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Unit 3 chapters 5, 8, 10 Communications
Unit 3 not on other flashcards
Terms in this set (23)
Professional communication skills
-Dynamic interactive process entered into by clinicians and patients/significant others for the purpose of achieving identified health-related goals
-Occurs through words, facial expressions, body language, e-mail, writing, behaviors
Patient centered communication
•Defined interpersonal boundaries
•Nonverbal communication supports
•Active listening—dynamically focused interpersonal process in which a nurse hears patient's message, decodes meaning, asks questions, provides feedback
•Verbal responses—spoken words in professional conversation; meaning-making basic tool enabling health care providers and patients to share information
Obstacles to effective communication w pt
•Preoccupied with pain, physical discomfort, worry, contradictory personal beliefs
•Unable to understand nurse's use of language, terminology, frame of reference
•Struggling with personal emotionally laden topic
•Feeling defensive, insecure, judged
•Confused by message complexity
•Deprived of privacy
•Sensory or cognitive deficits
Factors that influence communication
Promoting pt engagement
•Each patient should have your full attention.
•Clear your own mind of preconceived notions, biases, own thoughts.
•Watch your posture.
•Shake the patient's hand with an open facial expression and a smile.
•Introduction is important.
•Eye contact is important.
•Serves as the basis for a therapeutic nurse-patient relationship.
•Begin with general routine questions, moving to more complex questions.
•Be attentively present, providing relevant information, and actively listening.
•Using plain language
Other forms of communication
•Closed therapeutic group (all pts come together with same probs)
•Open group (anyone can join)
•Homogeneous group (have something in common)
•Heterogeneous group (don't have anything in common)
•Effective educated group leadership
Group with an educated leader
Types of therapeutic groups
-Inpatient therapy groups
-Leading groups for psychotic pts
-Therapeutic groups in long term setting
Professional task and work groups
-Leader and member responsibilities
-Effective group planning
-Structural group development
Teamwork v group work
Team: shared leadership, mutual accountability, collective work products, open ended discussion,
discuss, decide, work together
Group: Clear focused leader, individual accountability, individual work products, runs efficient meetings,
Discuss, decides, delegates
•One that allows nurses to apply their professional knowledge, skills, abilities and experiences towards meeting the health needs of the patient.
•Patient-centered care (PCC) relationships are a subset.
Patient centered relationships
•Based on the premise that each person's personalized experience of an illness, injury, or disease is a total human experience.
•Consists of four components:
Hildegard peplaus interpersonal nursing theory
Pre interaction (info before pt meeting)
orientation (introduction of self to pt)
Carl rogers client centered model
Each person has the capacity to heal if they're giving support, treated with respect, caring and being authentic
Elements of pt centered care
-involve friends/ family
-respect pt values, preferences, and needs
-coordinate care through teamwork
-look at free flow of information, communication and education
-provide pt with physical comfort
-sensitive to non medical and spiritual needs
Phases of patient centered relationships (Paplau's phases)
Developing a collaborative relationship
•Engaging the patient:
•Patient should emerge from the encounter(s), feeling that the nurse is interested in him or her as a person apart from diagnosis.
•Both the nurse and patient should have a better picture of health needs and issues, and a beginning idea of what will be needed to resolve them.
Shared decision making
•Promotes defining problems, presenting options, and providing high-quality information so patients can participate more actively in care.
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