4 Apr 2023

Taking Patient Care to the Next Level: The Role of Clinical Interviewing in Nursing Practice : Reflection

Reflective paper for Clinical Interviewing: Tips and Strategies for Nurses






Description 

At the beginning of the course, I have gone thorough many meanings and methods, there appears to be certain consensus to take into account a set of basic features common to all interviews in any settings: like oral and non-verbal contact, some degree of structuring, its particular goal, its asymmetrical situation, the bidirectional mechanism and the acceptance by all sides of specific positions. I came to know that; the condition of the interview includes both verbally and non-verbally an immersive conversation mechanism. I knew this dialogue is the fundamental means of intimate interactions and addresses patients' feelings and stimulates their behaviour. 

Feelings 

Before the course I did not knew that the there was scientific method of interviewing. The situation for the interview entails both verbally and nonverbally an immersive conversation mechanism. The experience taught me that each of the parts and elements that make up the interview carefully and include guides for open and closed issues that deal with the predefined areas or topics before beginning an interview. I have learned that in the interview process, the observation is essential and fundamental, and should be aimed at certain fundamental nonverbal criteria of communication to be interpreted afterwards. The architecture of observation grids should be suited to observe the elements or components (Hamdy, 2001). 

Evaluation

The course taught me that most important part is to become transparent, truthful and cautious about this interview. I cross checked various methods of providing information and the individual will finally be trained in various interviews. These situations are easy to work for the family, but protect the patient's privacy (Hallam, 2000). If necessary, the challenge is to create systems that communicate love, defence, humanism, vocation, sympathy or both professionalism in the patient relationship by vocabulary of speech and bodywork (Tan & Piper, 2020). Facilitate quality management, as nursing workers and students can devise nursing diagnosis and schedule practices on the basis of data collection and transformation of information.  I came to know that I have to ensure that the evaluation of individual treatment proceeds with the gathering of facts.  I can also see that this strategy is not unique to any pre-interview person and depends on the goals and method set by the interviewer. The clinical interview process can be divided into different stages: the preparation of the process, the initial phase, the body or intermediate phase, closing, postscript and analysis of the collected information.
To me, it is critical that the nursing specialist understands the health information that they will use of advance in the planning of the procedure. 
I therefore made a reflection and adaptation process using the reference nursing paradigm has resulted in all of these (Smith, 2008). Currently, experts would test my item and tailor it to the target community after it is constructed. It is advisable to read each part of the interview carefully before beginning, and to prepare guidelines for questions both open and closed.

Analysis

I came to know that until that day interviewing day a cycle of activities in specialist hospitalizations unit’s operation room, haemodialysis, etc. is provided in a single area for preparation. We found it to be a strong subject that we could continue to deliver to students in such a way as to be profitable, given the commitment to reform the curriculum that led us to carry out internships in the two semesters. The continuation of this subject had two goals: To be functional and To allow the application of information gained. 


According to Tan & Piper, (2020) If the patient has to know what he/she has, the prediction is weak and all in one session does not need to be communicated. While the health appraisal of nursing is more of a challenge than that, it is tenting to believe otherwise. The way to create an efficient relationship between the nurse and patient makes patients feel comfortable, supported and encouraged (Dewit & O’neill, 2013).

As the student in nursing must master the clinical interview method as soon as we start to conduct his clinical practice before he becomes a nurse. I felt it is a diverse, fluid and complex mechanism that takes into consideration many facets. My course aims to collect accurate and valuable details so that the patient / customer and their families which they can plan on their treatment and be cared for and know who will be cared for. Therefore, often there is doubt as to how this interview can be prepared, what phases this interview should take, how it should conclude and what to do with the information gathered. This is why, I came through specific guideline in my course

Conclusion 


In order to understand the condition and also to prevent any overlap in queries to the client that create misunderstanding and confusion, all the related records registered in a patient's/medical client's record should be gathered during the preparatory process. This engagement is the fundamental method in intimate interactions, addressing and stimulating patient feelings. The aim of the clinical interview with me is done during the treatment process, but particularly at the start of the intimate interaction orienting the aid phase, which allows one to know the patient/client and the families with whom we will be interacting.

Action plan.

  • Specific: I'll create a revised patient and health are checklist based on the policy guidelines. 
  • Measurable: Until I finish my shift, I'll hand over patient information, care orders, and evaluation notes to the next shift nurse. This is something I have to do before every break to ensure that patient information is recorded and that precise instructions are followed. 
  • Achievable: Additionally, this will assist all nursing staff in identifying areas of concern for patients in order to establish a rapport and divert their attention away from medical issues. The goal is challenging but realistically achievable.
  • Relevant: I'll chart all of my notes regarding our conversation as soon as I quit a patient because they're still fresh in my mind. 
  • Timely: I'll finish the list by the end of August and check in on it quarterly to see if it's been done by all team mates. 

References


Dewit, S. C., & O’neill, P. A. (2013). Fundamental concepts and skills for nursing. Saunders. https://books.google.com.gi/books?id=JSQYnpstgjAC

Hallam, J. (2000). Nursing the image: media, culture and professional identity. Routledge.

Hamdy, R. C. (2001). The Medical Interview: Mastering Skills for Clinical Practice. Southern Medical Journal, 94(11), 1130–1131. https://doi.org/10.1097/00007611-200111000-00020 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1496572/

Smith, C., Meeking, D., & Wiley, J. (2013). How to succeed at the medical interview. John Wiley & Sons, Cop. https://books.google.com.bd/books/about/How_to_Succeed_at_the_Medical_Interview.html?id=yphnvUElBuAC

The University of Edinburgh. (2020). Gibbs’ Reflective Cycle. The University of Edinburgh; The University of Edinburgh.

Wei Keith Tan, & Piper, R. (2020). How to succeed in the academic clinical interview: a guide for applicants. Cambridge University Press. http://services.cambridge.org/us/academic/subjects/medicine/medicine-general-interest/how-succeed-academic-clinical-interview?format=PB




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