ADD THE TITLE OF THE

ASSIGNMENT AND YOUR NAME

 OUTLINE OF THE PRESENTATION
• A detailed analysis of effective and ineffective communication
• Application of skills, strategies and frameworks of effective communication for
grief and loss
• Strategies to promote self-care in interpersonal communication
• Strategies to promote resilience in interpersonal communication
• A SOAP note documenting ineffective communication and SBAR approach for
clinical handover
 ANALYSIS OF THE COMMUNICATION
Effective communication Ineffective communication
Verbal praise/ positive regard Loud and unpleasant tone of the voice

Eye contact with the patient Supporting the family

Direct clarification Lack of compassion and empathy

Emotional reaction

Inappropriate body language i.e. close proximity

(Williams et al., 2016)

 CARING CONVERSATION
• Framework based on skillful human interaction and
compassionate care
• Empathy, active listening, voice tone, gestures and body
language (Williams et al., 2016)
• Importance in achieving therapeutic conversation
• Alliance with the family members and the patient (Riley,
2015)
GRIEF AND LOSS

• A natural reaction to any kind of loss is grief

• Consideration of Mrs. Lingi’s grief in care planning

• Importance of therapeutic conversation (Sveinbjarnardottir et al., 2019)

• Understanding the reason behind her grief and using appropriate care tools
(Van Humbeeck et al., 2016)
CULTURE AWARENESS
• What is culture awareness and culture sensitivity?

• Mrs. Lingi’s background and history

• Cultural differences and obstacles in therapeutic communication (Crawford et

al., 2017)

• Adapting communication strategies

(Ong-Flaherty, 2015; Repo et al., 2017)

REFLECTION ON RESILIENCE AND
SELF-CARE
Description
Misunderstanding by Mrs.
Lingi and ineffective
communication by the nurse

Feelings
Action plan Anger, frustration, fear
Use of correct and culturally and nervousness
sensitive communication with
clarity; Using therapeutic
communication skills
Developing resilience

Evaluation
Good: verbal praise and asking for
direct clarification from the patient
Conclusion Bad: inappropriate tone, gate and
communication, lack of cultural
The case signifies the value of awareness and family engagement
therapeutic communication,
cultural awareness and
communication skills

Analysis
Effective communication skills
and caring conversation
(Çam & Büyükbayram, 2017; Thomas & achieve better patient outcomes
and cultivate nursing resilience
Asselin, 2018)
SOAP NOTE
Subjective
S  A 88 year-old Vietnamese immigrant living in aged care facility after the death of
her husband due to her limited mobility and self-care.

O
Objective
To help assist the patient in completing self-care task independently

Assessment
A Patient was observed completing her morning wash and brushing her teeth
independently
Plan
P • health will be optimized by assisting her to complete the daily tasks and self-
grooming on her own daily
• Positive appraisal and reinforcement strategies are used to strengthen the behavior
• Therapeutic communication and compassion
ISBAR •
I
I am _____ working as a nurse at ____ hospital
• I am calling in relation for Mrs. Lingui who is currently living at aged care facility after losing her husband;
she has limited mobility. Mrs. Lingi misunderstood the praise given to her by the nurse

Situation
S • Mrs. Lingi, a 88 year old Vietnamese female
• The immediate situation is her misunderstanding about discharging her due to a nurse’s comment about self-
care
• Mrs. Lingi is currently going through bereavement after the loss of her husband and has limited mobility

B
Background
• The patient is deemed unsafe to self-care and immobilize; previously her husband cared for her but after his
death, she is in a caring facility but desires to go home
• Currently nurses are focused on assisting her self-care

Assessment
A • Mrs. Lingi has emotional needs; her grief and lack of social support such as family prompts her to
misunderstand and ask to return to home
• She is currently unable to self-care independently

Recommendations
R • The nurse should use effective communication skills with direct and clear words to avoid misunderstanding
• Communication with the family to increase social support and her needs.
CONCLUSION

• The importance of culturally sensitive effective communication skills is established

• Both verbal and nonverbal communication delivers clarity, compassion, understanding and
avoid misunderstandings
• Therapeutic communication signifies the value of caring conversation with the patient and the
family as well in nursing to ensure well-being of patients and the nurse as well
• Both the ISBAR and SOAP note ensure patient safety communication

It is concluded that effective communication skills, reflection, cultural awareness and sensitivity
allows a nurse to provide safe and compassionate care and builds resilience in self.
 REFERENCES
• Çam, O., & Büyükbayram, A. (2017). Nurses' Resilience and Effective Factors. Journal of
Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 8(2). http://
doi.org/10.14744/phd.2017.75436
• Crawford, T., Candlin, S., & Roger, P. (2017). New perspectives on understanding cultural
diversity in nurse–patient communication. Collegian, 24(1), 63-69.
https://doi.org/10.1016/j.colegn.2015.09.001
• Ong-Flaherty, C. (2015). Critical cultural awareness and diversity in nursing: a minority
perspective. Nurse Leader, 13(5), 58-62. https://doi.org/10.1016/j.mnl.2015.03.012
• Repo, H., Vahlberg, T., Salminen, L., Papadopoulos, I., & Leino-Kilpi, H. (2017). The cultural
competence of graduating nursing students. Journal of transcultural nursing, 28(1), 98-107.
https://doi.org/10.1177/1043659616632046
• Riley, J. B. (2015). Communication in nursing. Elsevier Health Sciences.
 REFERENCES
• Sveinbjarnardottir, E. K., & Svavarsdottir, E. K. (2019). Drawing forward family strengths in
short therapeutic conversations from a psychiatric nursing perspective. Perspectives in
Psychiatric Care, 55(1), 126-132. https://doi.org/10.1111/ppc.12329
• Thomas, L. J., & Asselin, M. (2018). Promoting resilience among nursing students in clinical
education. Nurse education in practice, 28, 231-234. https://doi.org/10.1016/j.nepr.2017.10.001
• Van Humbeeck, L., Dillen, L., Piers, R., & Van den Noortgate, N. (2016). Grief and loss in
older people residing in nursing homes:(un) detected by nurses and care‐assistants?. Journal of
Advanced Nursing, 72(12), 3125-3136. https://doi.org/10.1111/jan.13063
• Williams, K. N., Ilten, T. B., & Bower, H. (2016). Meeting communication needs: topics of talk
in the nursing home. Journal of psychosocial nursing and mental health services, 43(7), 38-45.
https://doi.org/10.3928/02793695-20050701-05
• Williams, K., Kemper, S., & Hummert, M. L. (2016). Enhancing communication with older
adults: overcoming elderspeak. Journal of psychosocial nursing and mental health services,
43(5), 12-16. https://doi.org/10.3928/02793695-20050501-02