The Nursing Associate's Handbook of Clinical Skills. Группа авторов

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2018a, 2018b). The competencies, within the nursing associate standards, must be demonstrated in a wide range of health and social care settings and adapted to meet the needs of people across their lifespan. Nursing associate’s need a diverse range of communication skills and strategies to ensure that individuals, their families and carers are kept informed and supported to be actively involved in their own care wherever possible. Other chapters in this text will consider in more detail specific communication skills for nursing associate’s.

      Orange Flag Communicating with Older People with Cognitive Impairment

       Confusion or disorientation in older people can be caused by a variety of factors such as infection, delirium or dementia. Older people with cognitive impairment are more at risk of developing delirium. Delirium is characterised as restlessness, agitation or aggression (hyperactive delirium), or being sleepy, quiet or withdrawn (hypoactive delirium). People generally present with a mixture of hyperactive and hypoactive delirium (National Institute for Health and Care Excellence 2014). Communication with people who are disorientated or confused can be challenging. Haddad et al. (2019), suggest that a healthcare professional should not maintain the confusion, but they should re‐orientate the person, unless doing so would result in deep agitation or violence. Politely listening with interest will enable the healthcare professional to determine how deep the confusion is and from this can decide the best course of communication. Richardson (2017) talks about a humanistic approach to communication, that is, being empathetic and non‐judgemental. The nursing associate should remain professional when in challenging situations and allow a moment before responding to an angry or distressed person. It is important that the nursing associate responds in calm manner and ascertains what is causing that distress or anger. Moving on from this point, the nursing associate needs to demonstrate empathy. In order to demonstrate empathy, the nursing associate needs to utilise their skills in non‐verbal communication and should respond to the patient’s experiences, not their own (Richardson 2017).

Conclusion

      At the point of registration, the nursing associate will to have demonstrate that have the knowledge, skills and behaviours to communicate effectively with people across the lifespan in a variety of healthcare and social care settings.

      Effective communication and relationship management skills have to be learnt and honed in order to ensure that the patient is at the centre of all that is done. To be able to communicate effectively, with sensitivity and compassion, and to manage relationships with people is key to the provision of high‐quality, person‐centred care.

      When those people being care for and offered support to have special communication needs or a disability, it is important that the nursing associate make reasonable adjustments. This will mean that they will be able to provide and share information in such a way that promotes good health and health outcomes and enables equal access to the highest quality of care.

References

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      18 Nursing and Midwifery Council. (2018a) Standards of proficiencies for nursing associates. [online] Available: https://www.nmc.org.uk/globalassets/sitedocuments/education‐standards/nursing‐associates‐proficiency‐standards.pdf. Accessed 3 October 2019.

      19 Nursing and Midwifery Council. (2018b) The code ‐ professional standards of practice and behaviour for nurses, midwives and nursing associates. [online] Available: https://www.nmc.org.uk/globalassets/sitedocuments/nmc‐publications/nmc‐code.pdf.

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