment.
Understanding Individual Perspectives
It is crucial in person-centered care as it signifies the art of learning and acknowledging the clients scenario, values, and needs to work around them. In practicing culture sensitivity for example, Leo has to accept his cultural orientation and the effects of his perceived previous adverse medical encounter. This means his unique needs in the healthcare setting are acknowledged and thus, by acknowledging patients like Leo, care is made more personal and patient centered (Sundler et al., 2020).
Cultural Sensitivity in Healthcare: Defining Cultural Sensitivity
Cultural competence is therefore the understanding of diversity the ability to appreciate the differences and to deal with people in a fair manner. It encompasses appreciation of diversity, as well as understanding of how to code communication and care accordingly with regards to the cultural background of the patient (Sharifi et al., 2019).
Role in Person-Centred Care
Cultural competency is an essential part of person-centred care because it indicates that healthcare organisations are effective in providing services to individuals from diverse cultural backgrounds. First and foremost, it is important to recognize the concept of culturally safe care for First Nations people such as Leo and consider augmenting First Nations cultural beliefs, values and practices into the delivery of care (Rogers & Wattis, 2020).
Culture as we know it includes customs, traditions, beliefs, and behavior patterns in a particular society hence its essential to consider cultural differences when dealing with the first Nations people.
There continue to be many guidelines pertaining to specifically cultural requirements of First Nations people, such as, the role of family and community, traditional treatments for health, and consideration of past and present prejudices and abuse experienced by the First Nations people.
Measures that Should Be Put in Place to Foster Respect and Safety
The analysis of negative childhood experiences and the review of strategies on how to build resilience (Rogers & Wattis, 2020).
In order to form a therapeutic relationship with Leo, it is crucial to consider and process his past experiences that any healthcare professional is a monster. This may be accomplished by allowing him to provide details of the previous experiences of sexual harassment, acknowledging his emotions on experiencing sexual harassment, and ensuring him that this class is safe ground and there will be no prejudices against him.
Techniques to Build Trust
Some of the main strategies that can be used to work on the issue of building trust with Leo include; Respecting Leos cultural beliefs, and refraining from being bias or judgmental about him and his origins, consistency and reliability. Being open and truthful is very important in dealing with Leo; paying close attention to him, and including him in decision making processes would help in building trust (VAlenti et al., 2019).
Informing and Including Leos Family in His Care
Its alright to involve Leos family in his care, as this will help one to embrace cultural consideration and factors that revolve around him as a patient. Engaging family members in discussing the childs LSP fosters capacity, solidarity, and respect of family and community as a means of support that is vital to many FN cultures. Nursing approach not only contributes to Leos health and his overall well-being of the care recipient but also to Leos cultural beliefs and choice.
Subsequently, healthcare providers ought to engage with Leo using culturally sensitive communication skills then try to respect him so that he can form a good therapeutic bond with the providers needed to facilitate effective interventions.
Therapeutic Communication Tools: Verbal Communication Tools
Active Listening
One important verbal communication that shows attentiveness and also active working of the empathy is the active listening. It is done not only with the intention of perceiving the words that are said by Leo but also the feelings and connotations behind them (Jonsdottir & Fridriksdottir, 2020). He agrees that nodding, saying things such as uh-huh, let me get this right and you mean. ., and echoing or paraphrasing what Leo says are ways that he as a nurse can demonstrate attentiveness. For example, if Leo speaks in the conversation about his negative attitude towards previous healthcare experiences, the nurse can answer, It looks like you were judged during the last visit. See more about it Methodist Hospital Partners With Nursegrid For Ambitious Nurse Hiring.
Open-Ended Questions
That is why open-ended questions have to be used to address this problem and let Leo share more about himself and things that are important for him to experience and observe. These questions are not strict yes-no questions; that is why they result in more elaborate answers which may be more informative concerning the condition of Leo. Some illustrative open-ended questions are Could you share more details about your interactions with your former health care practitioners or What have you done to monitor your health on your own? It is through such open-ended inquiries that the nurse is able to give a voice to Leo to elicit more information from him, which could be extremely valuable in terms of understanding his health and his needs (Sizoo et al., 2020).
Empathetic Responses
Reminiscing the moments when Leo felt left out and unimportant must be encouraged and acknowledged in some way by the people around him because sensitive words and well-wishes may go a long way in helping him regain his confidence and re-engage in a healthy manner with his friends and peers. These responses entail assuming the role of Leo and thus demonstrating the nurse appreciates his expressions of the incident. For instance, if Leo complains about judgment from people in the past it may be responded with It must have felt terrible feeling judged like that (Guidi & Traversa, 2021).
Non-Verbal Communication Tools: Body Language
Oral communication is also a vital part of non-verbal communication since it may involve the use of gestures, posture, and movements such as openness, attentiveness, and empathy (Abdulghafor et al., 2022). Avoiding barriers that can close the distance between body parts, including facing Leo directly, avoiding crossed arms and leaning toward Leo, can make Leo feel that the nurse is genuinely attentive to him and his responses. Moreover, it is beneficial to me. Imitate some of Leos gestures in an unobtrusive manner that may make the participants feel connected to him.
Eye Contact
This is because eye contact as a communication tool can differ across cultures and is important to consider when interacting with First Nations peoples such as Leo. From various societies around the western civilised world, eye contact is usually perceived as a sign of focus and integrity (Helou et al., 2022). However some First Nations cultures understand eye contact as a sign of rudeness and thus they make sure they avoid looking directly into the eyes of another person. Hence, the nurse has to be aware of Leos concerns regarding eye contact and should consider this as she intervenes.
Gestures
Hand gestures in particular, is another area of non-verbal communication that must be taken into consideration. Thus, head bobbing is an expression of understanding and agreement; while hand movements say the tone is open and devoid of empery. This means that, one has to be very careful on any mannerism that is interpreted in any wrong way or termed as having offended the cultural settings of the Leo. For instance, depending on the culture in a certain First Nations community, some hand movements might hold some certain meaning and therefore the nurse ought to avoid using any dangerous signals that are presidential seen as rude or unfriendly (Gerwing & Li, 2019).
For instance, through the verbal communication skills such as active listening, asking questions, and expressing empathy and coupled with nonverbal communication including correct body postures, preferred space, eye contact, and hand movements, SCC will help create an efficient and supportive communication atmosphere for Leo.
Documentation of Nursing Interaction: Key Information to Document
First, some of the information that may be useful include Leos medical history and some cultural backgrounds that the psychiatrist should know, and these include: Type 2 Diabetes, Coronary Artery Disease, Hypertension. Recording his current general health in terms of vital characteristics and complaints that Leo demonstrates when being treated is valuable for his successive treatment (Asmirajanti et al., 2019). Moreover, separately, it is necessary to discuss some crucial and sincere aspects of communication with him like conversation about his healthcare preferences, goals, and care plans that should be documented to uphold the responsibility of a nurse.
Requirements for Documentation
Writing and reporting should also respect the legal and ethical perspective of the tenets of the patients privacy and confidentiality. The process of documentation is very crucial; it ensures that there is clear and effective communication within the health-care team in order to achieve well-coordinated care and decision-making processes. It also serves as a legal tool that documents the care that was offered to the patient while giving the needed legal protection to the healthcare provider (Lancellotti et al., 2019).
Justification for Documentation Practices
This documentation is very important as it makes it easier for doctors to have a clue what has been done to this patient in the past and consequently make a holistic care plan for him (Lancellotti et al., 2019). Respecting while promoting person-centred care principles in documentation involve understanding and taking into account Leos preferences and choices, thus supporting patient-centred care. Moreover, documentation provides a clear docket to the different members in the healthcare team, which enhances interprofessional relationships and compliance with the provision of service.
Conclusion
Summary of Key Points
Hence, the concept of person-centred communication and cultural sensitivity play an essential role in nursing procedures more so when dealing with a person such as Leo. Clear and well-trained communication coupled specifically with documentation can help the nurses to establish rapport, provide culturally sensitive patient care, and even positively affect the health of the patients.
Final Thought
When it comes to the field of nursing practice, progression and advancement remains paramount and as such it is important for healthcare professionals to learn and update themselves on the communication processes. Health care culture sensitivity, cultural responsiveness and patient focused care nursing care values will help the nurses address the needs of patients and offer quality care that is both fair to patients and diverse in nature.
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