NURS1002: Barriers to Communication Written Assignment Help

 

 

Question

NURS1002: This written assignment for the University of Newcastle Australia requires the student to answer questions related to barriers to communication through a thorough assessment of the case scenario presented to them. The case is based on a 75-year-old woman named Sofia, who moved to Australia two years ago and lives with her daughter and son-in-law. The student is required to imagine themselves as a Registered Nurse responsible for taking Sofia’s clinical assessment. Sofia remarks that she finds it challenging to remember things of everyday use and suffers from regular headaches. Based on an analysis of the case study, the student is required to elaborate on the communication barriers, suitable communication strategy addressing the issue, and essential questions to gather important information from Sophia in this scenario. 

 

Solution

The solution is divided into three sections: Part A– Discusses the three communication barriers in the case, Part B– Proposes a suitable communication strategy aimed at addressing the issue, and Part C– Focuses on two essential questions for deriving important information from the client. 

 

Our experts have written detailed answers for each of these three sections. You can read a snippet of these answers below:   

 

Part A

 

The first section discusses the three communication barriers that are relevant to the case scenario presented. Our experts have written this assignment on barriers to communication by supporting each barrier with crucial and relevant literature sources. 

 

1. The first communication barrier identified in the given scenario is the language barrier. The patient in this case study is Sofia, an Italian woman who is not fluent in English. Sofia relies on her daughter for interpretation. For any communication to be effective, it should be uninterrupted, clear, and convey the necessary information to both parties (Wune et al., 2020). Effective communication is essential for the nursepatient relationship and positive patient outcomes. If not established, it may impact the quality of patient care, patient satisfaction (Alshammari et al., 2019), treatment understanding, and treatment compliance (Ali & Watson., 2018). Language barriers can affect the ability of the nurses to comprehend a patient’s complaints and feelings during history taking and assessment. This is attributable to the accents and colloquialisms, as one word can have different meanings in different languages (Farasat Ardalan et al., 2018). This can lead to misdiagnosis of patients’ conditions and poor health outcomes. Unable to report their condition, the patient may feel vulnerable and disempowered, thereby accepting the treatment even after feeling misdiagnosed and uninformed (Yeheskel & Rawal., 2019).
2. The second communication barrier identified in Sofia’s case study is a cultural barrier. It is also one of the most influential barriers in nurse-patient communication (Farasat Ardalan et al., 2018). It occurs due to the different perception and understanding between the nurse and the patients, as certain forms of verbal and non-verbal gestures may be perceived differently in different cultures (Kwame & Petrucka., 2021). Nurses face difficulty in building rapport with the patient, thereby affecting the nurse-patient relationship. Sofia shifted to Australia two years ago, but she is still not acquainted with the new culture and holds her own values and perceptions. This can make it difficult for her to interact and express herself openly during the assessment and may lead to low treatment acceptance. Such patients are more skeptical and have perceptions of hierarchy, based on the influence, power, and superiority between them and the nurses (Sungur et al., 2022).
3.  The third communication barrier identified in Sofia’s case study is the busy environment of the ward. Sofia is elderly and wears hearing aids, indicating hearing difficulties that make it difficult for her to communicate with the nurse in the noisy environment (Xu et al., 2021). The environmental disturbances, like loud noise and continuous movement (Abdulla et al., 2022) in the waiting room, might affect Sofia’s psychological state by making her anxious and limiting her ability to openly interact with the nurse. This will hamper the effectiveness of nurse-patient communication and deteriorate the nurse’s ability to build a therapeutic relationship (Alshammari et al., 2019). Psychosocial actions like comforting, supporting and enabling the patients cannot be delivered effectively by the nurse due to the noisy, disturbing environment. Lack of privacy and a safe environment will prevent Sofia from expressing her healthcare needs, thereby making her diagnosis less accurate (Kwame & Petrucka., 2021).

 

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Part B

 

This next section of the assignment addresses the barriers highlighted above by suggesting some efficient communication strategies. Our experts ensure to provide the best quality assignment on Barriers of Communication by providing strategies that are well-supported by peer-reviewed resources and are highly specific to the scenario presented to us. 

 

To address Sofia’s language barrier, the use of certified interpreters could be an effective strategy to overcome the barrier and establish effective nurse-patient communication. Visual aids like pictograph, videos, drawings and charts can also be used as an adjunct to address the language barrier. The strategic use of interpreters for assessment during patient admission significantly reduces the occurrence of medical errors and hospital readmissions (Squires et al., 2020). The primary goal of this strategy is to make the translation technically accurate and culturally specific. Language barriers can be addressed by both verbal and non-verbal communication and enable effective nurse-patient communication. An interpreter may play an important role in leveling the inadequate verbal communication between Sofia and the nurse. Firstly, Sofia must be made familiar with the interpreter and the importance of their role in addressing her health needs (Ali & Watson., 2018). 

 

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Part C

 

This section of the assignment on Barriers of Communication presents two questions that are deemed essential as well as practical for the scenario provided to gather the needed information from Sophia. Here, we have provided only one of the questions and its rationale to give you a glimpse of the answers written by our experts. 

Can you tell me which day of the week is this, followed by the date, month, and year?

 

Rationale- As Sofia complains of having trouble remembering everyday things, it’s indicative of her cognitive decline. To determine the level of cognitive impairment, it’s necessary to assess Sofia’s temporal orientation. The rationale of this question is to help the nurse comprehend the extent of Sofia’s cognitive decline. Disorientation over time is suggestive of dementia, especially in elderly individuals (Adebusoye et al., 2021). 

 

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