EBP (10) + Communication and Collaboration (12) Flashcards
phases of therapeutic relationship
1) orientation phase
2) working phase
3) termination phase
what is expected in the orientation phase?
the patient learns the nurse’s name, credentials and extent of responsibility
this is when they build trust, see each other as people, identify the patient’s view of their problems, and establish a “contract” that patient and nurse will work together
what is it called when actions and words align?
(this is an important component of building trust)
congruence
what is expected of the patient during the working phase?
nurses can expect to see their patient have motivation and resistance to change regarding their condition–this is the patient’s response to stress
when patients make little progress because they resist more than they actively try to change
regression
what is the termination phase?
the patient and the nurse are beginning to end the relationship in a therapeutic manner
this type of communication is the most obvious and consists of all speech
verbal communication
this type of communication consists of actions, tone, and body language
people are less able to exercise conscious control over what they communicate
nonverbal communication
what are the criteria for successful communication?
1) feedback
2) appropriateness
3) efficiency
4) flexibility
relaying a message back to the sender
nurses operate under the notion that they do not know everything until confirmed
feedback
the reply “fits” with a question
the nurse can use the patient’s reply to evaluate the presence of a problem
appropriateness
use of simple and clear words–no use of medical jargon
use words that are appropriate to the patient’s level of literacy
efficiency
allowing for deviations from a plan of communicating with the patient
flexibility
effective communication tools
1) active listening
2) empathy
3) open-ended questions
4) sharing knowledge and information
5) reflection
6) silence
what are the characteristics of research (new science)?
it can be replicated across different settings
the means to resolve, clarify, or inform regarding phenomena related to improving patient care