communication pt 1
Card Set Information
communication pt 1
communication is an
essential lifelong learning process for nurses to build relationships with pts ,families, and team members
know pt so the nurse can BUILD TRUST so they can provide information/instruction to the pt
communication skills requires
creativity, self confidence, fairness, integrity, humility
thinking is influenced by
five senses, culture, education, biases.
occurs within an individual
inner thoughts and self talk
one to one on interaction with two people
interaction within a person's spiritual domain
interactions with a small number of people
committees pt, support group
interaction with an audience
public speaking, classroom lecture.
communication process: Referent
one to communicate with another
communication process: Sender and receiver
one who encodes and one who decodes the message.
can switch between the nurse and the pt
communication process: message
content of the message between the sender and the receiver
communication process: channels
means of conveying and receiving messages.
: verbal and non verbal
communication process: feedback
message the receiver returns.
making sure one understands what is being said
communication process: interpersonal variables
factors that influence communication
communication process: environment
the setting for sender-receiver interactions
make sure tv is turned down
forms of verbal communication
denotative and connotative meaning
clarity and brevity
timing and relevance
forms of nonverbal communication
posture and gait
territoriality and personal space
0-18" like performing a bed bath, holding a crying baby, physical exam
most of nurses work done in this zone
18"-4' pt teaching and taking a pt history
a lot of nurse's work done in this zone
social zone and public zone
4'-12' making rounds with dr and sitting at the head of the conference table
12' plus - speaking and lecturing
basic human need that transmits messages to the brain to calm the stress response to illness and trama. we have social permission to touch.
warm hands, stethoscope, ask permission, inform pt of what you are doing
non/verbal symbolism used by others to convey meaning
: music and art
broad term that refers to all factors that influence communication.
ex:body language (and also symbolic communication)
occurs before meeting the pt
when the nurse and the pt meet and get to know each other
when the nurse and the pt work together to solve problems and accomplish goals.
occurs at the end of the relationship
"closure" with clear boundaries and expectations
factors resulting in difficultly with communication
lacking skills in attending, listening, responding, or self expression
inability to articulate, inappropriate verbalization
difficulty forming words
difficulty with comprehension
therapeutic communication techniques
are specific responses that encourage the expression of feeling and ideas and covey acceptance and respect
Active listening means
being attentive to what a pt is saying both verbally and non verbally. SOLER
: sit facing the pt
: observe an open posture
: lean toward the pt
: establish and maintain intermittent eye contact
types of Therapeutic techniques
sharing observations, empathy, hope, humor, and feelings
using touch and silence
provide info, clarify, focusing, paraphrasing, summarizing
appropriate self disclosure
types of Nontherapeutic techniques
arguing, confrontation, changing the subject
asking personal questions, giving personal opinions
automatic responses, false reassurance
sympathy, asking for explanations
approval or disapproval
types of Pt's who need adaptive communication techniques
pts who cant speak clearly
cognitive, hearing, visual impairment
unresponsive and language barriers
Tips for talking to children
eye level, calm voice, caregiver present, simple sentences and explanations
allow children to handle equipment or supplies
tips for taking to elders
asses for hearing and visual deficits, give time for elders to respond, wait for an answer to one Q before asking another, clarify and get feeback
language, customs, values, social structure, gender differences.
a friendly gesture of one culture may be insulting to another. be sensitive to the body language of your pt
needs to be through the pts eyes
nurses and pt need to determin whether the care has been successful.
strategies for effective communication
be respectful and professional, active listening, understand others viewpoint
collaboration be cooperative and direct
state your feelings using
learn to say I was wrong and you could be right
: name the pt emotion
: understand " I can see why you feel that"
: respect "you've been through a lot, that takes courage
: support "I want to help you get better"
: empathy "that must be difficult"