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26 Cards in this Set
- Front
- Back
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Definition of communication:
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Any means of exchanging information or feelings between two or more people
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Communication is:
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Critical in nursing to be effective.
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Who do nurses communicate with in the health care setting?
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EVERYONE! They are the lifeline between client and family, physician, staff, therapists etc
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What is verbal communication?
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Communication through the spoken or written word
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What are the considerations nurses need for effective verbal communication?
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Pace and intonation
Simplicity, Clarity and Brevity Timing and Relevance Adaptability Credibility and Humor (from pg. 462) |
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What is NONVERBAL communication?
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Body language, body movements, touch. It can tell other more about what a person is feeling then what is actually said. It is more common then verbal communication.
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What are nonverbal communicators?
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Personal appearance (including adornments), Posture and Gait (how people carry themselves), Facial expressions, gestures
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What is the communication process?
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The Sender: person or group conveying message to others
The Message: the information being conveyed, verbal or nonverbal The Receiver: the person or group who listens/ observes and must decode the message |
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What are the advantages for E-MAIL?
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fast, efficient, legible, provides a time and date stamp, improves communication and continuity of care
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What are the disadvantages of E-MAIL?
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Risk of client confidentiality, health care facility may not have an e-mail encryption system, not everyone has access to a computer or have computer skills
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When should you NOT use E-mail?
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When the information is urgent
When the information is highly confidential When the information includes abnormal lab data |
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What are the influencing factors in the communication process?
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Development: language, psychosocial, and itellectual stages of life
Gender: males and females communicate differently Values/ Perceptions: based on life experiences Personal space: the distance people prefer in interactions with others Territoriality: the concept of space and things belonging to one's self |
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What are influencing factors of the communication process (2)?
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Roles and Relationships: who you are communicating with and how do you know them
Environment: where you are, people communicate better when they are comfortable Congruence: when verbal and nonverbal communication match Attitudes: caring, respect, acceptance |
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Therapeutic Communication is/ can:
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Purposeful and goal directed
Promote understanding and establish constructive relationships Attentive listening Being Physically Attending |
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What are the 5 specific ways to convey physical attending?
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Face the person squarely
Adopt an open posture Lean towards the person Maintain good (and appropriate) eye contact Try to be relatively relaxed |
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What are some Therapeutic Communication Techniques?
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Using silence
Providing general leads being specific and tentative Using Open ended questions Restating or paraphrasing Seeking clarification Offering self Giving information! Acknowledging Focusing Reflecting Summarizing and Planning Presenting reality Perception checking Seeking consensual validation |
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What is the Helping Relationship?
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A growth-facilitating process that strives to achieve 2 goals:
Help clients manage their problems in living more effectively and develop unused/ underused opportunities Help clients become better at helping themselves in their everyday lives |
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Keys to Helping Relationship:
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Develop trust and acceptance between nurse and client
Underlying belief that the nurse cares about and wants to help the client |
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What are the Phases of the Helping Relationship?
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Preinteraction
Introductory Working Termination |
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Preinteraction Phase
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The nurse reviews clients data, considers what to use and not use, and develops a plan for interaction
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Introductory Phase
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Opening the relationship, establishing roles
Clarifying the problem Structuring and formulating the relationship contract: where, when, how long they meet, why they are meeting, how client data will be handled, whats needs to be done, how long the relationship will last and what indicates the termination |
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Working Phase
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Exploring and understanding feelings and thoughts
Facilitating plans and goals, taking action, and discussing the reality's of outcomes |
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Termination Phase
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To end the Nurse/ client relationship without feelings of dependence or anxiety and accepting feelings of loss
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How should nurses communicate?
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SBAR
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What is SBAR?
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S - Situation: What is happening at the present time?
B - Background: What are the circumstances leading up to this situation? A - Assessment: What do I think the problem is? R - Recommendation: What should we do to correct the problem? **note from lecture: do NOT call the physician until you have obtained all the necessary information!** |
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Who uses SBAR?
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* nurse-to-nurse (such as change of shift report or patient transfer)
* physician-to-physician * nurse - to -physician * staff education * new policy and procedure communiqués * debriefings on internal issues * information on new procedures * administrative team meetings and * even e-mail communication. |
