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Nursing:
Nursing:
A Concept-Based Approach to Learning
A Concept-Based Approach to Learning
VOLUME
TWO
EDITION
VOLUME
TWO || SECOND
SECOND EDITION
MODULE
38
Communication
Nursing: A Concept-Based Approach to Learning
Volume Two, Second Edition
Copyright © 2015, 2011 by Pearson Education, Inc.
All Rights Reserved
The Concept of
Communication
Nursing: A Concept-Based Approach to Learning
Volume Two, Second Edition
Copyright © 2015, 2011 by Pearson Education, Inc.
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The Concept of Communication
• Human interaction
Verbal and nonverbal
Written and unwritten
Planned and unplanned
• Conveys thoughts and ideas
• Transmits feelings
• Exchanges information
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The Meaning of Communication
• Communication is any means of
exchanging information or feelings
between two or more individuals.
• Basic component of human relationships,
including nursing
• Intended to elicit a response
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Modes of Communication
• Generally carried out in two modes
Verbal
Nonverbal
• Electronic communication
Know when appropriate, not appropriate to
use e-mail to communicate with clients
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Verbal Communication
• Pace and intonation
• Simplicity
• Clarity and brevity
Congruence
•
•
•
•
Timing and relevance
Adaptability
Credibility
Humor
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Nonverbal Communication
• Body language
Gestures, movements, use of touch
• Essential skills: observation, interpretation
Personal appearance
Posture and gait
Facial expression
Gestures
• Cultural component
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Electronic Communication
• Advantages
Fast
Efficient
Legible
Improves communication, continuity of
care
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Electronic Communication, continued
• Disadvantages
Client confidentiality risk
HIPAA
Socioeconomics
• When not to use e-mail
Urgent information
• Jeopardy to client's health
Highly confidential information
Abnormal lab data
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Electronic Communication, continued
• Other guidelines
Agency-specific standards and guidelines
Consent of client
Identify as confidential
Part of medical record
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Written Communication
• Does not convey nonverbal cues
• Characteristics of effective written
communication
Appropriate language and terminology
Correct grammar, spelling, punctuation
Logical organization
Appropriate use and citation of resources
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Development
• Language and communication skills
develop through stages
• Communication techniques vary with
stage
Infants and toddlers: use touch
Older children: pictures as adjunct to words
Adolescents and adults: verbal
communication
Older adults: adjust methods to physical
changes of aging
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Personal Space
• Defined as distance people prefer in
interactions with others
• Proxemics
Intimate distance frequently used by
nurses
Personal distance less overwhelming
Social distance increased eye contact
• Out of reach for touch
Public distance
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Territoriality
• Space and things individual considers as
belonging to self
• May be marked off in a visible way
Curtains around bed unit
Walls of private room
• Removing chair to use at another bed may
be seen as invading territory
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Environment
• Can facilitate effective communication
• Key factors
Comfort
Privacy
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Congruence
• Congruent communication
Verbal and nonverbal aspects match
Seen by nurse and clients
• Incongruence
Sender's true meaning in body language
• Improving nonverbal communication
Relax; use gestures judiciously
Practice; get feedback on nonverbal
communication skills from coworkers
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Interpersonal Attitudes
• Attitudes convey
beliefs, thoughts,
feelings
• Caring, warmth,
respect, acceptance
Facilitate
communication
• Condescension, lack
of interest, coldness
Inhibit
communication
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• Effective nursing
communication
Significantly related
to client satisfaction
• Respect, civility
important
Avoid elderspeak
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Barriers to Communication
• Stereotyping
• Agreeing and
disagreeing
• Being defensive
• Challenging
• Probing
• Testing
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• Rejecting
• Changing topics
• Unwarranted
reassurance
• Passing judgment
• Giving common
advice
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Types of Communicators
• Aggressive
Focus on own needs
Recipient may see as attack
• Passive
Focus on needs of others
• Assertive
Declare and affirm opinions
Respect rights of others
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Assertive Communication
• Direct, nonconfrontational
• Characteristics of assertive communicators
Freedom to express oneself, awareness of
one's rights self-control over strong
emotions
Able to receive feedback with willingness to
consider both positive, negative
perspectives
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Benefits of Assertive
Communication
•
•
•
•
•
Improves communication
Reduces stress
De-escalates conflict
Improves outcomes
Reduces likelihood of angry encounters
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Techniques for Assertive
Communication
•
•
•
•
•
"I" statements
Fogging
Negative assertion
Repetition
Confidence
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Volume Two, Second Edition
• Managing
nonverbal
communication
• Thinking before
speaking
• Avoiding
apologizing
whenever possible
• Performing a
postconversation
evaluation
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Assessment
• Determine communication barriers
• Language deficits
• Sensory deficits
Look for medical alert bracelet
Hearing aid
Reading lips
Sign language
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Assessment, continued
• Cognitive impairments
CVD, Alzheimer disease, brain tumor/injury
Medications
Observe fluency of speech, word choice
Observe whether client can follow written
directions, read aloud
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Assessment, continued
• Structural deficits
Cleft palate
Artificial airways
Extreme dyspnea
• Verbal
communication
Content, themes,
verbalized emotions
Pattern, vocabulary
Verbalized emotion
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• Paralysis
Blink, nod, shrug,
point
• Style of
communication
Psychological
illnesses
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Diagnosis
•
•
•
•
•
•
Impaired Verbal Communication
Anxiety
Powerlessness
Situational Low Self-Esteem
Social Isolation
Impaired Social Interaction
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Planning
• Establish an effective means for the client
to communicate needs
• Maximize the client's ability to perceive
messages accurately
• Obtain resources as needed to optimize
the client's ability to communicate
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Implementation: Manipulate the
Environment
• Quiet, limited distractions
• Sufficient light
• Acknowledge and praise attempts
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Implementation: Provide Support
• Convey
encouragement
• Let client know if
you don't
understand
• Open-ended
questions
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Implementation: Employ Measures
to Enhance Communication
• Determine how client can best receive
messages
Listening, looking, touching
Through interpreter
• Enhance communication with individuals
who are hard of hearing
Recognize, compensate for client's hearing
problems
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Implementation: Avoid Potential
Cultural Barriers to Communication
• Avoid slang, buzz words, medical
terminology
• Speak clearly, directly, at a normal pace
Avoid speaking too slowly
• Select gestures with care
Meanings not universal
Smiling, eye contact in other cultures
Greetings
• Use interpreters when necessary
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Implementation: Educate the
Client and Support People
• Prepare clients, support people in advance
when anticipating communication
problems
Procedures that obstruct the throat, mouth
Practice beforehand
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Evaluation
• Client
Communicates
needs being met
Begins to establish
a method of
communication
Perceives the
message accurately
Communicates
effectively
Nursing: A Concept-Based Approach to Learning
Volume Two, Second Edition
Regains maximum
communication
abilities
Expresses minimum
fear, anxiety,
frustration
Uses resources
appropriately
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Nursing Practice
• Communication is a dynamic process used
to:
Gather assessment data
Teach
Persuade
Collaborate with other healthcare
professionals
Advocate for clients
Express caring
Provide comfort
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Exemplar 38.1
Groups and Group
Communication
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Levels of Group Formality
• Formal
Rigidity of purpose, rules
Managers a symbol of power, authority
• Semiformal
Prestige, status often accrued from
membership
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Levels of Group Formality, continued
• Informal
Not bound by any set of rules, regulations
Ideal testing ground for leadership
techniques
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Characteristics of Effective Groups
• Group must achieve three main functions
Accomplish goals
Maintain cohesion
Develop and modify structure to improve
effectiveness
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Group Communications
• Group dynamics
How group functions, communicates, sets
goals, achieves objectives
Commitment
Decision-making methods
• Brainstorming
• Nominal group technique
• Delphi technique
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Group Communications, continued
• Group dynamics
Member behavior
Cohesiveness
Power
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Group Communications, continued
• Group problems
Monopolizing
Groupthink
Scapegoating
Silence and apathy
Transference and countertransference
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Healthcare Groups
•
•
•
•
•
•
•
Committees or teams
Task forces
Teaching groups
Self-help groups
Self-awareness/growth groups
Therapy groups
Work-related social support groups
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Exemplar 38.2
Therapeutic Communication
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Overview
• Interactive process between nurse, client
• Integral part of therapeutic relationship
• Helps client
Overcome temporary stress
Get along with other people
Adjust to the unalterable
Overcome psychological blocks
• Nurse responds to content, feelings,
nonverbal cues
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Therapeutic Communication
Techniques
• Embrace techniques
• Adapt to each situation to improve
communication with clients
• Use a holistic approach to communicating
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Physical Attending
•
•
•
•
•
Face the person squarely
Adopt an open posture
Lean toward the person
Maintain good eye contact
Try to be relatively relaxed
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Techniques
•
•
•
•
•
•
•
•
•
Active Listening
Sharing Observations
Sharing Humor
Using Touch
Using Silence
Providing Information
Clarifying
Focusing
Self-Disclosure
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• Table 38-1
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Common Mistakes
•
•
•
•
•
Giving advice
Minimizing or discounting feelings
Deflecting
Interrogating
Sparring
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Barriers to Communication
• Failure to listen
• Improperly decoding intended message
• Placing the nurse's needs above client's
Nursing: A Concept-Based Approach to Learning
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Communication Examples
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The Therapeutic Relationship
• Growth-facilitating process
Help client manage problems in living
• More effectively
• Develop unused, underused opportunities
fully
Help client become better at helping self
• May develop over weeks or within minutes
• Influenced by nurse and client
Personal and professional characteristics
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Characteristics of a Therapeutic
Relationship
• Intellectual and emotional bond
Focused on client
•
•
•
•
Respects client as individual
Respects client confidentiality
Focuses on client's well-being
Based on mutual trust, respect,
acceptance
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Nurse-Patient Relationship
1. Preinteraction phase: preparing
2. Introductory or Orientation phase:
opening, clarifying, structuring
3. Working phase: facilitating, taking
actions
4. Termination phase: closure
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Developing Therapeutic
Relationships
• Set mutual goals with client
• Many ways of helping do not require
training
Listen actively
Help identify the client's feelings
Be empathetic, honest, genuine, and
credible
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Communicating with Children and
Families, continued
• Establishing rapport with children
Sit or lower self to child's eye level
Show interest in what child is doing
If appropriate, agree with child/share
feelings
Compliment child
Use calm tone of voice, appropriate
language
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Communicating with Children and
Families, continued
• Establishing rapport with children
Pace discussion, procedure in nonhurried
manner
Explain concepts in terms child can
understand
Include adolescent in discussion
Listen more than you talk
Avoid distractions
Be truthful with the child
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Establishing Trust
• Follow through with promises
• Respect confidentiality
• Be truthful, even if it isn't what they want
to hear
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Conclusion
• Nurse's role requires communication skills
• Effective communication large role
Ability to deliver highest quality of care
• Nurse needs to be understood
• Nurse needs to understand messages
• Strong verbal, written communication
skills
• Monitor own nonverbal communication
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Exemplar 38.3
Documentation
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Overview
• Effective communication among
healthcare professionals vital to client care
Discussion
Report
Record
• Recording
• Charting
• Documenting
• Record is a legal document
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Ethical and Legal Considerations
• American Nurses Association Code of
Ethics
Access to client's record restricted
HIPAA regulations
Students bound by strict ethical code
Nursing: A Concept-Based Approach to Learning
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Ensuring Confidentiality of
Electronic Records
• Personal password
• Never leave terminal unattended logged
on
• Know policies of facility
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Purposes of Client Records
•
•
•
•
•
•
•
•
Communication
Planning care
Auditing health agencies
Research
Education
Reimbursement
Legal documentation
Healthcare analysis
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Documentation Systems
•
•
•
•
•
•
Source-oriented record
Problem-oriented medical record
Problems, interventions, evaluation (PIE)
Focus charting
Charting by exception (CBE)
Electronic documentation
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Nursing Care Plans
• JC requires clinical record include:
Evidence of client assessments
Nursing diagnoses and/or client needs
Nursing interventions
Client outcomes
Evidence of a current nursing care plan
• Traditional care plan written for each
client
• Standardized care plans save time
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Guidelines for Quality
Documentation and Reporting
•
•
•
•
•
Factual
Accurate
Complete
Current
Organized
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General Guidelines for Recording
• Date and time
• Timing
NO recording prior to providing care
• Legibility
• Permanence
• Accepted terminology
Approved by agency
Joint Commission DO NOT USE LIST
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General Guidelines for Recording,
continued
• Correct spelling
• Signature
Follow agency policy
• Accuracy
Client's name, identifying information
Observations and facts
Recording a mistake
• Draw line through it and write "mistaken
entry"
• Name or initials
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General Guidelines for Recording,
continued
• Sequence
• Appropriateness
• Completeness
Reflect nursing
process
Omitted care must
also be recorded.
• What, why, who
• Conciseness
Nursing: A Concept-Based Approach to Learning
Volume Two, Second Edition
• Legal prudence
Legal protection to
nurse, caregivers,
facility
• And client
Admissible in court
as legal document
Adhere to
professional
standards
Follow agency
policy and
procedures
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Do's and Don'ts of Documentation
• Do
Chart changes
Show follow-up
Read prior notes
Be timely
Objective, factual
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Volume Two, Second Edition
Correct errors
Chart teaching
Quotations from
client
Responses
Review notes
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Do's and Don'ts of Documentation,
continued
• Don't
Leave blank spaces
Chart in advance
Use vague terms
Chart for others
Use "patient" or "client" instead of name
Alter record
Record assumptions
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Reporting—38-4
• Hand-off report
Occurs with transfer of patient care
Provides continuity and individualized care
Reports are quick and efficient.
• Telephone reports and orders
Situation-background-assessment-recommendation
(SBAR)http://stonybrookmedicine.edu/patientcare/familyc
are/nursingvideo
Document every call
Read back
• Incident or occurrence reports
Used to document any event that is not consistent with
the routine operation of a health care unit or the routine
care of a patient
Follow agency policy
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