Chapter 1: Responsible, Assertive, Caring Communication in Nursing Flashcards
PPT 1
Function of Interpersonal Communication in Nursing
The vehicle for establishing a therapeutic relationship
The means by which people influence others
The relationship itself
Three types of communication
- Assertive Communication
- Nonassertive Communication
- Aggressive Communication
Assertive communication
Be clear about what you need
Be respectful in your language and behavior
Be confident and comfortable
An “active” behavior
What kind of behavior is assertive communication?
An “active” behavior
Nonassertive communication
Disregard own needs and rights
May be interpreted as lack of interest/knowledge
What kind of behavior is nonassertive communication?
A “passive” behavior
Aggressive Communication
Loud
Forceful
Confrontational way of trying to get what we want
Rights are responded to out of proportion to those of others
Three step process to build assertiveness skills
- Review the list of assertive rights
- Review the irrational beliefs
- Review the DESC script
Review the list of assertive rights- what rights are you giving up by not asserting yourself?
You have the right to:
Be treated with respect
A reasonable workload
An equitable wage
Determine your own priorities
Ask for what you want
Refuse without making excuses or feeling
guilty
Make mistakes and be responsible for them
Give and receive information as a professional
Act in the best interest of the patient
Be human
Identify Irrational Beliefs that Impede Assertive Communication: Irrational beliefs are:
Irrational beliefs:
Arise when we are anxious about being assertive
Focus on possible negative outcomes
DESC script
A framework for developing assertive responses
DESC stands for:
Describe the situation
Express what you think and feel
Specify your request
Consequences
Three Types of Assertions:
- Basic
- Empathic
- Escalating
Basic Assertion
Expresses an idea, belief, or opinion; stands up for your rights or the rights of others
Empathic Assertion
Conveys sensitivity to the situation while taking an assertive position
Escalating assertion
Expresses more emphatically when a simple assertion did not accomplish your goals and your rights are still being violated
Identify Three Essential Criteria for Presenting an Assertive Response
Timing
Content
Receptivity
Describe the Behavior of an
Assertive Nurse
Appears self-confident and composed
Maintains eye contact
Uses clear, concise speech
Speaks firmly and positively
Speaks genuinely, without
sarcasm
Is nonapologetic
Takes initiative to guide situations
Gives the same message verbally and nonverbally
List the Advantages of Assertive Communication
You will likely get what you want when you ask for it
clearly
People respect clear, open, honest communication
You stand up for your own rights and feel self-respect
You avoid the invitation of aggression when the rights of others are violated
You are more independent
You become a decision maker
You feel more peaceful and comfortable with yourself
Responsible Communication in Nursing
To communicate responsibly when a problem must be solved means to communicate in a logical way based on your nursing knowledge and on the facts presented in the situation
What is a systematic means for nurses to demonstrate accountability and responsibility to clients?
The nursing process
What is defined as the essence of nursing?
Caring
Caring
Characterizes the nurse-client relationship
The role of Caring in Nursing:
Caring includes
Ongoing commitment to sharpening knowledge and skills
Identifying care needs and nursing actions that will bring about positive change
Protecting and enhancing human dignity
