Nursing Performance Guidelines: Therapeutic Communication

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Performance Guidelines: Therapeutic Communication

Pre-Interaction Phase:

1.Review any available data and speak to health care team.

2. Plan appropriate location and time allotted for interview.

Orientation Phase- Noticing:

1.Introduces self; name, nursing student & level

2. Determines client's name & use name more than once during interaction.

3. Demonstrates professional deportment and appearance

4. Attends to clients comfort and safety. Aware of non-verbal cues

5.Informs client regarding confidentiality

6.Clarifies purpose of interview. Identifies time frame for interview and/or relationship

7. Demonstrates professional behaviour: eye contact, voice modulation, avoids distracting verbal and non-verbal mannerisms, respects nurse-client boundary

8.Sets the tone for a therapeutic relationship demonstrating a caring, empathetic manner.

Working Phase- Noticing & Responding:

1. Demonstrates active listening

2. Encourages client to explore feelings, thoughts, and set goals

3.Demonstrates the therapeutic techniques: paraphrasing , silence, empathy, presence, summarization, open-ended questions.

4.Uses clarification, leading and/or focused questions when appropriate

5.identifies client issue(s)

6.Demonstrates smooth transition between topics/questions

7.Uses appropriate non-verbal and relational skills : eye contact, open posture.

Termination Phase- Interpreting & Responding:

1.Summarizes key points from the interview

2.Offers actions for follow-up

3.Asks if the client has further questions and concerns

4.Facilitate smooth transition or the client to other caregivers as needed.