Active Prior Knowledge

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ACTIVE PRIOR KNOWLEDGE

NCM 114A

OCTOBER 26, SARENO, PHOEBE JOY D.


2020

Reflect back on your last day at clinical duty.

What type of conversations did you have with your assigned patient? Were
there opportunities for you to engage in an affective conversation with your
assigned patient? Did you observe other staff members engaging patients in
affective communications? List barriers in health care that limit staff engaging
in affective conversations with patients.

Reflecting on my last day of clinical duty (at OB ward). I had a conversation with the
mother that goes like this:

Ano pong mga naririnig nyo about sa COVID-19 ngayon? Then she answered “ayun
nakakabahala nga e, uuwi pa kaming La Union. Sana nga hindi pa muna umabot bago kami
maka uwi.”

Having a good and effective communication with the mother was observed. And
there are a lot of opportunities seen to talk to her. For the staff members, that had already
done this routine for years. I can say they already had the gist on what priority things must
be talked to the patient. But because of nurse to patient ratio, load of works and time. Nurse
to patient interaction is reduced. That is why only some staff members is able to engage in
effective communication.

And here are some barriers that limit staff in having an effective communication with
the patients.

- Lack of rapport (the trust given to the nurse)


- Use of jargons (medical terms)
- Patient is not interested / does not cooperate
- No active listening
- Language use (dialect/culture)
- Distractions (like if patient is in pain)

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