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is subjective and reflects the individual's perception or
interpretation.example: "stable" patient- up and running, bed ridden
from surgery
repeating to the patient what the nurse believes to be the main point
that the patient is trying to communicateexample: patient: i feel tired
and exhausted? . Nurse: tired?
restatement of the patient's message in the nurse's own wordsexample: I
cant focus. My mind keeps wandering. Nurse: you are having difficulty
concentrating?
when you take a relaxed stance with uncrossed arms and legs while facing the other individual- warmth and caring
messages transmitted without the use of words, either oral or written.
- includes and rate of voice, volume of speech, eye contact, physical
appearance, and use of touch.
focused and seeks a particular answer- "yes" or "no"" answerexample: how old are you? how many kids you have?
common place languageexample: UTI instead of urinary tract infection
- ideal communication technique- an exchange of information that
facilitates the formation of a positive nurse- patient relationship and
actively involves patient in all areas of the nursing process.
assists the patient to "reflect" on inner feelings and thoughts
unable to speak
distance between two or more individuals that must be maintained to guard against personal threat or intimidation
most effective method but also most difficult- conveys interest and caring
patient cannot send the desired message
requires the nurse's full attention to what the patient is saying.
patient cannot recognize or interpret the message being received.
- prevents the patient from becoming a mutual partner in the
relationship and may place the patient in a passive roleexample:
judgements, false reassurance, asking why
review of the main points covered in an interaction
the sender is in control and expects and gets very little response from the receiver.
ability to confidently and comfortably express thought and feelings
while still respecting the legitimate rights of the patient.
when you interact with another in an overpowering and forceful manner
to meet your own personal needs at the expense of the other.- neither
party benefits from such an interaction.
requires both the sender and the receiver participate in the interaction.
- Intimate zone - 0 to 18 inches- Personal zone - 18 inches to 4 feet -
Social zone - 4 to 12 feet- Public zone - 12 feet or more
- assertive communication- aggressive communication- unassertive communication
2 to 6 seconds
-takes into account the feelings and needs of the patient, yet honors
your right as an individual.- makes interactions more even sided and has
positive benefits for all involved.
- most underused- required skills and timing- can convey respect,
understanding, caring, support; often used with a touch.- gives you time
to look at non verbal responses.
movements people use to emphasize the idea they are attempting to communicate
- nurse should make this interaction two way- health teaching or answering the patient's questions
the way that an individual sits, stands, and moves.- has the potential
to convey warmth and acceptance or distance or disinterest
the nurse encourages the patient to select one topic over another as the primary focus of discussion
- closed questioning- open ended questioning- restating- paraphrasing- clarifying- focusing- reflecting
seeks to understand the patient's message by asking for more
information or for elaboration on a pointexample: Im not sure I follow.
Please explain further
sacrifices nurse's legitimate personal rights to meet the needs of the patient at the expense of feeling resentful
the person conveying the message
- therapeutic communication- non therapeutic communication
more formal, distant stance, generally with the arms, and possibly
legs, tightly crossed.- disinterest, coldness, non acceptance
does not require a specific answer; one work responseexample: which part of oregon did you visit?
individual or individuals to whom the message is conveyed.
- request for understanding - example: procedures, diagnosis, etc.-
request for information - example: clarification, new or additional
information- request for comfort - ex: pillows, positioning- request for
action - ex: glass of water, blanket
the reciprocal process in which messages are sent and received between people
you indicate that you are listening to what the patient is saying
either non verbally, through eye contact and nodding, saying "uh huh,
and i see"
involves the use of spoken or written words or symbols.
refers to the commonly accepted definition of a particular word.example: telephone- same meaning to everyone
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