Effective Communication In Critical Care

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Critical care nursing is a highly technical specialty of nursing where nurses are trained to assist in life sustaining measures during threatening medical crises for patients commonly on the verge of death (Elliot & Wright, 1999). A patient’s experience in the intensive care unit (ICU) can undoubtedly serve as a stressor and time of vulnerability for both the patient and the family. Munro and Savel (2013) spoke to this concept when they discussed how the connection and communication with patients and families is an essential part of critical care and have potential to improve patient experiences. Furthermore, authors Reed, Teineck and Fonseca (2011), explained that while many studies support the desire for nurses to communicate effectively …show more content…
Elliot and Wright (1999) denoted that even though verbal communication is viewed as an interactive two way process, communication can serve important to the unconscious patient and an avenue of information, support and a way of orienting themselves. Aside from the benefits of providing the unconscious patient with support through communication, it is a patient right to be informed of their current affairs, diagnosis, treatments and nursing interventions they are experiencing, which raises moral and ethical concerns (Shaista & Neelam, 2014). The importance of communication and its impact on patient outcomes are recognized and addressed by several associations and organizations, including the Joint Commission, American Association of Critical Care Nurses (AACN) and the American Nurses Association Scope and Standards of Nursing Practice. In addition, Shaista and Neelam (2014) explained it is important to educate health care providers about the benefits of verbal communication with nonverbal patients and how to integrate communication skills into their practices to adhere to the patient’s right of being informed of their condition at all times. This paper will explore the benefits of communication with nonverbal patients and how patients can receive a higher quality of care once …show more content…
As stated before, patients have the basic human right to be informed of current affairs, diagnosis, treatment and nursing interventions they are experiencing (Shaista & Neelam, 2014). Working with unconscious or nonverbal patients and not making them aware of their surroundings is questioned on moral and ethical grounds and contradicts standards in the American Association of Critical Care Nurses (AACN) Scope and Standards for Acute and Critical Care Nursing Practice (Bell, 2014). Two standards that are contradicted include Standard Four: Communication which outlines that critical care nurses “use skilled communication in a variety of formats to convey accurate information to acutely and critically ill patients, families and interprofessional team members” (Bell, 2014, p.16). Along with Standard 5: Ethics which states that “nurses decisions and actions are carried out in an ethical manner in all areas of practice and maintain patient autonomy, dignity, values, beliefs and rights at all times” (Bell, 2014, p.17). In relation to the clinical practice experience the writer encountered the nurses on the unit, along with nurses across the nation, fail to inform the patient of interventions occurring and took away an aspect of the patient’s dignity by treating them like a medical condition and not a