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Thefirst assignment set out by the University is based on how we communicate indifferent nursing areas at different levels. Part of the research task involvedresearching communication and working together in a group and commenting onarticles researched by my peers.Thearticle I chose to analyse during this process is “Nurse Handover: Patient and StaffExperiences” (Bruton et al 2016). The article is related to different types ofhandovers in between medical professionals. The nurse’s handover in betweenshifts is an act of transferring clinical responsibility alongside medicalinformation to oncoming staff.

While reading the article I learnt that patientspreferred to be kept up to date about their treatment (Lu et al 2014). According to the qualitativestudy, interviews revealed that patients found this as an opportunity to beintroduced to their nurses, they feel secure to know what is happening and theyget a chance to learn about themselves (Bruton et al 2016). The article made meaware that bedside handover can sometimes make the patients feel uncomfortableas their information is being shared and discussed openly in front of others. Thearticle has helped me remember that at times of handover it should be doneconfidentially to avoid patient discomfort and the leak of sensitiveinformation.  Anarticle that was posted by a peer member was “Palliative Care Communication inOncology Nursing” (Goldsmith et al 2012). It was about how to care forpalliative patients and how to support their family according to the eightdomains of quality of palliative care in the National Consensus Project (Colbyet al 2001).

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While reading the article I have understood how oncology nurseshighly value communication within the palliative care environment. They areempathic and supportive towards patients who are receiving long term palliativecare. The article has helped me identify the way to communicate with patientsand their families and how to provide moral support and comfort them in theirtime of distress. The article also showed how palliative nurses take time tolisten to patients attentively with a positive attitude to fulfil theirholistic needs.Anotherarticle I read from the web-based discussion group is “Management of pain incardiac ICU patients: Have we improved over time?” (Gelinas 2007) I found thearticle informative and well presented. While reading the article I discoveredthat after open heart surgery patients are sent to the ICU for recovery.

Due tothis major operation patient’s ability to communicate are limited. As the textsuggests “Patients communicatedthe presence of pain by signals with their eyes, facial expressions or handmotions” (Gelinas 2007). Thetype of communication used in my area of working is different as patients areless acute and they can easily inform the nurse if they are in pain. Accordingto Carr (1990) patients did not let medical staff know they were in pain unlessprompted, this is still the case in the 21st century (Gelinas 2007).As I work on a cardiac ward where I prepare patients for heart surgery, thearticle educated me in ensuring I inform patients to ask for painkillers aftersurgery.The final article posted by a member of thegroup was “Minimising breast cancer related lymphedema” (Acebedo 2014). It wasan interesting article that thoroughly explained the causes and treatments forlymphedema, however while reading the article I found it extremely difficult tofind the link between communication and the article.

Regardless of this, thearticle helped to broaden my knowledge that lymphedema is caused by radiationor chemotherapy that previously treated breast cancer (Smoot et al 2010). Ialso discovered that the complete decongestive therapy is considered as thegold standard in treating breast cancer (Chang and Cormier 2013).Partof this task involved assessing and leaving feedback on the articles chosen byeach of the peer members. According to Shclisselberg and Mouscou (2011) this process enabled them toimprove academically. The comments posted about the article by group membershelped me understand other perspectives, it also helped me see important pointsthat I had not noticed when reading the articles myself.

Commenting on othersarticles helped me to be more open with my viewpoints and helped me feel moreopen to sharing my ideas. Other members also shared their comments on howeffective and genuine the article is and what theory is not reliable inpractice. The exercise has allowed me to be more open to new ideas and to acceptcriticism, I might find something positive whereas a peer member can justifyhow it can be negative. A challenge I encountered was not all members engagedin analysing and commenting in the group.

An example of what I learned throughpeer discussion is that when I analysed my chosen article I failed to noticethat the research was only done in a single trust which affected the validityof the research. A group member then pointed out that the weakness of thearticle was that the data had not been collected from a wide range of sources(Rosewell 2017).  Mylearning and appreciation for communication within my healthcare setting hasdeveloped greatly since I have engaged in this task. I have benefitted from theunderstanding of others and I can look for the possibility to bring techniquesused within the articles and suggested by others into my own area of practice.An example of this would be, supporting relatives who are about to lose afamily member. I am always stressed about the way I approach them, butessential points and guidelines in the “Palliative Care Communication inOncology Nursing” (Goldsmith et al  2012)such as comforting patients andhaving an empathic approach has helped make me feel more confident to deal withthose circumstances. My participation in this activity has developed mylearning as I have learnt how to independently work with others without theregular supervision of a teacher (Christians and Bell 2010). This has enabledme to positively transfer strategies and to develop critical thinking skillswhich can help in future peer discussions.

Toconclude, the task set allowed me to explore different areas of communicationwithin the nursing environment. This was done by reading and analysingdifferent articles and providing feedback to my peer members. The task also helpedbroaden my knowledge on how to communicate within a peer group and share ideas.The articles researched were extremely informative and have helped me expand myknowledge about other health issues, communication barriers and how to tacklethem.

It also helped me gain an insight on how I can develop my communicationwithin my healthcare setting.    

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