Practical nursing clinical (online help)
Communication Overview
What is communication?
A means of persuasion to influence other so that the desired effect is achieved
A process by which two or more people exchange ideas, facts, feelings, or impression in ways that each gains a common understanding of the meaning, intent and use of a message
A lifelong process for the nurse. Nurses must communicate effectively with patient, colleagues, family members and interprofessional teams(where some times team members have different priorities)
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Therapeutic Communication
Used by health care workers
Focuses on advancing the physical and emotional well-being of a patient
Uses specific techniques to encourage the expression of feelings and ideas and coveys acceptance and respect
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Interprofessional and Intraprofessional Communication
Interprofessional – communication between members of different health care teams
Intraprofessional – communication occurring between members of the same health care team
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Intrapersonal Communication
Known as ‘Self-talk” or “inner thought”
Occurs within an individual
Helps develop self-awareness and positive self-concept
Can facilitate self-expression
May improve health and self-esteem
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Interpersonal Communication
Face to face interaction between the nurse and the client
The most common type of communication used in the health care setting
Nurses take into consideration client’s values, belief systems, opinions and experiences prior to and during the communication process
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Elements of Communication
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Forms of Communication
Verbal - The use of spoken or written words
What do we need to consider when using verbal forms of communication?
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Forms of Communication
Non Verbal - Transmission of message that do not involve spoken or written words.
Using our senses to communicate
How do non-verbal communication techniques affect communication?
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Zones of Personal Space
Can you think of a practice setting where this will be especially important to consider?
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Zones of Touch
Is it appropriate to touch patients during communication?
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Forms of Communication
Electronic Communication – Documentation
We will be looking at this in more detail on week 4
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The Nurse-Patient Helping Relationship
4 goal-directed phases
Preinteraction
Orientation
Working
Termination
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Elements of Professional Communication
Courtesy
Use of names
Trustworthiness
Autonomy and Responsibility
Assertiveness
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Factors Influencing Communication
What patient factors can you think of that may influence the communication process?
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Creating a Therapeutic Environment
Depends on the nurse’s ability to communicate.
Can provide comfort, and help patient meet their needs.
Therapeutic interaction can increase feeling of personal control by helping patients feel secure, facilitates emotional comfort and promotes recovery.
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Therapeutic Communication Techniques
Let’s discuss some of the therapeutic techniques we can use as nurses
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Barriers to Communication
Asking personal questions
Giving opinions
Changing subject
Automatic responses
False reassurance
Sympathy
Requesting explanations
Approval/disapproval
Defensive
Passive or aggressive responses
Arguing
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Communicating with Patients with Special Needs
Nurses frequently have adapt their method of communication for a variety of reasons
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Components of the CNO Therapeutic Nurse-Client Relationship (2006)
Trust
Respect
Professional Intimacy
Empathy
Power
https://www.cno.org/globalassets/docs/prac/41033_therapeutic.pdf
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CNO Therapeutic Communication Techniques
What therapeutic communication techniques are identified in the CNO Therapeutic Nurse-Client Relationship Practice Standard?
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Client-Centred Care
How does the nurse ensure client centred care in the therapeutic nurse-client relationship?
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Maintaining Boundaries/Accepting Gifts
What strategies can the nurse use to maintain boundaries with a client?
Is accepting gifts ever acceptable?
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Warning Signs of Crossing Boundaries
It is important to identify any boundary drifts and address them before they become a boundary violation
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Protecting the client from Abuse
Let’s explore ways nurses can protect clients from abuse
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Giving and Receiving Feedback
Let’s look at how to give and receive feedback
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Clinical Peer Feedback Form
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