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This article explores the peculiarities of emotional communication in nurse-patient interactions, focusing on interpersonal skills, appropriate physical environment, empathy, respect, and ethics. It emphasizes the importance of language, non-verbal communication, establishing boundaries, and effectively closing the interview. The article also highlights the need for clinicians to recognize and respond to patients' emotional responses to their disease.
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Peculiarities Of Emotional Communication In Bachelor Practice
Nurse-patient interpersonal skills • Appropriate physical environment • The need to establish an appropriate physical environment to enhance privacy and attentiveness. Small things like arranging seating in a manner which neither threatening nor distant, or having a curtain to create a sense of privacy will in outcome of the interview.
Nurse-patient interpersonal skills • Greeting patients in a manner acceptable within the cultural norms in relation to age, sex. etc. will help maintain their dignity and encourage their participation. • Active listening involves using both verbal and non-verbal communication techniques. The nurse should clearly signal that the patient has his/her full attention by look, by offering acceptance and continuation signals such as nods, phrases such as “right”/”I see” etc. A willingness to listen actively is however best signaled by use of open questions to promote fuller answer.
Empathy, respect, interest, warmth and support • These issues are at the heart of interpersonal skills. They cannot easily be faked, and if nurse do not have them, they cannot easily be taught things to do by way of them. Success in this area is not a matter of skills but of attitude. • However, health practitioners should clearly signal their interest in how the patient’s problem is perceived, whether it concerns them, what their hopes and expectations are.
Empathy, respect, interest, warmth and support • Nurse should ask questions to discover patient perception “Does the thought of the operation worry you?”. • The nurse should also learn to show respect, interest, warmth and support. This will also involve being non-judgmental in attitude. • THESE ARE THE CORE FACTORS IN RAPPORT BUILDING.
Ethics • Ethics are rules for behavior, based on beliefs abouthow things should be. Ethical statements involve: • 1) assumptionsabout humans and their capacities; • 2) logicalrules extending from these assumptions; • 3) notionsof what is good and desirable. • Ethical systems (sets of rules for acceptable behavior)concern the “shoulds” and “should nots” of life, the principlesand values on which human relations are based.
The assessment of whether a behavior is ethical • The assessment of whether a behavior is ethical is dividedinto four categories, or domains: consequences, actions,character, and motive. • In the domain of consequences,a behavior is determined to be “right” or“wrong” based on the results of the action, whereas thedomain of actions looks only at the act itself. • The domainof character looks at whether a person’s overall characteris ethical; a person who is deemed as “virtuous” has consistentlyethical behavior. • The motive domain evaluates aperson’s intentions, regardless of the consequences.
Language • Avoid medical jargon. You should consider the educational cultural and developmental level of the patient e.g., “ You have got appendicitis” is appropriate for most adults but not young children etc),. It is also important for nurses to monitor their use of potentially frightening words “Cancer”/”lump” etc. • Non-verbal communication • Skills in non-verbal communication like eye contact, physical proximity, and facial expression need to be improved to enhance patient’s satisfaction and adherence to treatment. This should convey to the patient that the Health practitioner is attentive and interested.
Avoid Overreacting • Some patients may appear demanding, dependent or even at times, adversarial. It is the physician's responsibility to not overreact to these situations. • This can be achieved by establishing limitations (boundaries) on what can be provided and suggesting appropriate ways for the patients to contact them.
Establishing Boundaries • Frequent phone calls, unscheduled visits, and unrealistic expectations, are ways in which some patients lose perspective of the shared responsibility of their care. • Nurses need to establish boundaries for patients in a way that doesn't belittle them.
Closing the interview • In addition to the skills of setting up, beginning and continuing an interview, the way of closing the interview is also important. The nurse should clearly signal that the interview is drawing to a close, usually by summarizing what has been said and what has been negotiated. • Basic to interpersonal skills is to consider the importance of such factors as gender, cultural and socioeconomic factors, which could greatly affect perceptions of norms and standards of appropriate communication.
Closing the interview • It is also essential for all practitioners to realize that what is needed is not only to know how to recognize a disease, but also how to recognize and to respond to a patient’semotional response to their disease. • In their interactions with patients, it is important for the clinicians to be aware of patients’ emotional responses to their situation and at the same -aware of their own emotional reactions toward the patients.
