Flashcards in Comm Ch 3 Deck (64):
The reciprocal process in which messages are sent and received between people
The person conveying the message
The individual or individuals to whom the message is conveyed
One way communication
The sender is in control and expects and gets very little response from the receiver
Two way communication
Requires that both the sender and the receiver participate in the interaction
Involves the use of spoken or written words or symbols
Connotative meaning (of a word)
Is subjective and reflects the individuals perception or interpretation
Refers to the commonly accepted definition of a particular work
Commonplace "language" or terminology unique to people in a particular work setting, such as a hospital, or to a specific type of work, such as nursing
Messages transmitted without the use of words (either oral or written)
Aspects of the voice affect nonverbal messages, among them tone and volume and the rate of speech
Communicate an intention to interact
The person who maintains eye contact for 2-6 seconds during interaction helps involve the other person in what is said without being threatening or intimidating
Longer then 6 sec is extended
Size, color of skin, dress, grooming, body carriage, age, sex
A professional appearance conveys pride and competence
Movement people use to emphasize the idea they are attempting to communicate
Distinct movements of hands, head, body
Relaxed stance, facing receiver, uncrossed arms and legs, slight shift toward receiver, direct eye contact, smile
Formal, distant stance, arms and possibly legs tightly crossed
The way that an individual sits, stands, and moves
Has the potential to convey warmth and acceptance or distance and disinterest
Consistency of verbal and nonverbal communication
If nonverbal communication is the consistent with verbal comm, non verbal is likely to be received and cause miscommunication
Styles of communication
The manner, or style in which a message is communicated will greatly affect the mood and the overall outcome of an interaction
Your ability to confidently and comfortably express thoughts and feelings while still respecting the legitimate rights of the patient
Style that takes into account the feelings and needs of the patient
An assertive nurse: (8)
- appears self confident and composed
- maintains eye contact
- uses clear, concise speech
- speaks firmly and positively
- speaks genuinely, without sarcasm
- takes initiative to guide situations
- gives the same message verbally and nonverbally
When you interact with another in an overpowering and forceful manner to meet your own personal needs at the expense of the other
Nurse agrees to do what the patient requests even though doing so will create additional problems for the nurse.
Sacrifices your legitimate personal rights to the needs of the patient
There's a price to pay: resentment
Therapeutic nurse- patient interaction
The nurse demonstrates caring, sincerity, empathy, and trustworthiness
Trust is essential to effective nurse- patient interaction
Maintain professional boundaries
Exchange of info that facilitates the formation of a positive nurse- patient relationship and actively involved the patient in all areas of her or his care
Usually blocks the development of a trusting and therapeutic relationship
Most effective and most difficult
Requires full attention to what the patient is saying.
you hear the message
interpret the meaning
and give the patient feedback
You indicate that you were listening to what the patient is saying either nonverbally through eye contact and nodding or verbally through encouraging phrases such as uh- huh and I see
It is not possible for the patient to be sure that you have accurately received or understood the message
requires skill and timing
allows you to observe the patient's nonverbal messages
Use it with great discretion to fit into social cultural norms and guidelines the nature of your touch is sincere and genuine
Willingness to listen and respond to what the patient is saying without passing judgment
Subtle therapeutic technique that communicates to the patient that you are interested and want to hear more involved nonverbal cues such as maintaining appropriate eye contact and nodding occasionally and verbal comments such as yes go on to encourage the patient to continue
Focused and seeks a particular answer
Open ended questions
Allows patient to elaborate freely
useful in assessing feelings patients thoughts without influencing the response
Let's the patient know if the nurse heard what she said encourages the patient to offer additional information
You repeat to the patient what you believe the main point that the patient was trying to convey
The restatement of the patients message in your own words to verify that your duplication of the messages correct
Allows the patient to verify that the message received is accurate particularly useful when the message is ambiguous or not easily understood
Allows the nurse to gather more specific information when the patients message is too vague focuses on specific data
Like restating by involves inner feelings and thoughts more than facts
used to assist patients to explore their own feelings
Promote independent decision-making allows the patient to see that her his ideas and thoughts are important
Communicating your observations to the patient is called stating observations and is often useful and validated the accuracy of your observation
Allows for clarification of the intended message when verbal cues did not match nonverbal cues allows for more accurate interpretation of patient concern
Preparing a patient for what to expect before during and after an invasive diagnostic procedure,
make the interaction go in both directions
Useful for patient teaching promotes inform decision-making
Review of the main points covered in an interaction
focuses on key issues and allows for additional information that was perhaps omitted
particularly useful when interaction have been lengthy or has covered several topics
Use of humor
Laughter provides a psychological and physical release
Enhance feeling of well-being reduce Anxiety and encourage a sense of hope
Posturing and positioning
Your most therapeutic posture and positioning is the same position and level as the patient was close to it as possible
Intangible personal space maintaining the distance between ourselves and others necessary to keep this comfort zone inviolated protects us against feeling of personal threat or intimidation
From touching us to 18 inches away
Comprises the area from 18 inches to 4 feet away from a person
4 to 12 feet
12 ft or more
Make every attempt to provide a calm relaxed atmosphere for the interaction another key aspect of the environment is privacy
Level of trust
A trusting relationship is essential to affective nurse patient interaction
Make every attempt to find an interpreter
Nursing is concerned with holistic care of the patient
culture is significant component of a patient's psychosocial well-being
Age and gender
The effects of age and gender on communication are largely influenced by cultural or social little believes and attitudes.
A significant age difference between you and the patient will in some cases raise a barrier of communication .
male and female patterns of communication are often closely related to cultural , familial, and lifestyle patterns developed over a lifetime
Physiological factors (3 ex and what they effect)
There are many physiological factors in the patient experience that interfere with effective communication.
Ex:/ pain, altered cognition, impaired hearing
Psychosocial factors (2)
Nursing interventions for patients with impaired verbal communication (15)
1) determine language spoken
2) listen carefully
3) anticipate patients needs.
4) Use simple communication.
5) Maintain eye contact.
6) Use touch as appropriate.
7) Spent time with the patient.
8) Explain all healthcare procedures.
9) Determine the patient's literacy status.
10) Obtain communication equipment.
11) Alternative method of communication.
12) Environment quiet when communicating.
13) Give praise for progress noted ignore mistakes and watch for frustration or fatigue.
14) Never raise your voice.
15) Be persistent and deciphering what the patient is sAying, and do not pretend to understand then the message is unclear
A valuable tool.
Includes alphabet, commonly used phrases, pictures, or a combination of all three
If the patient is unable to move well enough to point
Ex: blink once for yes and blink twice for no
In which they are unable to send the desired verbal message
The inability to recognize or interpret the verbal messages being received
Assume that all sound and verbal stimuli have a potential being heard by the patient