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Lecture 6

NSE12 week 6 objectives.doc

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Ryerson University
Mary Santilli

NSE12 Week 6 Objectives Therapeutic Communications: 1. Describe the basic elements and forms of the communication process. - Referent: motivates one person to communicate with another - Sender and Receiver: sender is the person who encodes and delivers the mes- sage, receiver is the person who receives and decodes the message - Messages: message = content of communication; contains verbal, nonverbal, and symbolic expressions of thoughts - Channels: means of conveying and receiving messages through visual, auditory, and tactile senses - Feedback: the message returned by the receiver and indicates whether the meaning of the sender’s message was understood by the receiver - Interpersonal Variables: characteristics within both the sender and receiver that influence communication - Environment: the setting for sender-receiver interaction 2. Identify factors that influence therapeutic communication - Physical and emotional factors - Developmental factors - Sociocultural factors - Gender 3. Describe communication techniques to promote therapeutic communication. - Active Listening – be attentive to what client is saying verbally and nonverbally - Sharing Observations – comment on how the client looks, sounds, acts - Sharing Empathy – Empathy = ability to emotionally and intellectually understand another person’s reality, to accurately perceive unspoken feelings, and to com- municate this understanding to the other person - Sharing Hope –recognize that hope is essential for healing, and learn to commu- nicate a “sense of possibility” to other people - Sharing Humour – humour = useful coping strategy - Sharing Feelings – if feelings are not expressed, stress and illness may worsen - Using Touch – touch conveys many messages (affection, encouragement, emo- tional support, tenderness, personal attention) - Using Silence – sometimes silences serve the need for time to observe, sort out feelings, think about how to say things, and consider what is being communicat- ed - Providing Information – relevant information empowers client to make informed decisions, experience less anxiety, and feel safe and secure - Clarifying – check whether understanding is accurate, restate any unclear mes- sages - Focusing – center on key elements or concepts - Paraphrasing – restating another person’s message more briefly in your own words - Asking Relevant Questions – ask only one question at a time and fully explore one topic before moving on to another area - Summarizing – a concise review of key aspects of an interaction - Self-Disclosure – shows clients that you understand and that their experiences are not unique (this is not therapy for the nurse) - Confrontation – help the person become more aware of inconsistencies in his/her feelings, attitudes, beliefs, and behaviours 4. Apply active listening and therapeutic communication strategies and skills. Application of skills in real-life clinical situations 5. Outline and implement strategies for effective therapeutic communication. * refer back to response to #3 Strategies of Active Listening Responses - Minimal Cues: transmitted through body actions (smiling, nodding, leaning for- ward) encourage clients to continue their story - Clarification: seek to understand the message of the client by asking for more in- formation or more elaboration on a point - Restatement: used to broaden a client’s perspective or when nurse needs to pro- vide a sharper focus on a specific part of the communicat
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