Week 3 Communication In Clinical Practice Flashcards
What is the first step in nursing process?
Assessment
Sources of data
Primary
Secondary
Tertiary
Nursing interview ( 4 purpose )
• Obtain a nursing health history, identify health problems and risk factors
• Reason for seeking care
• Patient’s perception of the illness
• Provides subjective data
Phases of an interview
• Orientation
• Working
• Termination
A phase of an interview
- introduction and purpose of interview
Orientation
A phase of an interview
- gather information, observe verbal and non-verbal behaviours
Working
A phase of an interview
- end interview
Termination
4 Questioning Techniques ( Open ended )
• Explore broader issues
• Invite longer answers
• Encourage patients to discuss and elaborate
• Identify patient’s priorities
3 Questioning Techniques ( Close ended )
• Can be answered with a yes or no
• Do not invite discussion
• No additional information is required
4 Components of a Health History
• Nursing Health History – subjective data
• Family History
• Documentation of findings
• Physical Examination – objective data
How to Observe during the Interview
• Use your senses
• Notice general appearance
• Observe body language
• Notice interaction patterns
• Think holistically (physical, psychosocial, emotional, spiritual, etc.)
• Be present, be fully there!
A behaviour that includes incivility, lateral violence, and bullying
Disruptive Behaviour
A communication that is clear and direct, more respectful and firm.
Assertive Communication
Define and describe SBAR
Situation - introduction and brief reason for call
Background - history of illness, all relevant past data
Assessment - current assessment of situation
Recommendations - what’s next?
Where can change of shifts reports done?
• Can be done in person at the nursing station
• At the bedside – consider confidentiality
• Can be recorded
• Can be written
