Week 1: Flashcards
Explain the Nurse-Client relationship
Caring therapeutic relationships are the foundation of nursing
The nurse cares about client and their needs
This relationship promotes positive change and growth for health outcomes
Explain the therapeutic relationship
- Professional
- occurs anywhere in nursing care
- based on ability to focus on client needs
- critical to problem resolution
- Key part of health promotion and is sensitive to client values and goals
Characteristics of therapeutic relationship
- Professional
- Explicit time frame
- Goal oriented
- Nurse establishes, directs, takes responsibility for interactions
- Client needs take priority
- Purposeful communication
- rapport
- trust
- empathy
- no judgement
- ethical
- confidentiality
Phases of Nuse-Client Therapeutic Relationship
1) Pre-interaction phase
- look at medical history before meeting client
2) Orientation phase
- when you meet sets the tone
3) Working phase
- nurse helps client solve problems and set goals
4) Termination phase
- talk to them about ending time together and passing to new nurse
Communication and Nursing Practice is?
The foundation for professional and therapeutic relationships, essential for high quality care, a SKILL and LIFE-LONG LEARNING PROCESS
Therapeutic Communication
Occurs within nurse-client relationship, goal-directed, descriptive and non-judgemental, defined rules and boundaries, client focused, personalized to client needs
Percentage of each: words, body language, tone of voice
Words: 10%
Body Language: 50%
Tone of voice: 40%
Elements of Communication
Non-verbal and verbal messages conveyed through word, movement, voice, facial expressions, and use of space
Why is good communication so important?
Reduces errors, promotes improved outcomes, influences client behaviors, and competent communication meets legal, ethical, and clinical standards
Elements of effective communication include?
Ongoing and continuously changing, self-awareness, openness, self-confidence, genuineness, respect and concern, knowledge, ability to empathize, sensitivity, acceptance
Motivational interviewing
Personal centered communication, encourages thought sharing of beliefs and fears and concerns, interviewing is non-judgmental, nurse needs to know what resistance or ambivalence a client has, nurse focuses on strengths and supports them
Nurse-Family Relationships
Same principles apply with addition of understanding complexities of family dynamics, needs, and relationships
Nurse collaborator characteristics
Team building, critical thinking, and effective communication
SBAR stands for?
Situation
Background
Assessment
Recommendation
Nurse-Health Care Team Relationships
Patient safety requires effective communication among healthcare team, breakdown of communication among healthcare workers is a major cause of errors, and use of standardized communication tools such as SBAR
Nurse-Nurse Relationships
Social, informational, and therapeutic interactions build morale, accomplishment goals, and strengthen working relationships
Lateral violence is an issue that negatively affects the work environment
Lateral violence can lead to…
Job dissatisfaction, decreased sense of value, poor teamwork, poor retention of qualified staff, nurses leaving
Elements of professional communication
Courtesy, use of names, trustworthiness, autonomy, assertiveness, advocacy, professional boundaries
Effective professional communication steps
Firmly starting case
- Congruent content needed
Clarifying the message
- need complete message
Seeking feedback
- provides validation and confirmation of communication
Being receptive to received feedback
- facilitate functional communication
Factors influencing the communication process
Developmental level, values + perceptions, personal space, territoriality, roles + relationships, environment, congruence, interpersonal attitudes
Therapeutic communication techniques
Active listening, sharing humor, using touch, open-ended questions, empathy, observations, sharing feelings, clarifying, silence, paraphrase
Active listening
Brief verbal statements that indicate interest, non-verbal behaviors
The importance of “I” statements is
Taking responsibility, avoids putting people on defense, makes our thoughts feelings known, avoids playing games, allows direct communication
Using open-ended questions
Asking broad questions that lead or invite client to explore feelings, open-ended questions specify the topic to be discussed, invites answers that are no longer than one or two words
Use of Humor
Coping strategies, humanize experience, enhance teamwork and relieve tension, MUST be used with tact and sensitivity, humor has a cultural context, be sensitive, set boundaries
Use of Touch
Therapeutic touch can bring sense of caring and human connection, feelings and beliefs about touch can vary, CONSENT
Do we use sympathy?
No it can cause problems
