Communication and Soft Skills in Nursing Practice

Course #31350 - $18-


Study Points

  1. Define soft skills.
  2. Provide examples of soft skills.
  3. Describe how proper communication enhances safe patient care, interprofessional collaboration, and nursing education.
  4. Analyze barriers to proper communication and how to overcome them.

    1 . Which of the following is considered a soft skill?
    A) Networking
    B) Communication
    C) Critical thinking
    D) All of the above

    SOFT SKILLS

    Soft skills encompass a wide range of competencies, including [1]:

    • Communication

    • Attitude and confidence

    • Teamwork

    • Networking

    • Critical thinking

    • Creative problem-solving

    • Professionalism

    • Empathy

    • Conflict resolution

    • Adaptability

    • Initiative and work ethic

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    2 . Which of the following statements regarding soft skillsets is TRUE?
    A) Soft skills are also referred to as technical skills.
    B) Soft skills account for up to 8% of job retention success.
    C) Soft skills do not necessarily strengthen one's ability to lead.
    D) Nurses with strong soft skillsets are more able to effectively use technical abilities and knowledge.

    SOFT SKILLS

    Nurses who develop strong soft skillsets are more able to effectively use technical abilities and knowledge. Also known as non-technical or non-clinical skills, soft skills have been recognized as more desirable and important in the ever-changing healthcare market over the past several years. It has been estimated that soft skills account for up to 85% of job retention success [2].

    Due to changes in payment structuring, healthcare delivery standards, and nurse staffing, the quality of nursing care and time spent with patients in active listening have significantly declined in recent years. Nurse educators specifically have a responsibility to teach and model soft skills [2]. Developing strong personal rapport with patients and providing essential emotional support have been identified as gaps in healthcare education and delivery [2]. Healthcare leaders should encourage and mentor work environments that help develop soft skills, as part of the larger goal of improving patient outcomes. The better one is at using soft skills, the more likely one will succeed at leadership and managing others [15].

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    3 . Which of the following is NOT one of the components of attitude?
    A) Affective
    B) Cognitive
    C) Behavioral
    D) Psychological

    SOFT SKILLS

    Attitudes can be positive, neutral, or negative and have explicit (conscious) and implicit (unconscious) characteristics. There are three components of attitude: affective, cognitive, and behavioral. Attitudes are expressed through thoughts, feelings, and actions and are formed from a variety of influences, including previous experience, social factors, learning, conditioning, and observations [4]. Often influenced by previous experiences or upbringings, attitude can have powerful impact on the development of biases, behaviors, and actions. While attitudes can change, they are often persistent [4].

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    4 . Which of the following is an example of networking activities?
    A) Meditation
    B) Self-care activities
    C) Attending association events
    D) Working in large organizations

    SOFT SKILLS

    Networking should be a consistent piece of the professional role. It is ideal to build a professional network before it becomes a necessary part of seeking a new professional opportunity. Attending networking events and reaching out on social media professional networks are great ways to build personal and professional networks [5].

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    5 . What is critical thinking?
    A) Identifying potential conflicts early in order to recognize opportunities for growth
    B) Actively and skillfully analyzing and evaluating information through observation
    C) Connecting with others on professional and, in some cases, personal levels
    D) Reactions to events, objects, or situations and the manner in which one conducts themselves in a workplace

    SOFT SKILLS

    Critical thinking is defined as actively and skillfully analyzing and evaluating information through observation, and making a decision for action [6]. Critical thinking is essential in nursing practice but is applied in all healthcare professions. In order to learn critical thinking, professionals should develop independence in thought, fairness, perspicacity, humility, and integrity [6]. There should also be an interest in research. Critical thinking is important to provide safe, effective, skilled patient care.

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    6 . Professionalism involves values, respect, advocacy, and
    A) creativity.
    B) responsibility.
    C) negative attitudes.
    D) making others feel uncomfortable.

    SOFT SKILLS

    Professionalism reflects the values, respect, advocacy, and responsibility a healthcare professional must use in their field. The three main categories of professionalism are cognitive, attitudinal, and psychomotor [8].

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    7 . Empathy is
    A) not a teachable skill.
    B) not an essential aspect of nursing care.
    C) the ability to manage competition between colleagues.
    D) the ability to understand the personal experiences of others.

    SOFT SKILLS

    Empathy is the ability to understand the personal experiences of others. Emotional, cognitive, and behavioral communication dimensions are all involved in empathy [10]. Research indicates that healthcare professionals with high levels of empathy can better fulfill their role in therapeutic change. However, while empathy is undeniably important, many healthcare providers find empathy difficult to adopt in everyday practice. In order to better support nursing development, empathy skills should be an aspect of the education and training of healthcare professionals and should be supported by continuing education [10]. Factors that influence empathy include age, self-reflection, appraisal, and emotions. It is important to note that empathy can be developed even without directly bonding.

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    8 . Which of the following statements about communication is TRUE?
    A) Communication is a characteristic of only some cultures.
    B) Communication is usually unidirectional.
    C) Failure to recognize the two-way nature of communication leads to negative conclusions and attitudes.
    D) It applies to the nursing practices of health promotion and education, but not treatment, therapy, or rehabilitation.

    COMMUNICATION SKILLS FOR NURSES

    As noted, communication is more than just talking. In fact, there are five main forms of communication: verbal, nonverbal, written, listening, and visual [16]. Communication is essential in many professions and is a vital element in health care. It applies to all areas of nursing practice, including prevention, treatment, therapy, rehabilitation, education, and health promotion. Communication is a fundamental characteristic of human nature, meaning all people communicate to some degree. It has two main components: content (what is said) and value (how it was said). Communication is never unidirectional; in order to communicate, there must be a receiver of the message. Failure to recognize the two-way nature of communication leads to negative conclusions and attitudes.

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    9 . Which of the following is a barrier to effective communication?
    A) Culture
    B) Language
    C) Personal values and expectations
    D) All of the above

    COMMUNICATION SKILLS FOR NURSES

    There are a variety of potential barriers to communication, including [25]:

    • Personal values and expectations

    • Personality differences

    • Hierarchy

    • Disruptive behaviors

    • Culture and ethnicity

    • Generational differences

    • Gender differences

    • Historical intraprofessional and interprofessional rivalries

    • Differences in language and jargon

    • Differences in schedules and professional routines

    • Varying levels of preparation, qualifications, and status

    • Differences in requirements, regulations, and norms of professional education

    • Fears of diluted professional identity

    • Differences in accountability, payment, and reward

    • Concerns regarding clinical responsibility

    • Complexity of care

    • Emphasis on rapid decision making

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    10 . Which of the following strategies may be used to overcome communication barriers related to the emphasis on rapid decision making?
    A) Implement structured decision-making processes like team huddles or debriefings.
    B) Offer cultural competency training to healthcare providers to increase awareness and sensitivity.
    C) Tailor communication styles to accommodate different personalities, such as adapting assertiveness levels.
    D) Promote a culture of open communication and teamwork in which all team members are encouraged to share their perspectives.

    COMMUNICATION SKILLS FOR NURSES

    STRATEGIES TO ADDRESS COMMUNICATION BARRIERS

    BarrierStrategies
    Personal values and expectations
    Encourage open dialogue to explore and understand individual values and expectations.
    Find common ground and align communication with shared goals and values.
    Personality differences
    Use personality assessment tools to better understand team members' personalities.
    Tailor communication styles to accommodate different personalities, such as adapting assertiveness levels.
    Hierarchy
    Promote a culture of open communication and teamwork in which all team members are encouraged to share their perspectives.
    Use structured communication tools like SBAR to ensure important information flows up and down the hierarchy.
    Disruptive behaviors
    Establish and enforce a code of conduct that addresses disruptive behaviors.
    Provide training and resources for conflict resolution and addressing disruptive behaviors effectively.
    Culture and ethnicity
    Offer cultural competency training to healthcare providers to increase awareness and sensitivity.
    Use professional interpreters when language barriers exist to ensure accurate communication.
    Generational differences
    Foster intergenerational understanding and collaboration through mentorship programs.
    Recognize the strengths of each generation and encourage knowledge sharing.
    Gender differences
    Promote gender equity and inclusion in healthcare settings.
    Ensure that everyone's voice is heard and respected regardless of gender.
    Historical intraprofessional and interprofessional rivalries
    Acknowledge historical conflicts and work to build trust and collaboration.
    Encourage joint educational programs and interprofessional teamwork to break down silos.
    Differences in language and jargon
    Use plain language and avoid medical jargon when communicating with patients.
    Establish a glossary of common terms and ensure shared understanding among team members.
    Differences in schedules and professional routines
    Implement standardized handoff procedures to ensure continuity of care during shift changes.
    Coordinate schedules to facilitate team meetings and communication.
    Varying levels of preparation, qualifications, and status
    Recognize and respect each team member's qualifications and expertise.
    Encourage a culture of continuous learning and mentorship.
    Differences in requirements, regulations, and norms of professional education
    Promote cross-disciplinary education and training to create a shared understanding of each profession's requirements.
    Collaborate on the development of standardized protocols and guidelines.
    Fears of diluted professional identity
    Emphasize the unique contributions of each profession within the healthcare team.
    Clarify roles and responsibilities to prevent overlap and maintain professional identity.
    Differences in accountability, payment, and rewards
    Align incentives and rewards with collaborative efforts.
    Establish clear accountability structures that promote shared responsibility for patient outcomes.
    Concerns regarding clinical responsibility
    Define clear lines of clinical responsibility and communication channels within the team.
    Use tools like checklists and protocols to ensure comprehensive care.
    Complexity of care
    Develop interdisciplinary care plans that outline roles and responsibilities for managing complex cases.
    Regularly review and update care plans as needed.
    Emphasis on rapid decision making
    Implement structured decision-making processes like team huddles or debriefings.
    Encourage critical thinking and rapid information sharing in time-sensitive situations.
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