HLTENN036 Nursing Practice Lesson 2: Communication Skills

Language differences, Religious differences, Cultural differences, Intellectual differences, Educational differences, Physical disabilities, Inappropriate clothing, Employment differences, Situational differences, Differing values, Development differences, Emotional states/Intelligence, Illness-medication, Pain, Complex information/information overload, Environmental difficulties, Stress, Urgency of situation, Time, Personal bias

Cultural safety is an environment that is spiritually, socially and emotionally safe, as well as physically safe for people; where there is no assault, challenge or denial of their identity, of who they are and what they need.

Key strategy in reducing inequalities in healthcare access, Improve outcome and quality of care received, More efficient and effective healthcare services, Reduce expenditure, Greater client satisfaction

Fear, frustration, confusion, anxiety related to perceived threat

To allow patients time to experience and express their feelings and to feel validated

By providing a supportive environment, allowing them to express their feelings, and offering validation

Seek help from other colleagues and protect themselves

Call for assistance from appropriate codes

To better assist the patients they care for

By allowing them to express their feelings and ensuring they feel validated

Being consumed by anger as a result of unmet needs or expectations

Some clients may prefer an interpreter of a specific ethnicity or religion.

Speak directly to the patient, not to the interpreter.

Telephone Interpreting Service (TIS)

Arrange seating in a circle or triangle.

To ensure clarity and effective communication.

It is a difficult but crucial part of providing patient care.

To allow the interpreter to explain the message.

To ensure availability and proper coordination.

Cultural Safety refers to the safe space where a person's culture is respected and they feel free to express their identity.

To communicate in a culturally safe manner, one should respect diversity, avoid assumptions, and actively listen to understand the patient's perspective.

Strategies include facing the person directly, speaking clearly, using gestures or sign language, and providing written information if needed.

When communicating with visually impaired individuals, use verbal descriptions, offer assistance when needed, and avoid assuming their limitations.

Communication with cognitively impaired individuals involves using simple language, repetition, visual aids, and providing ample time for understanding.

Strategies include being patient, offering assistance respectfully, using clear and direct language, and ensuring physical comfort during communication.

Communicate by using interpreters if necessary, speaking slowly and clearly, avoiding jargon, and being open to cultural differences.

Strategies include finding a suitable environment, being honest and empathetic, allowing time for emotional responses, and providing support or resources.

Some barriers include language differences, cultural misunderstandings, physical impairments, cognitive impairments, and lack of attention or active listening.

S = Setting, P = Perception, I = Invitation, K = Knowledge, E = Empathy, S = Summary

To enable clinicians to gather information from the patient, transmit medical information, provide support, and collaborate on a treatment plan for the future.

S = Setting: establish the setting physical context

Listen attentively, maintain eye contact, nod and acknowledge, avoid interrupting the patient, and ensure no distractions like tissues, mobile phones, or beepers.

Establishing what the patient already knows, discussing events leading up to the current situation, and exploring the patient's understanding of their own illness.