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Communications ALL NOTES.docx

54 Pages

Course Code
NURS 2000
Adele Vukic

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Application of Therapeutic Communication Skills in Nursing The conduct of the nurse in relationship with the clientIs an enactment of professional caringCreates trustSupports achievement of health goalsGrounded theory identifying patient participation in care five different hospitals ResultsInterpersonal procedureTherapeutic approachFocus on resourcesInformationBoundaries Interperpersonal limits on what is acceptable behaviour p 95 Professional Boundaries structures imposed by legal moral and professional standards of nursing that respect nurse and client rights p 95HelpingSocial RealtionshipsHelping Social Who is responsible Who is responsible Purpose Purpose Termination Termination Focus Focus Nature Nature Choices Choices Self Disclosure Self Disclosure Understanding UnderstandingContinuum of professional Involvement Under involvementOver Involvement Structuring the therapeutic interview 1 Introduction 2 Opening 3 Body 4 Closing 5 TerminationThe therapeutic relationship therapeutic use of self Healing presence 1 Authenticity SelfawarenessUnderstanding personal valuesRecognizing your own vulnerabilities2 Engagement Empathy 3 Empowerment The therapeutic relationship characteristicsFor purposes of this review nursepatient relationship is defined as those practices which nurses and patients carry out in order to interact with each other The therapeutic nursepatient relationship is defined as practices which take place in the context of a nurse and patient engaged with each other working collaboratively to foster the health goals of the patient1 Engagement empathy 2 Collaboration 3 Intention to help or need for help 4 Knowledge 5 Shared goalsBasic EmpathyReflects Caution And UncertaintyDemonstrates Guarded IntimacyVerbal Skills Mirroring It Sounds LikeComplex EmpathyReflects little uncertaintyConveys more intimacyUses intuitionVerbal skills You are Empathy Working hard to understand the client What is the person sayingWhat is the storyWhat is the point of viewWhat decisions are being madeWhat feelings are being expressedThe interviewer Notices and responds to client emotionsBuilds rapport with the clientGathers information about the clients issuesWorks with the patient to set and prioritize goals and develop a plan of actionWorking or Body of the InteractionNeed to examine our communication skillsOpen ended focused and closed ended questionsListening skills and barriers to communicationCultural factorsListening SkillsMinimal cuesClarificationRestatementParaphrasingReflectionSummarizationSilenceTouch
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