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Student Nurse's Notes

Online reference for all student nurses and for those who will take the board exam.

Wednesday, June 17, 2009

Communication in Nursing

Modes of Communication:
Verbal- spoken or written words
Non Verbal - gesture, facial expressions, posture, gait, physical appearance

Characteristics of a Good Communiaction:
  1. Simplicity
  2. Clarity
  3. Timing and Relevance
  4. Adaptibility
  5. Credibility
Sender(encoder)--Message--Receiver(decoder)
l__Response(feedback)___l

Communication- basic component of human relationship and Nurse-client relationship
Non-verbal-is more accurate
-variety of feelings that can be expressed by a single non- verbal expression
-in assessing non verbal behaviors, cultural influences must be considered.
Reciprocal Interaction -EFFECTIVE COMMUNICATION
-this is a two way process
-it is based on trust and aimed at identifying clients needs and developing mutual goalss
Trust- positive nursing patient relationship
Covert- inner feelings, uncomfortable to talk about and maybe revealed through non-verbal modes
Validation- attempt to confirm the observers' perceptions through feedback,interpretation and classification

Therapeutic Communication-fundamental component in all phases of Nursing process
  1. attentive listening
  2. paraphrasing or restating
  3. clarifying
  4. using open ended questions
  5. focusing
  6. being specific
  7. using touch and silence
  8. offering self
  9. clarifying reality,time,sequence
  10. acknowleding
  11. providing general leads
  12. giving informations
  13. summarizing
Block Communication:
  1. unwarranted reassurance
  2. agreeing/disagreeing
  3. giving common advice
  4. stereotyping
  5. being defensive
  6. posing judgement
  7. challenging
  8. probing
  9. testing
  10. rejecting
  11. changing topics/subjects
Effective Nurse Client Relationship
This is a helping relationship which is growth facilitating and provides support and comfort.

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