This is the summary of communication I’ve gathered from the nurses

The Communication problem stated by the first interviewee said that not all patients are cooperative. The second interviewee stated that some patients are disagreeing or not  listening to what she’s saying, she also added language barrier, trust and psychological capacity of the patient are the things that causes communication problems. The last interviewee also stated language barrier, he added illiteracy and lack of knowledge about the teeth are one of the things causing him to have a communication problem.

Having a poor communication with someone could make things complicated. I think for us to communicate well, we should be relax and be mindful on everything we say because this could affect the patients mood that could cause a miscommunication betweee the two of you. Being calm and gentle to your patience could really a make difference, if you practice this kind of attitude commucating with your patients will go smoothly but still it varies.

Creative Work Output No. 1	SUBJECT: Oral Communication in Context
Name: Raymart Mesina	Date Submitted: September 16, 2019
11 STEM – 6	RATING:

Part I: Introduction to the subjects’ background

    I interview Ms. Rachelle Mesina Castro, which is my cousin. She graduated at Dr. Carlos S Lanting College. Second, I interview Ms. Sherrie Mae Pelagio, which is my aunt. She graduated at Capitol Medical Center Colleges, Inc. The last one I interview is Mr. Kenshin Martin, which I’ve known from a friend of mine. He graduated at University of Baguio.

Part II: Discipline/Field of Study: Education/Engineering/Medicine/Technology/Architecture etc. (Indicate 1 discipline only)

    I chose  the field of Nursing because I think this needs a lot of interacting with other people, which will make my task easier in finding a communication problem. Nursing has a broad category, but in this study I will focus on the category of registered nurse. Nursing is a field that is concerned about dealing with sick or harmed people; and giving preventive medicinal services to well people.

Part III: Interview transcription for the case study

Questions	Answers/Responses	Interviewee Rachelle Mesina Castro
1. Do you encounter hard time talking with your patients? Why or why not?	Yes, not all the patients are cooperative. I think it’s because they have anxiety and feeling ill for some reason.
2. What do you is the factors that make it difficult to communicate with your patients?	There are thousands of reasons difficulty in communicating with the patients. But always keep in your what is your job. They are dealing with different kinds of moods, feelings & anxiety, etc. That you should be aware of. You are the one who should understand well.
3. If you encountered a rude patient, how do you handle it?	Therapeutic communication with the patient. First introduce yourself to make rapport with the patient. Then You should state to him/her the purpose, so he/she would be aware & cooperate well.
4. How important is good communication in this kind of job?	It is very important because that’s the way, how would you know what is the main complaint of your patient & how he/she see things & how he/she can deal with it.

Questions	Answers/Responses	Interviewee Sherrie Mae Pelagio
1. Do you encounter hard time talking with your patients? Why or why not?	Yes, I’m having a hard time talking to the patient if the patient seems to disagree or don’t want to listen to everything that you say.
2. What do you is the factors that make it difficult to communicate with your patients?	Factors that make it difficult to communicate with patients are language barriers, patient acceptance of the situation, trust, psychological capacity of the patient.
3. If you encountered a rude patient, how do you handle it?	When I encounter a rude patient, I try my best to emphatize and understand their situation.
4. How important is good communication in this kind of job?	Good communication is important in this kind of job because it can promote team work on how to execute a better management for our patient. Good communication with the patient is also important to better for us to understand their situation and come up with a better intervention for them.

Questions	Answers/Responses	Interviewee Kenshin Martin
1. Do you encounter hard time talking with your patients? Why or why not?	No, most of the time the patients  listen to what we have to say and in addition to that, illustration materials readily available in the clinic facilitates ease in communication and explanation.
2. What do you is the factors that make it difficult to communicate with your patients?	Language Barriers, illiteracy, lack of knowledge about the teeth and the common problems associated with it.
3. If you encountered a rude patient, how do you handle it?	Show authority with concern and through thorough explanation. And if all else fails recommend  a different clinic that can address the rude patient queries (in a calm manner).
4. How important is good communication in this kind of job?	Communication plays  vital role in the profession as some procedures require an exchange of words or understanding before one can proceed with a specific treatment, or to assess if a certain treatment procedure is working or not.

Part IV: Communication problem summary

        The Communication problem stated by the first interviewee said that not all patients are cooperative. The second interviewee stated that some patients are disagreeing or not t listening to what she’s saying, she also added language barrier, trust and psychological capacity of the patient are the things that causes communication problems. The last interviewee also stated language barrier, he added illiteracy and lack of knowledge about the teeth are one of the things causing him to have a communication problem.                      

Part V: Photos and documentation

Name: Rachelle Mesina Castro   Name: Sherrie Mae Pelagio      Occupation: Nurse             Occupation: Nurse         Age: 28y/o                                                       Age:                           29 y/o

*Mr. Kenshin Martin doesn’t allow me to put his picture on this study.

Part VI: Research articles

Research Articles	Main Points	Significance of the communication problem	APA Citation
Evaluation of Nursing Students’ Communication Abilities in Clinical Courses in Hospitals	1. Communication skills used in nursing and treatment communication behaviors are the most important skills that aim to resolve some main problems of communicating.	In relation to the study, communication problem is one of the weaknesses of nurse. It tends to have a misinterpretation with the patient or client in communication.	Shafakhah, M., Zarshenas, L., Sharif, F., & Sabet Sarvestani, R. (2015, January 26). Evaluation of nursing students’ communication abilities in clinical courses in hospitals. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802203/
2. Communication with patients is the most important aspect of professional nursing whose failure can lead to ineffectiveness of nurses’ and other health care teams’ potentials.
3. Expressing support, providing information and feedback, giving hope to patients, and helping them cope with anxiety are some examples of treatment communication behaviors.
Communication Barriers Perceived by Nurses and Patients	1. Studies show that nurses and nursing professionals in general, have not made a lot of effort for establishing positive interactions with the patients.	In relation to the study, having a poor nurse-patient relationship has an impact to patient’s health.	Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M., & Samami, E. (2015, September 28). Communication Barriers Perceived by Nurses and Patients. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4954910/
2. Many reported problems are related to the decreased sense of altruism among hospital staff including nurses.
3. Patients with communication disability were three times more likely to experience medical or clinical complications compared to other patients
A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients	1. Patient-related characteristics that were identified as barriers to effective therapeutic communication included socio-demographic characteristics, patient-nurse relationship, language, misconception, as well as pain.	In relation to the study, patient, nurse and environment has a different effect in having a good communication between nurse and patient.	Anokye, R., Acheampong1, E., Budu-Ainooson3, A., Okyere2, E., Kumi-Boateng2, G., Yeboah2, C., & Owusu, J. (2019, February 11). A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. Retrieved from https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-019-0328-0
2. Nurse-related characteristics such as lack of knowledge, all-knowing attitude, work overload and dissatisfaction were also identified as barriers to effective therapeutic.
3. Environmental-related issues such as noisy environment, new to the hospital environment as well as unconducive environment were identified as barriers to effective therapeutic communication among patients and nurses.
Patients’ perceptions of their experiences with nurse-patient communication in oncology settings	1. The barriers include the unwillingness of patients to share their concerns, the inability of nurses to pick up cues from patients or handle patients’ emotions, and a focus on the part of nurses on completing tasks, with time constraints being an important external factor.	In relation to the study, patients takes time to share concerns either they don’t really want to share, time for a nurse job is important if this happens they can’t always entertain this kind of situation which could put the patient’s health in obstruction.	Chan, E. A., Wong, F., Cheung, M. Y., & Lam, W. (2018, June 18). Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005521/
2. Busy nurses who do not have much time for patients apart from carrying out their routines are a global and well-documented phenomenon.
3. Time pressures, which are closely tied to heavy workloads and understaffing, would hinder patients from disclosing their concerns and expressing negative emotions to healthcare professionals,
Effective Communication in Nursing	1. The quality of communication in interactions between nurses and patients has a major influence on patient outcomes.	In relation to the study, the quality of communication between the patient and nurse will cause patients’ health to put in  danger including if differentiation of culture which lead to different perception on health.	Sibiya, N. (2018, March 21). Effective Communication in Nursing. Retrieved from https://www.intechopen.com/books/nursing/effective-communication-in-nursing
2. Increases in nursing communication can lessen medical errors and make a difference in positive patient outcomes.
3. The patient’s culture may block effective nurse–patient interactions because perceptions on health and death are different between patients
Importance of Communication in Nursing	1. Nurses must carefully consider where and when to talk to patients. Nurses should allow sufficient time for each patient interaction.	In relation to the study, theirs an effect on how or when  will  the nurse will talk to the patient. If the attitude of the patient is not likely this could cause nurse to fail in having good communication with his patient.	Importance of Communication in Nursing: UNM Online. (2016, September 23). Retrieved from https://rnbsnonline.unm.edu/articles/importance-of-communication-in-nursing.aspx
2. Patients may find a rushed conversation frustrating or even rude. It may hinder the ability of the nurse to establish open communication with the patient, thereby slowing down or negating the treatment process.
3. Nurses must also be mindful of the location in which these interactions occur.
Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues	1. Most health care professionals thought that the majority of women with ovarian cancer would experience a sexual problem, only a quarter of doctors and a fifth of nurses actually discussed sexual issues with the women.	In relation to the study, awkward situation happening between nurse and patient with discussing sensitive topics such as asking for the patient’s sexual issue which could lead to implications or danger in patient’s health causes by lack of information receive by the nurse.	Stead, M. L., Brown, J. M., Fallowfield, L., & Selby, P. (2003, March 4). Lack of communication between healthcare professionals, and women with ovarian cancer about sexual issues. Retrieved from https://www.nature.com/articles/6600799
2. Reasons for not discussing sexual issues included ‘it is not my responsibility’, ‘embarrassment’, ‘lack of knowledge and experience’ and ‘lack of resources to provide support if needed’.
3. Many of the nurses believed that it was their responsibility to advise or help patients experiencing sexual difficulties, but few felt confident doing so.
Interventions to improve communication between nurses and physicians in the intensive care unit	1. Improving the communication between healthcare team members under rapidly changing social and medical conditions is becoming increasingly important.	In relation  to the study, improving nurses communication skill could make  two-way communication process possible between nurse and patient.	Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. (2017, November 24). Retrieved from https://www.sciencedirect.com/science/article/pii/S235201321730087X
2. They undertake separate and distinct tasks in clinical practice, yet they are expected to communicate effectively to provide effective services for patients.
3. Effective nurse–physician communication is a two-way process that involves sending the right message while being correctly received and understood by the other person.
A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses	1. The communicative problems between nurses and patients in terms of expressions were identified as “directive and authoritative expressions”, “emotional and competitive expressions”, “evasive and onlooking expressions”, and “excessive use of title only”, such as calling them granny or grandpa without proper names.	In relation to the study, the disease of the patient causing poor communication between patient and nurse.	Yi, Myungsun, Yih, & Sook, B. (n.d.). A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses. Retrieved from https://synapse.koreamed.org/DOIx.php?id=10.4040/jkan.2006.36.7.1253
2. “Lack of themes in psychosocial areas” and “nurse-led relations” were identified respectively as communicative problems.
Nurse–patient communication barriers in Iranian nursing	1. Providing effective communication with patients is an essential aspect of nursing care.	In relation to the study, age difference, social class and having contagious disease causes poor communication between nurse and patient.	Anoosheh, M., Zarkhah, S., Faghihzadeh, S., & Vaismoradi, M. (2009, May 13). Nurse–patient communication barriers in Iranian nursing. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1466-7657.2008.00697.x
2. The shared communication barriers were ‘age difference’, ‘social class difference’ and ‘having contagious diseases’.

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practice of establishing the diagnosis, prognosis, treatment and prevention is in the field of medicine. Each and every healthcare practitioners is able to fulfill the needs for them to what they are right now. in this field their goal is to maintain and restore health by the prevention and treatment of illness.

in the field of medicine, you need to be friendly, you need to gain the patient’s trust for you to have a good relationship that may result to a fast action for the needs of the patient. Communicating can make anything easy and negotiable.

Rachel Mesina Castro, a nurse, who graduated from Dr. Carlos S Lanting College, believe that you always need to keep in your job, because she believes that patients undergo anxiety, changes of mood and feelings. She believes, that knowing each other is the best way to have an effective communication.

Another nurse whose name is Sherrie Mae Pelagio, said that she does encounter a hard conversation which needs a lot of patience and understanding. A nurse’s job is not that easy, you have t give your all to fulfill someone’s needs and you have to always be in the mood to be approachable and ready to listen to have a good conversation with a patient. She believes that good communication is important because it can promote teamwork.

The last one who have been interviewed is, Kenshin Martin, a graduate from University of Baguio. He experienced good interaction with patients, saying that he did not encounter any hard conversation between him and a patient. He says that everyone is listening, he also knew that visuals or concrete things can help ease the communication.

A nurse is a healthcare professional who is engaged in the practice of nursing. Nurses have plenty of work to be done in the hospital such as, giving medicines, taking blood samples, answering questions which involves a communication. nurses are the one who we go to when we are in need at the hospital, they are the one who knows what’s best for us and they know what can make us feel better. Nurses are natural hero, they save lives every day

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