Communication Chapter_11 - 1

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Information about Communication Chapter_11 - 1

Published on March 16, 2016

Author: dwanfai


Slide1: Chapter 11 Communication Objectives: Objectives Describe the elements of the communication process. Describe the levels of communication and their uses in nursing. Differentiate aspects of verbal and nonverbal communication. Identify features and expected outcomes of the nurse–patient relationship. Describe a nurse’s focus within each phase of a therapeutic nurse–patient relationship 2 Objectives: Objectives Describe behaviors and techniques that affect communication. Discuss the principles of plain language for promoting health literacy. Explain the focus of communication within each phase of the nursing process. Discuss effective communication for patients of varying developmental levels. Explain techniques used to assist patients with special communication needs. 3 The Power of Communication: The Power of Communication Communication can result in both harm and good. Failure to communicate leads to serious problems, increases liability, and threatens professional credibility. Therapeutic communication empowers others and enables people to make health-promoting choices. Self-awareness is important for effective communication. Basic Elements of the Communication Process: Basic Elements of the Communication Process Sender Receiver Message Feedback Channel Interpersonal variables Environment Levels of Communication: Levels of Communication Intrapersonal Interpersonal Public Forms of Communication: Forms of Communication Verbal Vocabulary Denotative and connotative meaning Pacing Intonation and volume Clarity and brevity Timing and relevance Forms of Communication (Cont.): Forms of Communication (Cont.) Nonverbal Personal appearance Posture and gait Facial expressions Eye contact Gestures Territoriality and personal space Factors Influencing Communication: Factors Influencing Communication Metacommunication A broad term that refers to all factors that influence communication Context Psychophysiological Relational Situational Environmental Cultural Health Literacy: Health Literacy Tips for clear communication: Lead with the most important information Break complex information down into understandable chunks Use simple language and avoid jargon Use the active voice The Nurse-Patient Relationship: The Nurse-Patient Relationship Preinteraction phase: occurs before meeting the patient Orientation phase: when the nurse and the patient meet and get to know each other Working phase: when the nurse and the patient work together to solve problems and accomplish goals Termination phase: occurs at the end of a relationship Nurse–Health Team Member Relationships: Nurse–Health Team Member Relationships Effective communication with other members of the health care team positively influences teamwork and staff satisfaction and improves quality of patient care and safety . H andoff communication Common language (SBAR) Teamwork Nurse–Health Team Member Relationships (Cont.): Nurse–Health Team Member Relationships (Cont.) Conflict resolution Compassion fatigue Secondary traumatic stress Burnout Lateral violence Establishing a Therapeutic Relationship: Establishing a Therapeutic Relationship Professionalism Courtesy Confidentiality Trust Acceptance and respect Presence Nursing Process: Assessment: Nursing Process: Assessment Physical and emotional factors Developmental factors Sociocultural factors Gender Nursing Process: Diagnosis: Nursing Process: Diagnosis Nursing diagnosis for communication Many patients experience difficulty with communication: Inability to articulate words Difficulty forming words Difficulty understanding Nursing Process: Planning: Nursing Process: Planning Goals and outcomes Specific and measurable Setting of priorities Continuity of care Nursing Process: Implementation: Nursing Process: Implementation Therapeutic communication techniques Conveying empathy Active listening (SOLER) Sharing observations Using silence Providing information Clarifying Focusing Paraphrasing Summarizing Self-disclosure Instilling hope Nursing Process: Implementation (Cont.): Nursing Process: Implementation (Cont.) Nontherapeutic communication techniques Inattentive listening Overusing medical vocabulary Prying or asking personal questions Giving approval or disapproval Changing the subject Automatic responses False reassurance Asking for explanations Arguing Being defensive Sympathy Nursing Process: Implementation (Cont.): Nursing Process: Implementation (Cont.) Decision making and communication Assertiveness and autonomy Humor Touch Nursing Process: Implementation (Cont.): Nursing Process: Implementation (Cont.) Communicating with patients with special needs Providing alternate communication methods Communicating with children Communicating with older adult patients Nursing Process: Evaluation: Nursing Process: Evaluation Patient care Patient expectations Nurses and patients need to determine whether the plan of care has been successful. Nursing interventions are evaluated to determine which strategies or interventions were effective. If expected outcomes are not met, the plan of care needs to be modified.

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