Thursday, April 4, 2019
Effective Communication in Midwifery
impressive parley in tocologyA discussion on how the midwife demonstrates her passe-partout accountability by dint of hard-hitting communication, includingan aw arness of f mapors, which may contribute to unfortunate communication.IntroductionThe treat midwifery Council (2004a, p. 17) in addressing the responsibilities and domain of bore for midwives under Rule number 6 of their Midwives rules and standards brings forth the enormousness of communication by stating that midwives Should wrick in partnership with the woman and her family and Should enable the woman to make decisions about her fearfulness based upon her someone studys, by discussing matters fully with her. Rule number 6 adds that the midwife also Should respect the womans right to refuse any advice given ( nursing tocology Council, 2004a, p. 17). In thoing the roll of effective communication, Rule 7 under Administration of medicines as put forth by the nurse midwifery Council (2004a, p. 19) adv ises that A midwife mustiness respect the right of individuals to self-administer substances of their choice.The preceding specifications have been brought forth as they serve up to jell the existenceal context for this examination, that seek to explore how the midwife demonstrates her professional accountability through effective communication, including an awareness of factors, which may contribute to poor communication.The nursing Midwifery Council (2008a) under a document titled The Code Standards of stock, surgical procedure and ethics for nurses and midwives begins its document by stating that The people in your safeguard must be able to combine you with their health and sanitary- cosmos, and that in order for nurses and midwives To rationalise that thrust they need to be able to conduct effective communication in a broad sphere of activities and actions. In elaborating upon the foregoing The Code adds that midwives need to be open and honest along with acting wi th integrity (Nursing Midwifery Council, 2008a). The preceding way of keep that they must and are accountable for their actions, means that accordingly that they must treat people as individuals respecting their dignity, as healthful as acting as an advocate for those in their care, aiding and assisting them in accessing relevant health and social care, tuition and support (Nursing Midwifery Council, 2008a). The importance of effective communication is further unders plazad in the dictates of The Code that states midwives must wish peoples confidentiality, mandating that midwifes need to respect their diligents right to confidentiality, informing them as to the how and why information is shared among those providing for their care, and importantly, that midwifes must disclose information (if they) take someone may be at risk of harm in accordance with the law (Nursing Midwifery Council, 2008a).The foregoing represents rules of ethics as hearty as conduct that provide the foundational pick upings for the conduct of midwives. Importantly, the underpinning of the relationship between midwives and patients reside in collaboration. That communication means listening to their patients, along with responding to their concerns and preferences, and the support of their patients in caring for themselves to improve and maintain their health (Nursing Midwifery Council, 2008a). The circumstantial expression of effective and ongoing communication and trust resides in the trust between patients and midwives, as this is the foundation of care. That foundation includes the respect as nearly as recognition of the contribution that people make to their admit care and well-being, and sharing information, conversation and professional advice in a manner their patients bottomland understand (Nursing Midwifery Council, 2008a).The preceding means the meeting of language as well as communication needs, along with gaining consent before graduation an y treatment or care programs to ensure patients are perfectly clear on what such entails (Nursing Midwifery Council, 2008a). The preceding means that the patients right to every accept or decline care and or treatment is inherent in their rights, along with their being fully informed as well as involved in decisions as such assort to their care and treatment (Nursing Midwifery Council, 2008a).StandardsEffective communication and accountability in the conduct of duties as a midwife includes their relationship with their supervisors as well as doctors, hospitals and other staff, organisations. The foregoing was detailed in other document from the Nursing Midwifery Council (2007) titled Standards for the supervised pull of midwives whereby the important of communication and professional devote means that midwives need to maintain a communicative relationship with their supervisors and the aforementioned support staff to further their own development. In addition, midwifes need to be able to honestly evaluate their own performance to down up areas that they are both weak or not proficient in (Nursing Midwifery Council, 2007). Communication goes to the heart of delivering effective care, as the patient needs to develop an ongoing rapport, and advise the midwife of each facets connected with their carePrep stands for post-registration education and practice that represents standards as well as guidance in the providing of care and practice that maintains high levels (Nursing Midwifery Council, 2008b). Under the preceding, nurses and midwives are required to record continuing professional development, in compliance with standards and practice (Nursing Midwifery Council, 2008b). One provision under this requirement is that midwives, as well as nurses, are required to be able to demonstrate their ability to use appropriate communications, learn and learning skills. The importance of the preceding is that effective communication is stressed in every Nurs ing Midwifery Council (2008) document. The significance of the preceding is detailed in the Nursing Midwifery Councils (2004b) document Complaints about fogginess to practise A moderate for members of the exoteric that deals with in allegations concerning care practice by midwives. This guide for patients indicates that issues concerning complaints encompasses verbal hatred failure to provide adequate care concealing unsafe practice as key areas, all of which can potentially have their roots in poor communication between midwives and patients. Such instances can be avoided through proper and ongoing communication with patients in a professional manner that emanates from the beginning of the relationship, on through every meeting and or communication exchange.The scope of the preceding, communication, as an important facet in the professionalism and accountability of a midwife is contained in the Nursing Midwifery Councils (2004c) Reporting deprivation of competence A guide for employers and managers that states that one of the characteristics the indicates and or demonstrates a lack of competence includes a problem in communicating with colleagues, patients or clients, the inability to work as apart of a team , and poor judgement (Nursing Midwifery Council, 2004c). In looking at the foregoing, one can see that communication is either at the heart of, or a symptom. Further importance, as well as administrative recognition of communication as a core foundational aspect in the practice of midwifery is contained in the Nursing Midwifery Councils (2004d) Reporting unfitness to practise A guide for employers and managers that states that fitness to practise qualification be impaired by a persistent lack of ability in properly identifying care needs and accordingly planning and delivering appropriate care.Accountability and CommunicationThe critical nature of health care delivery entails listening and communicating with patients as an active a nd ongoing dialogue. The critical nature of effective communication as well as accountability and the ramifications of poor communication skills can be a result of the creation of a non-harmonious rapport with the patient that results in misunderstood communication concerning the methods of care and or options open to them, as well as a forces of associated factors. In a document as prepared by the Nursing Midwifery Councils (2008c), listening to patient concerns regarding their care is the first of a list of areas that includes the creation of an environment that facilitates effective communication . The emphasis on communication is paramount in the health care profession (Ellingson, 2002).In a study conducted Catherine McCabe (2004, pp. 41-49) she starts her report advising Patient centred communication is a basic component and facilitates the development of a positive nurse-patient relationship (that) results in the delivery of quality care. Her study uncovered that a lack of communication, along with empathy were two of the most cited reasons by patients in complaints about their health care delivery. The diversity that exists in the UK makes the subject of effective communication even more compelling. Language, educational, believe systems, unsureness and or suspicions regarding the role and or competence of midwifes, tales involving others negative experiences with midwives, as well as a host of other factors represent impediments to the profession that a midwife needs to be aware and cognizant of in establishing contact with a patient, and developing an atmosphere of trust and confidence (Devries et al, 2001).ConclusionIn an article publish by medical exam News Today (2007), it stated that the NMC Code requires each nurse and midwife to act at all times in a such a manner as to justify exoteric trust and confidence. The article went on to add that Nurses and midwifes are personally accountable for their practice stating that their profession al accountability requires them to work in an open and co-operative manner with patients and their families recognising patient input and involvement in their care and health planning (Medical News Today, 2007). While the bulk of this study has focuses on the midwives communication with their patients, which is the core of their responsibilities in their profession, as members of a team, midwives also must exercise and exhibit effective communication with their peers and administrative bodies as well.Supervisors are an important part of this process in that they are there to assist and help midwives stay abreast of new developments, evaluate and aid them in enhancing their care delivery as well as being working partners in the midwife / patient relationship (Nursing Midwifery Council, 2008d).The supervisory practice aids midwifes in their accountability, as well as assisting them in their potential or real communication issues with patients, and stand as an aid in the process. Th eir role in the effective monitoring of midwifes is in the interests of the public as well as the midwife, through their ongoing monitoring of midwives (Nursing Midwifery Council, 2008d). Jones and Symon (2000, p. 27) point to the preceding as being one of the strengths of the profession in the UK, the statutory supervision of midwives. They state that the systems priorities are the assisting of midwives in the assessment of their own needs, as well as those of their patients, maintaining the adherence to the Code as their guide (Jones and Symon, 2000, p. 27). The preceding is referred to as ethics that represents the role of midwives, their supervisors and the entire structure of health care that is in the public trust. The aforementioned layer of accountability has been established to oversee midwives as well as provide them with a framework to foster communications with patients, and also provide patients with a structure as well. Good communication, as stated throughout this st udy, wards off potential issues and problems, and is the cornerstone in establishing effective care for the midwife and patient. Its importance cannot be over emphasised, as miscommunication in health care can have consequences that are life threatening.BibliographyDevries, R., Wrede, S., Teijlingen, E., Benoit, C. (2001) Birth by Design Pregnancy, Maternity Care, and Midwifery in North America and Europe. Routledge. London, unite countryEllingson, L. (2002) Communication, Collaboration, and Teamwork among Health Care Professionals. Vol. 21, No. 3. Communication Research TrendsJones, S., Symon, A. (2000) Ethics in Midwifery. Mosby Publishers. EdinberghMcCabe. C. (2004) Nurse-patient communication an exploration of patients experiences. Vol. 13, No. 1. Journal of Clinical NursingMedical news Today (2007) Resuscitation of Patients, UK. 1 November 2007. Medical News TodayNursing Midwifery Council (2004b) Complaints about unfitness to practise A guide for members of the public. Nursi ng Midwifery Council. London, United KingdomNursing Midwifery Council (2004a) Midwives rules and standards. Nursing Midwifery Council. London, United KingdomNursing Midwifery Council (2008d) Modern supervision in action a practical guide for midwives. Nursing Midwifery Council. London, United KingdomNursing Midwifery Council (2004c) Reporting lack of competence A guide for employers and managers. London, United KingdomNursing Midwifery Council (2004d) Reporting unfitness to practise A guide for employers and managers. Nursing Midwifery Council. London, United KingdomNursing Midwifery Councils (2008c) Support for parents How supervision and Supervisors of Midwives can help you. Nursing Midwifery Council. London, United KingdomThe Nursing Midwifery Council (2008a) The Code Standards of conduct, performance and ethics for nurses and midwifes. The Nursing Midwifery Council. London, United KingdomNursing Midwifery Council (2008b) The Prep handbook. Nursing Midwifery Council . London, United Kingdom
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