Potter &Perry-Chapter 24-Communication

Potter &Perry-Chapter 24-Communication

1. • Identify ways to apply critical thinking to the communication process.

   • Communicating with patients strengthens the relationship and provokes deeper conversations providing nurses with more personal health information.
   • • Good communication between nurses and other health care providers will reduce the risk of errors.
   • Nurses can express they care by communicating, being sensitive, promoting faith and hope, being support
   • Nurses use critical thinking by combining previous knowledge with the current situation and their professional training.
   • Having self confidence in self can improve the communication with patients, and using critical thinking to think of solutions for patients
   • Any information being received should pass through the nurse’s five senses
   • Assessing, Diagnosis, planning, implementing and evaluation, all require good communication from the nurse using critical thinking

2. • Use the five levels of communication with patients.

   • • Emotional intelligence is when a nurse can assess the emotions of others
   • • Intrapersonal communication being aware of one’s feelings and behaviors and how they affect others
   • • Interpersonal communication, talking with the patient to get ideas, solutions and deeper understating of both people
   • • Small group communication is usually used when a common goal is shared, all included must participate
   • • Public communication takes place when an audience is present and a there is knowledge being presented
   • • Electronic communication is more frequent and keeps everyone engaged

3. Describe features of the circular transactional communication process

   • The circular transactional communication process , all people taking part in listening and speaking, these are typically interactive conversations
   • • Referent: the communication between the two is encouraged.
   • • Sender and receiver: the sender puts the message into verbal and non verbal symbols for the receiver to understand the message being sent
   • Message: Is the purpose of the conversation. To be most efficient, the massage should be clear and understandable
   • • Channels: forms in which a message is being delivered
   • • Feedback : the massage received by the receiver. This message may be effected by the receivers background and prior knowledge.
   • Interpersonal Variables: This is different for every person based on what they have been exposed to in the past. Having cultural sensitivity is essential when understanding others interpersonal variables
   • • Environment: The place in which the message is being delivered. In order to have a successful message sent the environment must allow the recover to be relaxed and comfortable.

4. • Incorporate features of a helping relationship when interacting with patients.

   • verbal
     • • Vocabulary: is necessary in order to be able to send message effectively for that specific patient.
     • Denotative and connotative meaning: must be careful when choosing the words you will be using to talk with families and patients
     • • Pacing: in order to communicate effectively, talking slowly allows time to process the message
     • • Intonation: the tone of voice a person has can portray unintended emotions. Also, the tone of voice a patient has can tell the health care provider about their current feelings
     • • Clarity and brevity: Keeping messages simple and to the point, they’re more easily understood.
     • • Timing and relevance: Choosing the most appropriate timing for a message can effect how it will be received.
   • nonverbal
     • • Timing and relevance: Choosing the most appropriate timing for a message can effect how it will be received.
     • • Posture and gait: The was someone stands and sits can cause others to make assumption of health
     • • Facial expression: since the face shows most expression it is highly important to be aware of facial expressions.
     • • Eye contact: culture plays a big role in how others define what is appropriate and necessary.
     • • Gesture: must be used wisely because they can also have meanings of their own.
     • • Sounds: can aid in the understanding of a spoken message
     • • Personal space: this gives people the opportunity to set their boundaries for privacy

5. • Identify a nurse's communication approaches within the four phases of a nurse-patient helping relationship.

   • • Pre-interaction phase: this is when the nurse looks at data about the patient to become familiar with them. Gaining as much information before meeting the patient
   • • Orientation phase: the meeting between patient and nurse, this establishes the tone for the relationship. This is when the nurse asses the patients health, they set goals together.
   • • Working Phase: Patient is encouraged to share feelings. The nurse is teaching patient and encouraging proactive changes
   • • Termination phase: Making it clear that the relationship has reached the end but encourage to take control of health.

6. • Identify desired outcomes of nurse–health care team member relationships.

   • • To promote better communication to decrease patient risk
   • • To increase patient safety and increase condition success rate

7. • Demonstrate qualities, behaviors, and communication techniques of professional communication while interacting with patients.

   • • Courtesy: Always treat patients with courtesy by using words such as, please and thank you.
   • • Use of names: Make sure to always introduce yourself an don’t call patient by the name they prefer. Most commonly is the last name used as a sign of respect.
   • • Trustworthiness: Always tell patients the truth and be a reliable source of information
   • • Autonomy and responsibility: Being self motivated to reach goals.
   • Assertiveness: To share ideas but taking into consideration how other may • feel or react. Using “I” statements when talk about possible improvements.

8. • Identify opportunities to improve communication with patients while giving care.

   • • During the assessment by taking into consideration the patients values. Acknowledging the emotional and physical state of the patient by asking how they feel about certain things related to their health. Also encouraging a more descriptive answer based on gender, since men tent o be less vocal of health issues.
   • Engage in effective communication techniques for older patients.
   • Face the patient so they know you are talking to them
   • • Speak clearly and slowly, but not too slow
   • Give patient time to respond and ask questions.

9. • Implement nursing care measures for patients with special communication needs.

   • • Patients that can’t speak clearly: Listen carefully and be patient
   • Cognitively impaired: One question at a time and make sure to speak slowly
   • • Hearing impaired: rephrase wording instead of repeating
   • • Visually impaired: let the patient know when you are entering and exiting the room
   • • Unresponsive patients: Talk to patient as if they can hear. Communicate verbally and by non-verbally.
   • • Patients that don’t speak English: Provide professional interpreter if necessary. Use communication pictures or cards.