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59 Cards in this Set

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Name of studied communication model?

Circular transactional communication process/Circular transactional model

Elements of the circular transactional model

Referent


Sender


Receiver


Message


Channels


Context


Feedback


Interpersonal variables

Complementary role relationships

One person holds an elevated position over the other person



E.g. a nurse provides medication education to a patient

Symmetrical role relationships

Members of the relationship are equal

Referent

Motivates one person to communicate with another.



Can be a sight, sound, sensation, perception, idea, etc.

Sender

The person who encodes and delivers a message, which acts as a referent to the receiver

Receiver

The person who decodes the message

Message

Content of the communication, both verbal and nonverbal

Channels

Means of sending and receiving messages through visual, auditory, and tactile senses

Feedback

The message the sender receivers from the receiver

Interpersonal variables

Factors within the sender and receiver that affect communication

Context/Environment

The setting for the sender-receiver interaction

Levels of communication

Intrapersonal


Interpersonal


Transpersonal


Small group


Public


Electronic


Interdisciplinary

Intrapersonal

One's inner communication or "self talk"

Interpersonal

One on one communication

Transpersonal

Caring interaction that occurs within a person's spiritual domain

Small group

Goal oriented communication that occurs when a small group of people meet

Public

Interaction with an audience

Electronic

The use of technology to create a ongoing relationship with patient and their healthcare team

Interdisciplinary

Communication between patient, family, and all healthcare personnel involved in providing care



E.g. discharge planning meetings,b ethical decision making, etc

Territoriality

A person's need to defend their personal space

Zones of personal space

Intimate


Personal


Social/consultative


Public

Intimate zone

0-8 inches

Personal zone

18 inches - 4 feet

Social-consultative zone

9-12 feet

Public zone

12+ feet

Zones of touch

Social


Consent


Vulnerable


Intimate

Social zone

Hands, arms, shoulders, back



Permission not needed

Consent zone

Mouth, wrist, feet



Permission needed

Vulnerable zone

Face, neck, front of body



Permission and special care required

Intimate zone

Genitalia, rectum



Permission and great sensitivity required

Denotative meaning

The meaning behind language that most individuals who share that language would understand

Connotative meaning

The interpretation of the meaning of words

Intonation

Tone of voice

Acronym for effective therapeutic nonverbal communication

SOLER

SOLER

Sit facing the person


Open posture


Lean towards the person


Eye contact


Relax

Phases of a helping relationship

Pre-interaction


Orientation


Working


Termination

Pre-interaction phase

Occurs before meeting a patient



Involves planning time and appropriate location, reviewing medical history, talking to other caregivers, etc.

Orientation phase

Occurs when the nurse and patient meet and get to know one another

Working phase

Occurs while nurse and patient work together to solve problems and accomplish goals

Termination phase

Occurs during the ending of the relationship

Continuity of care

Collaboration with other healthcare professions to develop a plan of care

Levels of patient communication

First - Fourth Level

First Level Communication

Cliche conversation

Second level communication

Objective fact reporting

Third level communication

Sharing personal thoughts, ideas, and judgements

Fourth level communication

Sharing of fears, hopes, and personal feelings

Metacommunication

All factors that influence communication

Motivational Interviewing (MI)

An interview technique in which the nurse tries to understand the patient's motivations and values using an empathetic and active listening approach. This is done with the intention of changing their behavior by evoking change talk.

Technique used to communicate critical information

SBAR

SBAR

Situation


Background


Assessment


Recommendation

Assertiveness

Expressing feelings and ideas without judging or hurting others

Technique developed for healthcare workers to communicate with patients and families while focusing on patient service

AIDET

AIDET

Acknowledge


Introduce


Duration


Explain


Thank you

Nursing Process

Assessment


Nursing diagnosis


Planning


Implementation


Evaluation

Therapeutic communication

Specific responses that encourage the expression of feelings and ideas and convey acceptance and respect

Active listening

Being attentive to what a patient is saying verbally and nonverbally

Examples of therapeutic communication techniques

Active listening


Sharing observations


Sharing empathy


Sharing hope


Sharing humor


Using silence


Providing information


Clarifying


Focusing


Paraphrasing


Validation


Asking relevant questions


Summarizing


Self disclosure


Confrontation

15

Nontherapeutic communication techniques

Asking personal questions


Giving personal opinion s


Changing the subject


Automatic responses


False reassurance


Sympathy


Asking for explanations ("why?")


Approval or disapproval


Defensive responses


Passive or aggressive responses


Arguing

11