Electronic health records (EHRs) are a widely-used technology in healthcare. Electronic health records (EHRs) allow nurses to easily document their assessment findings. This makes it much easier for healthcare professionals to understand the data. EHRs allow for communication among providers, across settings and between care teams, which improves continuity of patient care. For example, a nurse may document an abnormal finding on a patient’s physical assessment in the EHR, which can trigger an alert to the provider or care team, prompting them to follow up with the patient.
Telehealth is another technology that aids in the communication of assessment results. Telehealth is a way for nurses to remotely conduct assessment using digital tools and video conferencing. Telehealth can prove especially useful for rural areas or those with limited access to healthcare. Telehealth is also a way to help overcome communication obstacles, such as cultural or language differences. It can provide access to interpreters and translation services. Telehealth also allows healthcare professionals to collaborate, so nurses can consult with other specialists and providers to interpret assessments findings.
There are many strategies nurses can use to ensure effective communication of assessments findings. Nurses must first be concise and clear in the documentation and communication. You can achieve this by using standard terminology and refraining from medical jargon. It is important for nurses to be sensitive about the intended audience, adapting their language and approach accordingly.
A second important strategy to employ is effective communication, such open-ended and active questioning. This will allow for feedback, and help ensure the healthcare provider or patient understands the results. Patients and families should be informed about the importance of assessments and possible interventions.
Finally, nurses must recognize cultural beliefs and values as they influence communication about assessment findings. Communication is only possible with cultural awareness and humility. Nursing should also be open to adapting their methods to suit the preferences and needs of people from different cultures. This may involve working with interpreters or cultural brokers to ensure that communication is clear and effective, while also respecting the patient’s cultural traditions and beliefs.