Abstract
This paper explains that the only way that nurses will learn about patients' needs and concerns is to really listen and to communicate well. The author points out that the purpose of the dialogues described in the paper was to identify or express the concerns of a patient with tachycardia, a breast cancer patient and a person with chronic abdominal pain. The paper stresses that the better the nurse's communication skills, the higher will be the quality of care that she or he provides. The author underscores that the most important point learned from these dialogues is the importance of the patient's perspective. The paper suggest that open-ended questions, going with the flow, patients' use of certain words or sentences and attentive listening are essential to a successful patient-nurse dialogue.

From the Paper
"I made other errors with Mrs. K, but they became a learning experience for the next two dialogues. For instance, I interrupted Mrs. K at times to respond to her. The most valuable lesson from Dialogue 1 was that we can remain true to the original intent by asking open-ended questions. The whole direction of the communication can be guided with open-ended questions. At the same time, there were blocks to effective communication because I began with a closed question. When Mrs. K stated that she felt she was becoming paralyzed, that statement needs to be explored with a great deal of empathy."

Tags:open-ended, opportunities, listening, observe, client-centered

Abstract
This paper critiques three dialogues between a nurse and a patient. The paper suggests strategies that can be used by nurses in order to facilitate positive, knowledgeable and informative dialogues with their patients and the patient's family members. The paper suggests that the goal of the dialogue is essentially the same for all patients, that being health and improved well-being and it goes on to analyze how those goals can be achieved.

From the Paper
"Analysis of Three Dialogues Introduction Engaging in dialogues with a patient is not a simple matter. Dialogues require knowledge of related theory and continued practice. First of all, all dialogues have a goal which is basically the same for every patient. Overall, the goal is health and the improved well-being of the patient. As Spee (2001, p. 20) states, "Nurses initiate discussions to clarify concerns and wishes from the individual's perspective". Those discussions are directed and facilitated through a number of strategies such as repetition and especially by open-ended questions. "

Tags:patient, dialogue, strategies

Abstract
This paper discusses three articles that relate to communication and dialogues between nurses and their patients. It analyzes "What Patients Really Want from their Nurses" by R. Messner, "Patient-Centered Teaching from Theory to Practice" by M. Hansen and J. Fisher and "The Patient-Focused Care Journey: Where Patients and Families Guide the Way" by C. Jonas-Simpson. The paper then critiques three dialogues according to the articles and finally presents three example dialogues with a patient.

Table of Contents:
Exploration of the Three Articles
Analysis/Critique of Participation in Dialogue 1
Critical Reflection on Dialogue 2
Critical Reflection on Dialogue 3
Critical Reflection on All Dialogues
Example Dialogue
Dialogue 2
Dialogue 3

From the Paper
" My first concern in the dialogues was to have the patient as the focus of care. Just as important is to focus only on the patient's perspective and on their concerns and needs. For example, in the first dialogue, Mrs. B is confronted with what could be a life or death situation. Even though there is a possibility that the outcome will be tolerable for this patient, her level of anxiety was too intense as to be unbearable at times for her. No matter what the level of concern and need, each patient must be treated as a unique individual and all concerns have to be treated in the same way (Messner, 1993). In the case of Mr. M, I wanted to ensure that patient centered teaching was taking place. Patient-centered teaching makes use of "theoretical principles and strategies that can help you put the patient back at the center and improve education encounters" (Hansen & Fisher, 1998, p. 56). In the case of Mrs. S, while there were no means to relieve her arthritic pain, she was helped immensely by knowing that another person was interested in her and was willing to listen."

Tags:dialogue, medical, anxiety, reflection

Abstract
Parse demonstrates the importance of providing holistic and client-centered care as nurses enter into dialogue with their patients. The central concept in Parse's theory is that the patient is the expert for their lives and therefore client choice is of the greatest importance. The use of a client-centered perspective makes the search for meaning possible as well as change or transformation in the patient (Kelly, 1999). The main purpose of this paper is to show how communication is essential for nurses to learn about their patients' needs and concerns. In this critical reflection I will present a synthesis or blending of my learning about therapeutic communication so that I can improve my communication skills.

From the Paper
Critical reflection on dialogues Parse demonstrates the importance of providing holistic and client-centered care as nurses enter into dialogue with their patients. The central concept in Parse's theory is that the patient is the expert for their lives and therefore client choice is of the greatest importance. The use of a client-centered perspective makes the search for meaning possible as well as change or transformation in the patient (Kelly, 1999). The main purpose of this paper is to show how communication is essential for nurses to learn about their patients' needs and concerns. In this critical reflection I will present a synthesis or blending of my learning

Tags:dialogues, patient, perspective

Abstract
The paper looks at an article by Messner (1993) who is concerned about patient satisfaction and with what patients expect from their nurses. The paper outlines the main thrust of this article.

From the Paper
"Messner (1993) is concerned about patient satisfaction and with what patients expect from their nurses. She is also deeply concerned about approaches and strategies that enable nurses to view concerns and issues from the patient's perspective. The techniques of effective communication are very important in this article. Messner (1993) begins with attentive listening, and believes that the only way to learn patients' needs is to really listen to them. If we treat patients as persons, then we will focus on what they think and the concerns they have. In all, there are 11 areas of patient expectations. Some of these expectations are based in patient..."

Tags:dialogues, communication, learning

Abstract
Dialogues require knowledge of related theory and continued practice. Dialogues serve a specific purpose. Nurses can use dialogues to initiate discussions and clarify concerns, needs and wishes from the individual perspective. The goal of all dialogues is basically the same for every patient because the overall goal is health and the improved well being of the patient. Those discussions are directed and facilitated through a number of strategies such as repetition and especially by open-ended questions. This paper is intended to demonstrate the author's own use of strategies and progression in the dialogues towards greater competency in nursing.

Tags:reflection, analysis, evaluation

Abstract
This research study examines the problem of how home visits should be carried out among patients with colorectal cancer in order to be beneficial to the patient being treated. The problem not only addresses whether home visits in themselves are of benefit to colorectal patients, but how such visits should be administered to affect the greatest benefit to these patients.

Table of Contents:
Problem
Research Question
Study Design
Subjects and Setting
Data Collection Methods
Data Analysis Procedures
Strengths/Limitation
Implications of Study Findings

From the Paper
"The study findings could certainly be used in nursing practice to emphasize the importance of utilization of more personalized care in treating of colorectal cancer patients, and any cancer patients for that matter. The fact that most patients perceived home health care by professionals such as nurses as positively affecting their recovery and health is critical to note. Perhaps it may influence nurses to administer more personalized service in a hospital care setting, thereby increasing the recovery rates and health benefit for inpatient services. The findings could also be used in educational settings, for both nursing and physician settings. Nursing education and physician education would likely benefit from knowing the perceptions of patients receiving various kinds of care, including home health care in their expected outcome and recovery time. Likely such insights will have an impact on the manner in which students and interns approach treating similar patients in the future."

Tags:health, outpatient, personalization, care

Abstract
Nursing leaders appear to have a need to be able to react to different situations, while still remaining true to their own personal style of interacting with others. The nursing leader must also be able to balance the demands of performing his or her nursing duties with interpersonal relationships with other nurses, patients, and patients' families. Contrary to the expectations of many outside the profession, who see nurses as individuals who merely follow the lead of hospital administrators and doctors, nursing leadership is not only complex, it is something that is demanded of essentially every nurse.

From the Paper
Nursing Leadership Styles The nursing profession is not always thought of as playing a leadership role in the health care field. Public perception is that nurses play only a subordinate role, particularly in relationship to doctors, it is rare that people perceive of nursing as having leaders of its own. Like any other profession, however, nursing has its own leaders with their own leadership styles. In fact, because of the diversity of roles that nurses play, the profession has a number of leadership theories and roles that are appropriate to varying situations. Management vs. Leadership

Tags:nursing, leadership, interaction

Abstract
The paper outlines the procedures available to a patient who suspects that a registered nurse is guilty of some form of misconduct, neglect or incompetence. The paper discusses the role of the Board of Registered Nursing and describes the instances of gross negligence, incompetence and crime that can incur criminal liability. The paper looks at the process relating to charges for criminal behavior and points out the fact that disputes between nurses and patients do not necessarily have to culminate in formal legal action.

Outline:
Civil Complaint Process: Registered Nursing Professionals
Regulatory Agencies
Potential Criminal Liability and Professional Misconduct
Process Relating to Charges for Criminal Behavior

From the Paper
"A complaint can be filed by means of a complaint form that is submitted to the Board of
Registered Nursing. The complainant should provide as much specific information relating to the case as possible, in addition to any documentation that can provide verifiable evidence of the case. Within ten days of receipt, the Board then sends a notification of receipt. Priority is given to complaints of graver wrongdoing such as gross negligence or abuse. When it is found that the complaint may have merit, it is investigated by the Department of Consumer Affairs Division of Investigation, or nursing consultants from the Board. Only when this investigation yields further merits is the matter taken further. If not, the complainant is notified that no further action will be taken.
"When it is found that a violation has occurred in terms of the Nursing Practice Act, informal or formal proceedings will be applied as appropriate if formal disciplinary action can be handled internally. In cases of unlicensed or criminal activity, a local district attorney is approached to handle the case. During the investigation, the details of the case remain confidential. As soon as disciplinary action is however taken, certain information may become available to the public record. In cases of criminal action, the complainant may be required to testify as a witness."

Tags:misconduct, neglect, incompetence, liability, Board, of, Registered, Nursing

Abstract
The paper discusses Imogene King's general systems framework theory of nursing that emphasizes the importance of the interaction between nurses and patients. The paper looks at how other theorists have adapted King's model to specific uses and focuses on Margaret Newman's conception of health that can be seen as supporting King's approach. The paper suggests that the application of King's approach could be demonstrated with a skit showing the interaction between nurse and patient.

From the Paper
"King attained a diploma from St. John's Hospital School of Nursing in St. Louis, Missouri in 1945 and a BS in Nursing Education at St. Louis University in 1948. she also acquired a degree as Doctor of Education from Teachers College, Columbia University in 1961 and an Honorary PhD from Southern Illinois University in 1980. She started her professional career at St. Louis University and spent several years at Loyola University in Chicago before moving to the University of South Florida. Her system model depicts three interacting systems: personal, interpersonal, and social."

Tags:nurse, patient, interaction, health