G classroom Slides Flashcards
One - Way communication
Has limited use in nurse patient relationship. Not effective. Sender gets little feedback from receiver
Two way communication
requires sender and receiver to participate in interaction
Passive listening
Nodding, eye contact, Saying words such as “I see” or “Uh Huh”
Verbal communication
involves use of spoken or written words or symbols
Assertive Communication
Takes into account feelings and needs of patient, honor nurse’s rights . Interactions are even - sided . Nurse can set boundaries
Aggressive Communication
Interacting with an overpowering and force full manner
Meets one’s own personal needs
Non- therapeutic
Unassertive Communication
Agreeing to do what is requested
Creates additional problems
Unassertive Communication
Agreeing to do what is requested
Creates additional problems
Establishing a therapeutic Relationship
Nurse needs to be caring , sincere , empathetic, and trustworthy
Patient should be focused in each interaction
Maintains professional boundaries
Used acceptance rather than judgement
Nurse needs to know when to modify communication methods
Therapeutic Communication
Nonverbal
- Listening
-Silence
-Touch - sincere and genuine
Therapeutic Communication
Verbal
-Convey acceptance
-closed questioning - does NOT foster communication
-open ended question (conveys interests )
- Restating- saying what you think patient means but in a different wording
-Paraphrasing
-Clarifying
-Focusing
-Reflecting
-Stating observations
-Offering Information
-Summarizing
-Using humor
Factors affecting communication
-Posture and positioning
-Space - when in a patients personal space be professional
-Environment
-Level of trust
-Language barriers
-Cultural
-Age and gender
Barriers to communication
False reassurance
Giving personal opinions
False assumptions
Approval or disapproval
Automatic response
Defensiveness
Arguing
Changing subject
Trust
A trusting relationship is essential to an effective nurse - patient interaction
Trust allows the interaction to progress past superficial social interactions
Diagnosis
Impaired verbal communication- such as patients on ventilators