PN1130 Objective 1 2023.pdf

PN1130 Communication and Therapeutic Relationships Objective 1 This Photo by Unknown Author is licensed under CC B Why do I Need to Complete a Communication Course ? Communication and Therapeutic Relationships What are some words that come to your mind when you think of nursing? Caring  “an...

PN1130 Communication and Therapeutic Relationships Objective 1 This Photo by Unknown Author is licensed under CC B Why do I Need to Complete a Communication Course ? Communication and Therapeutic Relationships What are some words that come to your mind when you think of nursing? Caring  “an intentional human action characterized by commitment and a sufficient level of knowledge and skill to allow nurses to support the basic integrity of the person” (Mallette & Yonge, 2022, p. 552 What Does Professional Caring Involve? www.washingtonpost.com Professional caring involves  Essential to nursing  Safe  Complex relationship  Knowledge  Client focused  Being present  Compassion  Empathy  Giving of self  Effective  Timely  Equal  Efficient  Actions that are focused on positive outcomes Foundational Concepts of Nursing  Caring for clients is a core value of nursing.  Learning and developing communication techniques and skills.  The development and establishment of therapeutic relationships in nursing. Therapeutic Relationships ___________________________________ Objective 1: Discuss the significance of communication and therapeutic relationships in nursing practice Chapter 1, 2, 3 (p.47), 11 & 12 Objective 1  Define communication and therapeutic communication  Define therapeutic relationships  Discuss the importance of communication in healthcare  Identify the metaparadigm concepts of nursing Communication  Communication: Verbal and non-verbal behaviours combined to share information that is timely, accurate, complete, unambiguous, and understood by the patient (Mallette & Yonge, 2022)  The exchange of information, thoughts and feelings among people using speech or other means Communication There are different levels of communication. Verbal vs. non-verbal communication Therapeutic Communication  A goal directed form of communication used in health care to achieve goals that promote health and well–being. (Mallette & Yonge, 2022) What is a Therapeutic Relationship? An alliance whereby the nurse and client meet for a period to achieve health related treatment goals. ( Mallette & Yonge, 2022) Why is Communication Important in Healthcare?  Impacts the delivery of care  Leads to better health outcomes  Enhanced patient understanding of their health condition  Greater patient satisfaction  Decreased health care costs  Reduced length of hospital stay  Greater job satisfaction  Safety Safety  Defined by the Canadian Patient Safety Institute [CPSI] (2020a) as “the pursuit of the reduction and mitigation of unsafe acts within the health care system, as well as the use of best practices shown to lead to optimal patient outcomes”. Communication Considerations for Patient Safety Miscommunication System Problem Errors Barriers to Safe and Effective Communication Fragmentation  Hand-offs (transfers)  Underreporting of errors Fatigue  Long shifts, with little rest or nutrition Tools for Safer Care  Clinical situation simulations  Use of standardized communication tools -Checklists  Use of SBAR  Crew Resource Management (CRM)-Based Tools SBAR  S-Situation  B-Background  A-Assessment  R-Recommendation Table 2.2 on Page 27 What is a Metaparadigm?  A general statement about a group of ideas that form the foundation of a discipline  For example, it helps define “What is nursing?”  It distinguishes Nursing from other disciplines The Metaparadigm for Nursing Four core constructs which comprise the nursing metaparadigm:  Person  Environment  Health  Nursing https://nurseslabs.com/nursing-theories/ Person  Person is defined as the recipient of nursing care  Refers to individuals, families, and communities Environment  The context in which health relationships take place (WHO, 2001).  External and internal factors that support or impede health and well-being  Includes conditions that affect the client Health  Derived from the word whole  A term that can be interpreted differently Nursing  Attributes, characteristics and actions of the nurse providing care on behalf/with the client  The goal of nursing is to provide and improve client care Nursing Process 5 Progressive Stages (Table 3.3)  Assessment  Problem Identification and Diagnosis  Outcome Identification and Planning  Implementation  Evaluation Central to client care, it is a means of planning and directing client care to achieve health goals /outcomes. The Art and Science of Nursing The Art of Nursing- Is the caring The Science of Nursing- Is the knowledge Patterns of Knowing  Empirical  Personal  Aesthetic  Ethical  Emancipatory Summary References  Bergner, A. (2017). Enhancing Communication to Improve Patient Safety and to Increase Patient Satisfaction. The Healthcare Manager, 36(3), 238-243.  Brown, R., & Crookes, P. A. (2016). What are the ‘necessary’ skills for a newly graduating RN? Results of an Australian Study. BMC Nursing, 15(23), 1-8. doi:10.1186/5/2912-016-0144-8  Canadian Patient Safety Institute (2020). Glossary. https://www.patientsafetyinstitute.ca/en/toolsResources/PatientSafetyIncidentManagementToolkit/Pages/Glossary.aspx.  Daugherty, K., Derig, M. K., Dingley, C., & Persing, R. (2008). Improving Patient Safety Through Provider Communication Strategy Enhancements. In B. J. Henriksen K, Advances in Patient Safety: New Directions and Alternative approaches (Vol. 3). Rockville(MD): Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.gov/books/NBK43663  Hertel, R. (2019). Building a Healthy Practice Environment. MEDSURG Nursing, 73-74.  Kourkouta, L., & Papathanaslou, I. (2014, Feb. 26). Communication in Nursing Practice. doi:10.545/msm2014.2665-67  Mallette, C. & Yonge, O. (2022). Arnold & Boggs’s Interpersonal relationships: Professional communication skills for Canadian nurses. Elsevier.  RiskAnalyticica. (2019, July 17). Canadian Patient safety Institute. Retrieved from CPSI: http://www.patientsafetyinstitute.ca