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Nursing/Health care: A critical incident report

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  1. Introduction.
  2. Critical incident.
  3. Discussion.
  4. Conclusion.
  5. Bibliography.

The aim of this report is look at a critical incident that occurred in practice and relate this to the theory and knowledge regarding communication and interpersonal skills, that is to say, what skills were and were not used at the time of the incident. Carl Roger's necessary conditions for effective counseling, Heron's six category intervention and methods of non-verbal communication will all be examined. The incident that was chosen was so for the reasons that the situation made the student aware of inadequacies on her own part and those of the staff on the ward, which made her reflect upon the situation and how this could be learned from, so as not to make the same mistake again. Due to confidentiality, the patient concerned in this incident will be referred to under the pseudonym of ?Mrs. Khan?. The incident took place on an adult rehabilitation ward.

Tags: Nursing health care reform, Nursing health care plan, Importance of communication in nursing, communication in nursing practice, Communication and nursing practice

[...] British Journal of Nursing. Vol No pp 279. Kenworthy, N. et al. Eds. (2002) Common foundation studies in nursing. (3rd edition) London: Churchill Livingstone. Maslin-Prothero, S. Ed. (1997) Baillière's study skills for nurses. London: Baillière Tindall. Rowe, J. (1999) Self-awareness: improving nurse-client interactions. Nursing Standard. Vol No pp. 37-40. Squires, A.J. Ed. (1988) The rehabilitation of the older patient. A handbook for the multi-disciplinary team. London Croom Helm Limited. P Unknown. (1990) The student nurse's guide to counseling. Nursing Times. [...]

[...] Khan a smile and a wave (to say hello) and sometimes sat with her to give her some form of company. Mrs. Khan was admitted to the ward following a trip to India, with a cough. It was suspected on her admission that this cough was due to tuberculosis, however she was still admitted in the bay. Four days following admission, after settling into the bay, it was decided to take the suspected tuberculosis more seriously and to move her into the side room, into isolation, and take swabs to test for tuberculosis. [...]

[...] Watson (1975, cited in Heath, 1997) identified two types of touch used in nursing practice: instrumental purposeful touch used to perform an action, such as washing a patient) and expressive spontaneous touch to convey feeling). Expressive touch was the intended use in the incident with Mrs. Khan. The student used this to try to convey her own feelings to Mrs. Khan. The student wanted to give Mrs. Khan some degree of comfort and communicate to Mrs. Khan that she cared. [...]

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