Therapeutic Communication and Interprofessional Practice in Nursing NUR3021

Introduction

Communication is the key component in providing care in healthcare settings. In healthcare customer focus and safe actions are vital to patient protection and achieving a high-quality healthcare service delivery that is based on professional responsibilities as well as effective communication, and teamwork among the healthcare team members. This essay is dedicated to the description of the real-life case of a 65-year-old male, Mr. Mark Green, who was admitted to the hospital after an MV accident and had major surgery. The discussion will also attempt to identify how mindfulness can be used in practice by the Registered Nurses (RNs) especially in practice in a high-pressure facility such as the Emergency Department or Orthopaedic Ward to foster healing communication and person-centered practice. It will also explore the RN's role of practice in Mr. Green's care with a special focus on the patient's assessment process, clinical decision-making, and the advocacy role of the nurse. Furthermore, the given essay will focus on how the members of staff collaborate to deliver better patient care as well as illustrate instances where effective cooperation between the nurses, doctors, and pharmacists can help avoid adverse effects and promote healing. From this lens, this essay seeks to highlight how RNs are very crucial in the health care team.

Discussion

Mindfulness Techniques for Therapeutic Communication and Person-Centered Care

Being mindful in nursing practice therefore means paying attention to the patient's needs while being awake, alert, and conscious to his/her issues. It is a basic element of the patient care process, as well as elements of using therapeutic communication and an individual-centered approach (Sharma & Gupta, 2023). As evidenced by the case of the motor vehicle accident of Mr. Green who needed major surgery mindfulness is applied in taking care of the "whole man. "

Active listening and empathy performing the bedside handover from the ED RN to the receiving Orthopaedic Ward RN should be active listening from the side of the receiving nurse (Abdulrhman Alrowily et al., 2023). This involves paying attention to the content presented in the message leaving out all the distractions, which guarantees comprehension of all aspects touching on the health status of Mr. Green and the actions to be taken. For example, the Orthopaedic Ward RN should identify Mr. Green's pain, his concerns, any comments regarding the upcoming surgery, and any special directions about him. In this way, the nurse can answer Mr. Green's concerns deal with his fears and concerns, and gain his trust as a nurse-patient. For instance, when being alarmed by the surgery Mr. Green could be reassured if the nurse educates him on the procedure, expected results, and how the medical professionals handle the pain.

Mindful observation and anticipation of needs is another component of mindfulness is the ability to monitor not only the verbal response of the patient but also his/ her body language and estimate the patient's further needs. Since in the situation under analysis, Mr. Green has not prescribed VTE prophylaxis after surgery, the wise-nurtured nurse should pay extra attention to manifestations of pain or other sensual symptoms indicating that everything is not all right with the legs, for Instance (Isaacs et al., 2023). The new graduate RN observed that VTE prophylaxis has not been implemented and made the senior RN, Lynne aware of the same. It is mind-naturedly integrated here because the nurse knew the possibility of certain hazards related to the omission, and acted preemptively to correct it, therefore putting priority on Mr. Green's welfare.

Clear and compassionate communication is shown in the forthcoming analysis, at the ward round on day three, Dr. McGorry asks about Mr. Green's pain and if he has got physiotherapy (Tazreean et al., 2022). When interacting with Mr. Green, a new graduate RN has to be very patient and ensure that the client understands the reasons why those questions have to be asked, and how this relates to his recovery process. For example, since, Mr. Green could report leg pain, the nurse will endorse him to understand that it is a sign of a possible complication such as DVT, and the team will attend to it as soon as possible. It also assists in ensuring that Mr. Green is informed of events regarding his condition as well as feels included in his care process.

The Registered Nurses Scope of Practice

The scope of practice of an RN is therefore based on the performed profession with duties of assessing the patient, designing and implementing the care plan, monitoring the results, and also coordinating care with other caregivers (Abed, Abed, & Shackelford, 2023). In Mr Green's case, there are further responsibilities of the RN who needs to also promote adequate postoperative care such as administration of VTE prophylaxis, pain control, and monitoring for possible complications.

Patient Assessment and Risk Management: An RN must assess a patient totally to determine any possibility of a complication. The Nursing Responsibility When Mr. Green was transferred to the Orthopaedic Ward the RN should have gone over Mr. Green's Medical, surgical, and present medical/physical health condition and the surgery that is planned (Boden, 2024). This would include his risk for VTE it is worth knowing that most the patients do not undergo preoperative prophylaxis. Thus, recognizing this factor, the RN performs a decisive function in the prevention of possible postoperative complications. For example, the nurse should have assessed the risk of VTE using the Caprini Risk Assessment Model and protected Mr Green from VTE appropriately.

Some of the tools that are most useful in the achievement of this goal include mindfulness; operating within the RN scope of practice; and interprofessional collaboration (Zenani et al., 2023). This essay aims to describe how all these elements contribute to Mr Green's postoperative care after internal fixation surgery, where a violation of the five rights Right Patient, Right Procedure, Right Time, Right Dosage, and Right Route was identified since VTE prophylaxis was not conducted. Advocacy and clinical judgment are a necessary component of the RN professional practice in the field since they relate to advocacy concerning patient safety.

When the new graduate RN did not see the assessment of VTE prophylaxis, she used critical thinking and assertiveness by reporting to the senior RN, Lynne. This action is a perfect illustration of how RNs have to speak up for their patients to guarantee that all the issues are being considered in their care (Zenani et al., 2023). In this case, an RN's action can be considered as potential for a serious complication if not intervened appropriately underlines the role of assessment and reasoning skills in their day-to-day practice.

The framework exists in that patient advocacy is a pivotal role of an RN. When the RN observes that Mr. Green did not receive VTE prophylaxis after surgery, this should be brought up with the rest of the healthcare team. For example, the RN omitted to give the patient anticoagulants but later reported to the orthopedic team or the attending physician and recommended the use of an anticoagulant or compression device (Abdulrhman Alrowily et al., 2023). Teaching is also part of advocacy, and as such, ensure that Mr. Green and his family are knowledgeable on VTE prevention so that they are also participating in the care plan. Introducing code 301 applies interprofessional communication is apparent as the first core competency recognizing that collaboration is critical in achieving quality and safe patient care especially when patients develop complications following surgery.

Implementation of care plans after the decision to prescribe VTE prophylaxis The care plan belonged to the RN to update and administer it. This may have meant calling the attending doctor to ask for an order to give Clexane or making sure that Mr Green was given other types of VTE prophylaxis including pneumatic compression devices (Boden, 2024). The RN is the leader of care plan implementation, and this involves identifying each and all of the required interventions to be performed to protect the health of the patient.

Informing the patients on their care needs or even involving them in the decision-making process is also in the RN's capacity. For Mr. Green this would entail giving reasons why VTE prophylaxis is necessary, the dangers of DVT, and what to look for after the operation was conducted (Alanezi, 2021). Giving this information helps Mr. Green to be an active participant in his care and give any concerns to the health care provider. Furthermore, the RN can also help Mr. Green or his wife in case they have some questions appealing to the doctor's consultation, which means that the patient will have enough information to calm down and not worry.

Importance of Interprofessional Collaboration and Patient Outcomes

The ability to save patient's lives and their recovery especially in a healthcare organization is determined by the collaboration of several healthcare practitioners. This becomes important mainly for patient care especially the post-operative period as patients are susceptible to developing adverse events such as VTE. The case of Mr. Mark Green, a 65-year-old male involved in a motor vehicle accident and required surgical intervention, signifies the need for interprofessional collaboration and communication concerning the overall management of clients. This segment of the essay will elaborate on how the collaborative actions of the healthcare workforce such as the doctors, the nurses, and the pharmacists promote patient safety, especially about the risk of developing possible adverse compensations such as VTE.

Interdisciplinary synchronization and patient results in interprofessional collaboration can be described as the activity of admissions and expectations of healthcare experts of different lines of work to provide the holistic attention that patients need. In Mr. Green's case, the absence of the routine subcutaneous prescribed anticoagulant such as Clexane underlines the present importance of efficient communication and teamwork to avoid possible adverse effects. It is very useful to have members of different healthcare professions participate since each of them can contribute his or her specialty to avoid missing any angles of the medical needs of the patient.

In the case of Mr. Green, failure to introduce prophylaxis for VTE could have had adverse effects since patients who undergo major surgery are at high risk of developing blood clots (Kingkaew et al., 2023). What the present case has highlighted is the sheer importance of daily interprofessional communication, which was provoked by the absence of the nurse, the failure to notice the omission, the entry of the matter during the ward round, and by the senior Orthopaedic doctor, Dr. Allan McGorry. The ward round itself which involved the Orthopaedic Registrar, the Intern, and the newly recruited RN illustrates how integration of teams can facilitate assessment and intervention of potential mistakes in patient care.

This work gives the role of the pharmacist as a member of the ward round through a decision made by Dr. McGorry. Proactively, pharmacists provide prescription medications thereby adding the understanding of medications and their management that is vital in determining the necessary preventive measures to be undertaken (Katz, McPartland, & Rines, 2020). In this case, the intervention from the pharmacist would have been useful in establishing the prescription of Clexane and thereby decreasing the chances of VTE amongst Mr. Green.

Therapeutic communication skills as well as mindfulness lie within the principles of the person-centered approach. Thus, in the case of Mr. Green, the RN can make use of the following tricks as a part of mindfulness to maintain proper communication (Mersha et al., 2023). Active listening technique is one of them. For example, when the RN is transferring Mr. Green from the ED to the Orthopaedic Ward, he or she ought to pay attention to Meg, the ED RN, handover and closely monitor Mr. Greens verbal and non-verbal signals. This enables the RN to understand some of his worries, like his pain and concern regarding the surgery that he is due for, and be in a position to console him concerning the kind of care that he will be given.

Also, it was a good practice between the new graduate RN and the more experienced RN, Lynne in realizing that there was no documentation related to VTE prophylaxis and further discussing it makes the aspect of peer support and mentorship in a clinical setting a noble practice (Ghani et al., 2022). The experienced RN can help remind the less experienced nurses of the need to be more careful especially when attending to patients since they still have relatively little experience as compared to their seniors. Such conversation not only ensures that patient safety is upheld but also that the practice environment lets the RNs practice their clinical knowledge on the job.

Superior collaboration with other professions includes the sharing of the treatment plan and related information to the patient as well as the family. Creating opportunities for patient involvement in decisions about his care is an example of how patient-centered care is incorporated into cooperation; for instance, asking Mr. Green if he has pain in his leg or has been given physiotherapy (Prentice et al., 2020). Out of the identified persons, healthcare professionals benefit from the patient's involvement in the care plan since the patient will be aware of the treatments or interventions to be taken and thus will follow them.

Moreover, such aspects of interprofessional collaboration can be seen in the case of Mr. Green where collaborating professionals work on elaborating care plans that incorporate all the aspects of a patient's recovery (Rasenberg, Brand, & van Weel-Baumgarten, 2023). For instance, it is important that, after surgery, Mr Green eventually has physiotherapy as part of his treatment to reduce the possibility of VTE and encourage mobility hence a faster recovery period. This aspect of care emphasizes organization about doctors, nurses, and physiotherapists as a way of providing comprehensive care to Mr. Green after his surgery.

Conclusion

In conclusion, the case of Mr. Mark Green reflects the significance of conducting mind and practicing within the scope of an RN along with collaboration among the different members of the health care team. Thus, mindfulness enables the RN to provide proper therapeutic communication and person-centered care by catering to both the physical and the emotional needs of the patient. Nurse practice refers to the measures the RN takes to achieve compliance with the scope of practice which include; comprehensive patient assessment, promotion of patient safety, and, putting into practice a well-developed care plan. Last but not least, communication and collaboration with other professionals in the field are valuable to enhance patients' outcomes due to the implementation of the effective collaboration of all the healthcare members. By such practices, the healthcare team can make certain that patients such as Mr. Green are offered the best health care possible to aid in their recovery and ensure that the patient does not develop complications. This last ward round with Mr Green depicts the usefulness of the concept of mindfulness, the role of the RN, and the importance of collaboration between an RN and a medical officer in the surgical ward. Through these steps, the RN gets to observe, inquire, negotiate, and cooperate to be able to address all the issues that relate to the care of a patient such as Mr. Green this makes the recovery process safer and helps the patient get better.

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