RN 169Chapter_024.pptx

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 24 Communication  Communication and Nursing Practice (1 of 4)  Co...

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 24 Communication  Communication and Nursing Practice (1 of 4)  Communication is a lifelong learning process.  Competent communication maintains effective relationships within the entire sphere of professional practice and meets legal, ethical, and clinical standards of care. 3  Communication and Nursing Practice (2 of 4)  Communication and interpersonal relationships  Caring relationships are at the core of nursing.  Being able to relate to others is important for interpersonal communication.  Therapeutic communication occurs within a healing relationship between a nurse and patient. 4  Communication and Nursing Practice (3 of 4)  Developing communication skills  Nurses who develop critical thinking skills and clinical judgment make the best communicators.  Critical thinking applied during any patient interaction helps to overcome perceptual biases or stereotypes that interfere with accurately perceiving and interpreting messages from others. 5  Communication and Nursing Practice (4 of 4)  Levels of communication  Intrapersonal  Interpersonal  Small-group communication  Public communication  Electronic communication 6  Elements of the Communication Process  Circular transactional model  Referent  Sender and receiver  Message  Channels  Feedback  Interpersonal values  Environment 7  Forms of Communication (1 of 2)  Verbal communication  Vocabulary  Denotative and connotative meaning  Pacing  Intonation  Clarity and Brevity  Timing and relevance 8  Forms of Communication (2 of 2)  Nonverbal communication  Personal appearance  Posture and gait  Facial expression  Eye contact  Gestures  Sounds  Territoriality and personal space  Metacommunication 9  Professional Nursing Relationships  Nurse-patient caring relationships  Motivational interviewing  Nurse-family relationships  Nurse-health care team relationships  Lateral violence  Nurse-community relationships 10  Elements of Professional Communication  Courtesy  Use of names  Trustworthiness  Autonomy and responsibility  Assertiveness 11  Nursing Process (1 of 2)  Assessment  Through the patient’s eyes  Environmental factors  Physical and emotional factors  Gender  Developmental factors 12  Nursing Process (2 of 2)  Analysis and nursing diagnosis  Planning and outcomes identification  Outcomes  Setting priorities  Teamwork and collaboration 13  Therapeutic Communication Techniques  Active listening  Clarifying  Sharing observations  Focusing  Sharing empathy  Paraphrasing  Sharing hope  Validation  Sharing humor  Asking relevant questions  Sharing feelings  Summarizing  Using touch  Self-disclosure  Using silence  Confrontation  Providing information 14  Nontherapeutic Communication Techniques  Asking personal  Asking for questions explanations  Giving personal  Approval or opinions disapproval  Changing the subject  Defensive responses  Automatic responses  Passive or aggressive  False reassurance responses  Sympathy  Arguing 15 Special Communication Considerations  Sociocultural considerations  Culture influences thinking, feeling, behaving, and communicating.  Speech and language considerations  Use appropriate interventions based on patient needs to adapt your communication techniques. 16  Evaluation  Through the patient’s eyes  One form of evaluation is to determine a patient’s perception of the success of the plan of care in facilitating communication.  Patient outcomes  If expected outcomes for the patient’s plan of care are not met or if progress is unsatisfactory, you determine which factors influenced the outcomes and modify the plan of care. 17