...Communication and Therapeutic Relationships in Nursing/Midwifery A therapeutic relationship can be described as one that offers support and care without being judgemental and can provide trust and a feeling of safety from threatening situations(Mc Klindon et al1999). In contrast to a social relationship it differs greatly in that a therapeutic relationship consists of collaborated goals which are identified when the relationship is initiated and once these goals are fulfilled the relationship is terminated in a therapeutic way(Nurses Association of New Brunswick2000).There are many communication techniques that can prove to be useful in certain situations for example verbal and nonverbal communication as well as being aware of body language and tone of voice which can benefit the therapeutic relationship. It is essential to learn how to be assertive as it can promote fairness and efficiency at work(Hodgetts 2011). One must learn how to communicate effectively with clients from different cultures who speak different languages in order to ascertain the clients needs and in order to build the therapeutic relationship. Developing a Therapeutic Relationship In order to develop a therapeutic relationship it has been found that a number of skills are required for example conveying empathy and understanding, accepting individuality, providing support, promoting equality, demonstrating respect, maintaining boundaries, self awareness and being there for the client in a genuine manner(Dziopa...
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...Care Communication Paper HCS/350 Health Care Communication University of Phoenix Personal & Professional Healthcare Communication Paper Professional and effective communication is a vital ingredient to safe and high quality nursing practice. Proper communication with other co-workers, physicians, ancillary staff, patients, and their families is a required skill necessary for all practicing, professional healthcare professionals. Communicating with others has become second nature to us, but are we communicating properly with one another on a day to day basis? The purpose of this paper is to define healthcare communication, identify the relevancy of effective personal healthcare communication with other healthcare professionals, clients/patients; to identify the relevancy of effective professional healthcare communication to health outcomes, to discuss how the lack of effective personal and professional healthcare communication contributes to poor health outcomes; and to discuss theories and principles of therapeutic communication in healthcare settings for healthcare professionals. According to Northouse and Northouse (1998), “communication is the process of sharing information using a set of common rules.” As we all know, communicating with others in the healthcare settings is a complex and multifaceted process that relies on clear and concise delivery of messages, undivided attention from all parties, and full understanding from all. “Healthcare communication is a subset...
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...Personal and Professional Health Care Communication Tara Clark HCS 350 October 7, 2013 Penny Horper Personal and Professional Health Care Communication Today’s environment of healthcare is both specialized and clinical. Health care communication is a vital component of health care for every patient. Because nurses have a greater responsibility, interaction with patient’s and families can often be hurried, leaving them feeling like they have many unanswered questions. Communication or therapeutic communication as defined by Ruesch (1961) in health care is “an interactive dynamic process entered into by nurse and client for the purpose of achieving identified health-related goals” (p. 175). Relevancy of Communication Health care communication involves many different aspects from both the sender and the receiver of the message. Health care communication is relevant with other health care professionals, patients, and families because it is vital in establishing a trusting, therapeutic, caring environment for everyone involved and can affect outcomes and satisfaction. A code of conduct defines acceptable and unacceptable behaviors for each organization and promotes a culture of collegiality and is essential for a work environment that strives to provide high-quality patient care. Collaborating with other health care professionals is relevant because it helps create a culture of teamwork and essentially helps provide the best care and leaves...
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...Assessment Task 1 – Written Reflection I believe that therapeutic communication is a form of psychotherapy in which the person doing face to face interviewing consciously uses strategies that encourage the patient to express feelings andideas and that convey acceptance and respect they are achieved through advancing the physical and emotional well-being of a patient in a non-judgmental way, while showing empathy and concern. The aim of therapeutic communication is to increase self-worth or decrease emotions such as anxiety and anger by putting together information to determine the illness. Ufema, J. (2008). More than just hand-holding. Nursing, 38(12). doi:10.1097/01.nurse.0000342039.82567.3a All health care professional study techniques of therapeutic communication, these techniques help the patient and health-care professional develop rapport and trust with one another during each other’s company for example when going to an appointment. For therapeutic communication to be successful, a mutual understanding between both the patient and the health care worker needs to be met. It is very important for the health care workers to use proper communication to prevent a misunderstanding between the health care worker and patient. This open communication shows a genuine and continual concern for what the patient is expressing. Throughout this essay I will be using the Driscoll model of reflection in nursing to express my understanding of the vignettes and making reference to...
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...In this essay, I aim to elaborate on my knowledge and understanding of therapeutic communication prior to and after observing the video ‘Handover’ relating to ‘Pregnant stroke’; scenario-based videos. In particular, my focus is to relate the techniques utilized in the video for therapeutically communicating with the client with construction and enhancement of my personal skills of therapeutic communication, through analyzation and reflection. The video initiated as the paramedic staff informed the client, Sally that he was going to handover the related information to the nurse. It progressed with inter-professional communication between the professionals starting with their introduction, description of the event involved, a brief clinical background of the client and related observations. Following the handover, the paramedic staff reassured the client before he left. Finally, towards the end of the video, the nurse involved in a remarkable therapeutic communication with the client. I observed that this interaction incorporated therapeutic communication skills which can be substantial in a therapeutic relationship. Therapeutic communication takes place when the nurse utilizes effective techniques to construct a therapeutic relationship and also to cultivate an understanding with the client. Such communication might not necessarily be verbal, it includes the understanding of the client’s facial expressions, body language and cues which requires skills such as empathy, informing...
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...self-awareness in one of the following areas: therapeutic communication; or inter-professional communication? DOCTOR EMERGENCY DEPARTMENT VIDEO * Therapeutic Communication ‘Therapeutic communication is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient’ (Laffan. S, 2011) and as ‘a process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication’ (Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.). Reflecting on the ‘Doctor Emergency Department’ video (Doctor Emergency Department), I chose to concentrate on therapeutic communication. Therapeutic Communication uses many different strategies to gain trust, demonstrate empathy and to provide the best and most comfortable care for the patient. There are also barriers involved with therapeutic communication, which will hinder healthcare. Therapeutic communication differs from our every ‘day to day’ communication between friends or family (social relationship) as it is a learned skill, that is patient focused and is beneficial to the patient. Therapeutic communication has a defined life line and the relationship will cease when the healthcare for that patient ends. Also ‘The Nursing and Midwifery Board of Australia approves codes and guidelines’ (Nursing and Midwifery Board of Australia, 2015)...
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...video that will help me develop clinical skill (Knowledge and self-awareness) in either therapeutic communication or inter-professional communication? The video I have chosen to reflect upon is the handover of the pregnant stroke patient from the Paramedic to the Nurse. The paramedic introduces himself and the patient Sally. The paramedic describe the past events that lead to sally being brought into hospital and his observation made at the patient’s home. For example her age and weeks of pregnancy and that she is not on any medications that they know of.The paramedic completes his handover leaving the patient in the care of the nurse. The nurses takes over care of the patient and comes down to the patient’s level and introduces herself to patient. The Nurse also explains what will happen next and remains forces on the care of the patient, using Therapeutic communication. This video shows many techniques that may benefit my development of clinical skills and knowledge in relation to Therapeutic communication. This form of communication that is used in the clinical environment is a collaborative partnership between the carer, the patient and their family and/or partner. This partnership as the main interest of meeting the best possible outcomes for the patient within the mutually agreed upon goals for the individual who is in care (Berman, Kozier, & Erb, 2015) . This form of communication is based on mutual trust, respect and acceptance. Currently I have limited clinical skills...
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...Therapeutic Relationship Patients [pic] Translate This Page [pic] Powered by [pic]Translate [pic][pic] Download PDF Free Essay Quote This piece of reflection will focus on my experiences whilst on practice placement; I will be using the (Gibbs 1988, cited in Jasper 2003, p.77) model of reflection. Gibbs cycle is set out in order of categories made up of different headings. (See appendix 1). By using this cycle it allows me to reflect in structured and effective way. The subject of this final piece of reflection will cover the development and utilisation of interpersonal skills in order to establish and maintain therapeutic relationships. Neal (2003, p100) states a therapeutic relationship can be described as being between nurse and patient and is based on patients needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and therefore, is therapeutic in nature. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult sometimes life threatening situations. I felt the need to develop therapeutic relationships with the patient’s so that they could feel they could put their trust in me, also that I was there to listen and talk to them not just care for them. There...
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...TITLE PAGE Therapeutic Communication And Nursing Considerations As a nurse, one must expect to be faced with diverse situations. From teaching patients of varied educational backgrounds to explaining a difficult diagnosis, it is the place of the nurse to build a proper relationship and provide therapeutic communication to each person in the most effective manner possible. This paper first describes the fundamental elements of the communication process, and second, reviews the three levels of communication with nursing applications. Third, this paper differentiates between verbal and nonverbal communications, and furthermore describes the nurse’s focus in the nurse-patient relationship. This paper outlines therapeutic and non-therapeutic communication techniques, with regard to cultural diversity and patients with alternative communication needs. The Communication Process “Communication is an interactive process between two or more persons who send and receive messages to one another”(Varcarolis, 2010, p. 175). “Two common elements of every communication exchange are the sender and receiver. The sender initiates the communication. The sender is a person who has a need or desire to convey an idea or concept to others. The receiver is the individual to whom the message is sent. The sender encodes the idea by selecting words, symbols, or gestures with which to compose a message. The message is the outcome of the encoding, which takes the form of verbal...
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...advanced communication skills may facilitate reflective practice and enhance the delivery of care in district nursing practice. Barbara Brush Student number: B00628470 Word count: 2084 Due Date: 3rd February 2015. Introduction. Due to the increasing demands on the Health Service the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is...
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...A REFLECTIVE CLINICAL PRACTICE EXPERIENCE Introduction My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward. Reflection is a process of learning from ones experience (Spalding, 1998). The objective of my experience is to show the positive effect of using therapeutic communication skills with patients. Therapeutic communication can be described as a face to face technique of forming a rapport between a nurse and a patient that focuses on advancing the psychological, physical, social and emotional well-being of the patient. It usually involves providing health education and the use of strategies that give confidence to a patient to communicate feelings and ideas and that conveys acceptance and respect. Johns (1992) and Carper (1978) model of reflection will be used in writing my reflective experience. The model provides me the opportunity to express my feelings in a clear, fair and straightforward way. In the first week of my placement, I was assigned a mentor. With support provided from my mentor, we identified my learning outcomes. One of my learning outcomes is to provide support to three identified patients under my...
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...Video Vignette: “The Paramedic” What can I take away from the experience of observing this video that will help me build knowledge and Self-Awareness in Therapeutic Communication? In observing James (the paramedic) carry out a first aid attendance to a patient, Sally, who is 28-weeks pregnant, I was able to identify a range of Therapeutic Communication techniques and have gained to appreciate the significance of Self-Awareness and what it means to be patient-centred. Communicating therapeutically typically uses a combination of techniques such as empathy, touch, active listening, clarifying and open-ended questioning as noted by Day, J., Levett-Jones, T., & Kenny, R. (2015). Ultimately, it aims to create a space in which the patient feels sufficiently safe to express their feelings openly and disclose what may often be private and personal, so that practitioners can make accurate assessments and diagnoses. For example, Sally had difficulty speaking, so James worked around this roadblock by asking close-ended questions and held Sally’s hand before asking, “Have you got a headache? Just squeeze my hands if you’ve got a headache.” So as not to make the history note-taking difficult for Sally, James recruited her husband David, to answer the more probing questions relating to her medical history and genetic predispositions. David in turn responded in a cooperative manner which indicated the beginnings of rapport being established. The tone and quality of his voice projected...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...Commuication HCS/ 350 Feburary 24, 2014 Tracy D. Anderws, DNP,ACNP,CCRN Personal and Professional Health Care Communication Personal and professional health care communication plays a major role in the care of the patient and how information is transmitted from one health care provider to the next. Collaborating with all members of the interdisciplinary team ensures that care will be provided at the highest level and patient safety will be first priority in order to have a good outcome. To better serve the community, these are some steps that we as professional nurses will take a look at to promote quality care for our patients. These includes the definition of health care communication, relevancy of effective personal health care communication to health outcomes, the lack of effective personal and professional health care communications along with theories and principles of therapeutic communication and how it affects the health care setting, patient, family members and the other health care providers. Definition of Health Care Communication According to Northhouse and Northouse (1998) “communication is the process of sharing information using a set of rules.” Communication has several modes of how one can relay pertinent medical information and share within the health care setting. Interaction such as non-verbal and verbal communication, oral, written, telephone conversation, emails and web cam just a few are means of communicating and providing...
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...In the video “pregnant stroke-Incident Scene” the paramedics are called to attend to a patient who is 28 weeks pregnant, and collapsed at home. I will be looking at ways the paramedic demonstrated therapeutic communication techniques when attending to the patient. Through my assignment I will use the “So what” reflection cycle. Therapeutic communication is the communication between a health professional and a patient and is also extended to the family members. Some of the techniques that can be used in therapeutic communication are active listening, summarising, and paraphrasing to gain trust from their patients. “According to Mosby’s Dictionary (2012), therapeutic communication is a process where health professional use verbal and non-verbal communication to encourage patients to express ideas and feelings and at the same time gain respect”. In the video the paramedic is asking the patient to squeeze his hand as an indication she understands what he is saying. The paramedic is also kneeling to ensure he’s at the same level with the patient. This creates a relaxed environment for all parties and shows respect to the patient. The paramedic is also using touch as a sign of emotional support and this creates trust. “According to Berman et al. (2015), “Providing appropriate forms of touch reinforces emotional support, encouragement, caring and personal attention”. We also see the paramedic using open ended questions to get information about the patient from the husband...
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