Relational Practice Flashcards
What is relational practice?*
Refers to interpersonal communication skills, as well as the means of building and sustaining health promoting relationships with clients, families, colleagues, and others
What are the 10 relational practice competencies?*
- Authenticity
- Active listening
- Self-awareness
- Empathy
- Rapport
- Trust
- Self-disclosure & confidentiality
- Mutuality & intentionality
- Honoring complexity & ambiguity
- Reflective practice
Define authenticity and active listening*
Authenticity - true to yourself, actively present and genuine in how you communicate and interact with patients
Active listening - being present both physically emotionally, listening to both verbal and nonverbal, and creating a safe space
Define self-awareness and empathy*
Self-awareness - meeting the needs of the client rather than your own needs; developed through self-reflection
Empathy - ability to emotionally and cognitively understand and communicate the experiences and feelings from another’s point of view
Define rapport and trust*
Rapport - development of trust and understanding within the nurse-client relationship
Trust - evolutionary process and attitude in which an individual relies with confidence on another
Define self-disclosure & confidentiality and mutuality & intentionality*
Self-disclosure & confidentiality - disclosure for the purpose of enhancing the therapeutic outcome for the client; safeguarding information and not sharing without consent
Mutuality & intentionality - finding common ground, a shared sense of understanding; actively choosing to care, ideally motivated by intrinsic desire to improve client’s experience and outcomes
Define honouring complexity & ambiguity and reflective practice*
Honoring complexity & ambiguity - continually assess, adapt, evaluate, and revise understanding of the client’s lived experience
Reflective practice - process of mentally reviewing, analyzing, and comprehending events, situations, or actions and their meaning
What are the four phases of a therapeutic relationship? Describe each*
- Pre-orientation phase - prior to meeting the client; may receive shift report, review client chart or other documents
- Orientation - self-awareness, first impression, building trust, consent, and expectations
- Working phase - collaboration with client toward established goals
- Termination phase
List the 7 components that improve/enhance therapeutic communication and describe each*
- open-ended questions - Can you describe ___ ?
- clarification - When you said ___, did you mean?
- probing - asking further questions to gain more detail
- paraphrasing - Is it fair to say ___?
- sharing observations - I see you’re sweating. Are you comfortable?
- silence
- summarizing - In summary ___
What 7 components hinder or are representations of non-therapeutic communication?*
- Giving advice
- Close-ended or leading questions
- Changing the subject
- Automatic responses (false reassurance or cliche sympathy)
- Expressing approval or disapproval
- Belittling feelings
- Defensive responses
Define fitness to practice*
All the qualities and capabilities of an
individual relevant to his or her capability to
practice as a nurse, including freedom from
any cognitive, physical, psychological, or
emotional condition or a dependence on
alcohol or drugs, that impair his or her
ability to practice nursing.