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Communications. The Importance of Good Skills. Communications and Interpersonal Relationships. Vehicle for establishing a therapeutic relationship Means of influencing the behavior of another to lead to successful outcomes. Levels of Communication. Intrapersonal Interpersonal Transpersonal
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Communications The Importance of Good Skills
Communications and Interpersonal Relationships • Vehicle for establishing a therapeutic relationship • Means of influencing the behavior of another to lead to successful outcomes
Levels of Communication • Intrapersonal • Interpersonal • Transpersonal • Small groups • Public
Elements of Communication • Referent • Sender and receiver • Messages • Channels • Feedback • Variables of interpersonal communication • Environment
Forms of Communication • Verbal • Nonverbal • Symbolic • Metacommunication
Verbal Communication • Vocabulary • Indicated meaning ( by signs or symbols or implicated meaning • Timing/pacing • Tone of voice • Clarity/brevity • Relevance
Nonverbal Communication • Personal appearance • Posture • Expressions • Eye contact • Gestures • Personal space
Personal Space • Intimate zone: 0-18 in. • Personal zone: 18-4 feet • Social zone: 4-12 feet • Public zone: 12 feet and more
Professional Relationships • Nurse Client • Nurse family • Nurse healthcare team • Nurse community
Professional Communications • Courteous • Respect • Confidentiality and privacy • Trust • Autonomy and responsibility • Assertive
Communication in the Nursing Process • Assessment * Physical/emotional factors * Developmental factors * Sociocultural factors * Gender
Communication in the Nursing Process • Nursing Diagnosis • Impaired verbal communications • Anxiety • Social isolation • Ineffective coping • Powerlessness
Nursing Process cont. • Planning *Goals and outcomes *Priorities *Continuity of care
Nursing Process • Implementation Use of therapeutic communication techniques
Therapeutic Communication Techniques • Active listening: SOLER • Sharing observations • Sharing empathy • Sharing hope • Sharing humor • Sharing feelings
Techniques cont. • Touch • Silence • Providing information • Clarifying • Focusing • Paraphrasing
Techniques • Ask relevant questions • Summarize • Self-disclosure • Confronting issues in a professional and helpful manner
Nontherapeutic Communication Techniques • Personal questions • Personal opinions • Changing the subject • Automatic responses • False reassurances • Sympathy not empathy
Nontherapeutic • Asking for explanations • Giving judgments: approval or disapproval • Defensiveness • Arguing
The Nursing Process • Implementation Adapt communication techniques for clients with special needs I.e.. hearing impaired, stroke victims, clients with a tracheotomy
The Nursing Process • Evaluation Communication pattern Process recordings