nurse-client relationship Flashcards
What sets nurses apart from other health care professions?
Unique, intimate relationships with our client
How does a therapeutic relationship between a nurse and client happen?
By using communication skills to demonstrate caring and to gain the client’s trust
What are the communications that effectively help the nurse to perform their job?
Teaching the client
Completing a health assessment
Making a referral
Reporting to a colleague about a patient
Knowing how to deal w a patient feeling anger, frustration or other feeling
Managing a life-threatening situation - direct questions
What are the two effects of a communication ( KEY!!)
Facilitates the development of a therapeutic relationship or the nurse/client relationship
OR
Creates barriers between you and your patient and colleagues
How is a therapeutic communication
Deliberate and purposeful
Define social communications
Not necessarily aware of all the elements happening : non-verbal elements or tone of expression
More spontaneous and relaxed
Easy, not deeply personal, superficial
Define professional communications
Conscious of all the elements happening of the communication process
More difficult, uncomfortable, intense
Remain aware of the effect the conversation has on the person
Focused and deliberate
Self talk ( plan, organize, pep talk)
Interpersonal
One-to-one talk, the nurse with the client or with doctor
Intrapersonal
Interaction occurs within the client and a spiritual domain : prayers, etc.
Transpersonal
Usually goal directed, requires an understanding of group dynamic
Small group communication
Interaction with a large group of people (audience, classroom)
Public communication
Referent/stimulus
What motivates the sender to communicate
Sender
Person who sends a message to reciever
Receiver
Person who receive message from sender
Message
Info sent to receiver- non verbal or verbal
Feedback
Receiver sends back a message to sender
Define verbal communication
Spoken words, vocabulary
Define non-verbal communication
Facial expressions, body posture, physical appearance, sounds, etc.
True or false, if false what is it?
Less than 50% of message you send is nonverbal
True or false, if false what is it?
When non-verbal and verbal tells a story, we tend to believe the story of the verbal
Factors influencing interactions, name them and give two examples
environmental factors : comfort and noise
personal characteristics : dress habits and body odour
physical and mental status : anger, pain
cultural elements : language, customs
nurse-client relationships is based on respectful comm. tips?
recognize boundaries related with gender and privacy
communication using an interpreter
lack of privacy = lack of respect
inappropriate body language = crossing arms, rolling eyes
client centred care - putting the client’s care before our own
the nurse is responsible for assessing and responding appropriately to the client’s cultural expectations and needs
tips for overcoming language barriers
be polite and formal (Mr, Mrs)
look positive and friendly
try to use even just a few words of the client’s language - make an effort
never use medical terminology
keep it simple
speak to the client not the interpreter
maintain eye contact as appropriate - looking at them reinforces that the comm. between them is important
