Week 2 Flashcards
What are the 5 major effects of effective communication with the patient?
- Builds trust 2. Increases compliance 3. Relieves Stress 4. Reduces recovery time 5. Improves patient satisfaction
__% for Med error and __% of hospital deaths are from poor communication
55 65
What goals need to be met to develop self-awareness?
-Distinguish own emotional needs vs patient needs -Meet the needs of personal emotions outside of the nurse-patient relationship
Why is being self aware of nonverbal communication important.
Because patients WILL notice your nonverbal communications
How can self reflection help you build self awareness?
It allows you to identify your behaviors and attitude and gives you the chance to adjust these attitudes
How can deliberate thought help develop self awareness?
It allows you to make peace with your mistakes
What are the four main factors in Self-awareness?
-Professional boundaries -Reflective practice -Avoiding stereotypes -Becoming nonjudgmental
When do most boundary violations occur?
When there is confusing between the needs of the nurse and the needs of the patient
Explain the Continuum of professional Behavior
It is a continuum that shows that therapeutic relationships are not set and defined. They occur over a range that depend on the stiuation
What is the left side of the Continuum of professional Behavior?
Under involvement
What are some things included under under involvement?
-Patient abandonment -Disinterest -Neglect
What is on the right side of the Continuum of professional Behavior
Over involvment
What are some things considered over involvement?
-Boundary crossing -Boundary violation -Professional sexual misconduct
Are boundary crossings a sudden thing?
Most of the time no. Crossing a boundary is something that is built up to.
How do you document a boundary crossing incident?
-Keep comments restrictive and specific -Document what lead to conclusions not the conclusions themselves -Be discriptive in notes
What are some questions you need to ask during self reflections of a boundary crossing event?
-What was the intent -Was it for therapeutic purpose -Patients best interest -Did it optimize or detract from care -Was it appropriately documented
What is reflective practice?
When you take time to focus on own thought and feelings and understand how these can affect behaviors toward patients
What are some steps to take to become less judgmental?
-Avoid stereotypes, prejudices, and bias -Acknowledge all patients rights to be who they want to be -Convey acceptance to patients
What is communication?
The exchange of thoughts, ideas, or information.
What are the two types of communication?
Verbal and non-verbal
What does verbal communication consist of?
All speech oral and written
What does non-verbal communication consist of?
All non-speech -Grooming -Clothing -Gestures -Posture -Facial expressions -Eye contact
What are some non-verbal communications to avoid during therapeutic communication
-Excessive or insufficient eye contact -Distraction and distance -Standing when the patient is sitting/laying down
What is congruent communication?
Verbal and nonverbal communication that are consistent and reinforce each other
