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Communication Utilized in Professional Nursing - Objectives

Terms in this set (11)

Describe the process of communication, including the FOUR basic components:
a process of message from on person to another. Means of exchange information or feelings between 2 or more people.
Sender: the person or group that is encoding and sending the message (initiates info)
Message: what is actually said or written or otherwise sent (info you want to transmit to receiver)
Receiver: listener or person/group receiving the message (person to whom the message is sent)
Feedback: response to the message from the receiver (response the receiver sends back to sender)
What is a professional (therapeutic, helping) relationship?
Interaction between a client & nurse that has THERAPEUTIC GOALS, OBJECTIVES, and TASKS
-(therapeutic) Goal orientated
-Client orientated
-Problem orientated
-Conservation is very one-sided: to client
Can contain:
-Empathetic
-Positive Talk
-Therapeutic touch
-Competent physical skills
-One sided (client)
-Will end
-Client/Goal directed
What would a social relationship be?
Mutual exchange between two or more people
*There are NO therapeutic goals, objectives, or tasks
Conservation is two-sided.
Can contain:
-Empathetic or sympathetic
-Usually positive, sometimes not
Friendly or loving
-Less technical- but still judged by
Competency
-Less responsibility
-No specific purpose
-Not time limited
Explain the importance of dealing with feelings in the therapeutic interaction:
-the clients' words or verbal communication and the emotions may be incongruent.
-for example: the client may say that he or she is happy about something but in actuality she is very sad inside. This kind of incongruence can be draining. It is difficult to teach a client something if they are preoccupied with feeling they have not yet expressed
Explain therapeutic responses, techniques, in given, selected communication situations
using silence, providing general leads, being specific, using open-ended questions, using touch, restating or paraphrasing, seeking clarification, perception checking, offering self, giving information, acknowledging, clarifying time or sequence, presenting reality, focusing, reflecting summarizing and planning.
Explain non-therapeutic responses, techniques, in given, selected communication situations
Failure to listen, improperly decoding the client's intended message, placing nurses needs before those of the client, stereotyping, agreeing and disagreeing, being defensive, challenging, probing, testing, rejecting, changing topics, unwarranted reassurance, passing judgment, giving common advice.
Discuss skills that promote and factors that inhibit communication
PROMOTE:
using silence, providing general leads, being specific, using open-ended questions, using touch, restating or paraphrasing, seeking clarification, perception checking, offering self, giving information, acknowledging, clarifying time or sequence, presenting reality, focusing, reflecting summarizing and planning
INHIBIT:
Language deficits, sensory deficits, cognitive impairments, structural deficits, paralysis.
Discuss the pre-interaction phase
Nurse previews information about the client and deals with any feelings identified from the information.
Discuss the introductory phase (orientation phase)
Important because sets the tone for the rest of the relationship.
Three stages of this phase:
-Opening the relationship
-Clarifying the problem
-Structuring and formulating the contract
Discuss the working phase
Has two major stages:
-Exploring: Understanding thoughts and feelings
-Facilitating and taking action for those thoughts and feelings.
Discuss the termination phase
-termination discussions need to start before entering this phase (allows time to adjust to independence)
-summarizing or reviewing the process
-sharing reminiscence
-referrals may be necessary
-may offer occasional standby meeting for support or follow up calls/e-mails/interventions
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