The essay focuses on a unimpressive description of the interaction, thoughts and feelings of the communicators during and after the incident, reflecting on and analyzing the interaction from a theoretical perspective. I will be using my knowledge of communication models and communication theory, identifying the needs of the communicators within this interaction, discussing the communication strategies used during the exchange, exploring the use of verbal and nonverbal communication, and explaining the factors that I believe influenced the outcome of the interaction and may have had an impact on the relationship between the communicators.
Conclusively, I write about the effectiveness of the communication based on my analysis of it and identify one strategy that was used, by the communicators, and one strategy that could have been utilized to create a more positive outcome. Reporting The context is in a regional hospital, day three post- surgery. I had suffered severe ligament damage to my right ankle, a broken tibia at my left ankle and broken fibula to my left lower leg. The operation left me with an incision on both sides Of my ankle and outer lower leg, my pain level was a five on the Abbey Pain Scale and I was completely immobile.
The time was approximately 1500 and was very bleary from the Undone and Concoction medication. A registered nurse I had never met came into the room and stood in the proximity of my bed end, looking down at me with a flat facial expression, arms crossed showing a resistance to communication, I felt her uniform was an artifact used to create another barrier to our communication, her kinesics seemed bored and uninterested in myself, her charge for the shift.
Without introducing herself or asking or my permission, she pulled back my top sheet and started to remove my bandaging. I asked her if she had washed her hands, my Paraguayan admittedly was of a stressed nature due to her haste and lack of communication. I received a vocal segregate of’ Horns and, quite an uncaring look, I asked her to stop, please wash her hands and put something clean under my exposed leg. The nurse reluctantly left and returned with a bluely sheet and gloves.
I explained in an assertive manner that did not want a monoclonal infection in my leg, and from that moment on she did not speak to me, presenting an interpersonal behavior of aggression. Finally, as she left, she smiled at me. Responding The whole interaction was extremely upsetting and left me feeling quite sad and bullied. I tried to understand why her interaction was so cold by putting myself in her position, and wondered what was happening in her life to have behaved so unfeelingly. Left , 1 955) pointed out that in order for nurses to improve self-awareness they could use the Shari Window model, in this instance the nurse was showing traits of being in the blind area of the Shari Window, that being that she was not known to self but known to others, as the nurse portrayed an absolute unawareness of her inappropriate behavior, or was not feeling empathetic in her work role, which is a prerequisite to effective nursing practice.
My theoretical understanding of the interaction was demonstrating to me that her interpersonal behavior was passively aggressively abusive, bullying. I was the communicator she gave no power to, and she was the communicator with all the power. From this interaction I was left feeling disrespected, powerless and vulnerable.
Relating and Reasoning Weinberg (1981) in Personal Communication Process, describes the basic principles of communication attuned within the nursing process involve the incongruence of the transmission of information, the meaning of the transmission, and the behavioral effects of the transmission, this is valuable for nursing communication as it emphasizes behavioral aspects and internal and external influences on communication, these influences to our interaction were a large part Of the ineffectiveness of our communication process, due to there being no two way verbal interaction, only me left assuming my own conclusions.
Arnold and Bogs (1 995, p. 76) pointed out that “The nurse must be the sender and more importantly the receiver of Lear information, patients have a difficult task sending and receiving the messages and are unsuccessful in making themselves understood if the nurse does not partake in effective communication”. My communication was clear and assertive, however, her acknowledgement was poor. Disturb and Higgins (2001 ) state the term therapeutic communication as the dialogue between nurse and patient to achieve goals tailored exclusively to the patients needs.
In this case the dialogue used by the registered nurse in the form of body language and a grunt to communicate were highly ineffective. I had been bullied and according to Mayer (2008, p. 07) a growing body of research illustrates a significant relationship between bullying and emotional intelligence, this is a set of abilities related to the understanding, use and management of emotion as it relates to one’s self and others, “accurately perceiving emotion, using emotions to facilitate thought, understanding emotion, and managing emotion”.
Bullying is abusive social interaction between peers which can include aggression, harassment, and violence. Bullying is typically repetitive and enacted by those who are in a position Of power over the victim, in this case the patient, me. McKenna and Webb (2013, . 560) state “lower emotional intelligence appears to be related to involvement in bullying, as the bully and/or the victim of bullying”, given that emotional intelligence is illustrated to be malleable, emotional intelligence education could greatly improve bullying prevention and intervention initiatives.
Emotional intelligence is defined as the ability to identify, assess, and control one’s own emotions, the emotions of others, and that of groups. (Coleman, 1995). In this instance the registered nurse portrayed none of these qualities, most unprofessional, and I was feeling that I wanted to report her behavior. Self-awareness is being consciously aware of aspects of your own self, such as your thoughts, feelings, beliefs, behaviors and values. Developing self-awareness requires an ongoing ability to accurately assess self as a unique person and to become conscious of self (Stein-Parry, 2009).
Although this experience was very frightening and frustrating for me, it has highlighted how would not communicate with my patient’s. (NC 2002) outlines that we must not add extra stress or discomfort to a patient by our actions and we must use our professional skills to identify a patient’s references regarding care and the goals of the therapeutic relationship. Again, the nurse definitely added extra stress to my already very stressful predicament. Bruce and Young (1 986, p. 308) state that faces are one of the most ecologically important stimuli of visual perception.
Over the last decades, perceptual and cognitive studies have repeatedly shown that humans are remarkably good at recognizing face information like gender, age, identity and facial expressions. Facial expressions are special in as much as they constitute the only information in the face that, besides mouth events for visual speech, rapidly and constantly changes in a variety of complex ways. We are, however, easily able to tell different expressions apart within only a short glance.
Moreover, in order to extract the correct meaning of the different types of facial expression, we do not necessarily need to know the person; that is, facial expression processing seems largely invariant to facial identity. The avoidance in eye contact and flat facial expression displayed by the nurse showed a distinct lack of interest in me as her patient. Psychiatric-Mental Health Nursing Angelfish stated that one of the barriers to hermeneutic communication is a lack of regard or respect for the patient, this definitely was a barrier to our communication.
I had been unsure about what to say or do to alleviate my anxiety as the nurse continued to disrespect me and I had adopted what the (Watson & Wilkinson 2001 ) describe as the blocking technique. By the nurse continuing her actions while ignoring me holistically, she was cutting short my need to communicate by blocking me. It was a no win situation for us both. Rowe (1999) explains that a person must identify their weaknesses as an initiative for becoming self-aware.
Only with acceptance Of one’s self, can a person begin to acknowledge another person’s uniqueness and build upon this to provide holistic Furthermore, according to the American Holistic Nurses Association and American Nurses Association (2007) “healing and wellness include not only the physical health but spiritual, emotional and social health of a person”, these aspects were highly challenged throughout our interaction, which may potentially have a negative long term effect on my physical healing and wellbeing.
Reconstructing Due to the emphatic feeling of being bullied by the nurse took it upon myself o communicate my concern to the most senior staff member on duty, this conversation resulted in the nurse in question being asked to meet with the Director of Nursing. With further reflection it would have been better to have allowed more time to comprehend what the registered nurse was thinking and feeling, as I found out that her husband had just recently left the marital home.
Lam, Batons, and Detect (2007) put forward an argument that empathy would have been a positive attitude for me to have in this case, also that would have been better to imagine how I would feel in the nurse’s taxation, as she was evidently emotionally exhausted. This has been an excellent learning experience for me to learn how to be more empathetic and how to do my best not to bring my personal Issues into the workplace. Watson and Wilkinson (2001 ) pointed out ” There is an abundance of information about communication, especially for nurses because it is considered by many as the core component to all nursing actions and interventions.
Lack Of effective communication is a problem that still exists because the learning process that leads to a skilled level of ability that may aka years of experience to develop”. Will definitely be utilizing the abundance of available information in order to maintain my effective communication currency. Fifth nurse had been congruent with her communication to me in that first instance, the outcome would have been a positive one, albeit, it was not how it happened. Conclusively, the knowledge I have gained through reflection of this experience will ensure that I will treat patients with unconditional positive regard. Eve gained a new perspective of my nursing practice, to set myself personal goals of constantly reflecting ND implementing consistent effective communication between the patient, colleagues and myself.