Apply effective Apply effective Communication Skills in Communication Skills in Nursing PracticeNursing Practice

CommunicationCommunication

What does this mean to you?What does this mean to you?

Nursing QualitiesNursing Qualities

Energetic

Good team

Member

Respects others

Adaptable

Good Communicator

Caring

Sensitive

NURSE

DefinitionsDefinitions

the "sending, giving, or exchanging the "sending, giving, or exchanging information and ideas," which is information and ideas," which is often expressed nonverbally and often expressed nonverbally and verbally. verbally.

The exchange of thoughts, The exchange of thoughts, messages, or information, as by messages, or information, as by speech, signals, writing, or speech, signals, writing, or behaviour. behaviour.

Interpersonal rapport.Interpersonal rapport.

Therapeutic Therapeutic Communication Communication TechniquesTechniques

Convey respectConvey respect Encourage expression of viewsEncourage expression of views Demonstrate non-judgmental Demonstrate non-judgmental

attitudesattitudes Active listeningActive listening Reflecting, silence, summarizingReflecting, silence, summarizing Providing feedbackProviding feedback

Factors affecting Factors affecting communicationcommunication

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Factors affecting Factors affecting communicationcommunication Emotions - Psychological distress of Emotions - Psychological distress of

patientpatient Nurses self awarenessNurses self awareness Climate of environment - stressful, Climate of environment - stressful,

supportivesupportive Life threatening illness, Complex Life threatening illness, Complex

treatmenttreatment Physical disabilityPhysical disability Age, sex, cognitive level, culture, sightAge, sex, cognitive level, culture, sight

Identify constraints in Identify constraints in communicationcommunication Time managementTime management Barriers in communication – Barriers in communication –

interrupting, moralizing, false interrupting, moralizing, false reassurance, belittling, defensive, and reassurance, belittling, defensive, and advice givingadvice giving

Difficult situations – danger, trauma, Difficult situations – danger, trauma, and conflict and conflict

Emergency and crisis situationsEmergency and crisis situations Loss of controlLoss of control Isolation, fear, anxietyIsolation, fear, anxiety

Strategies used in Strategies used in CommunicationCommunicationDeaf patient:Deaf patient: Lip readingLip reading WrittenWritten InterpreterInterpreter

Children:Children: Use simple languageUse simple language Prepare environmentPrepare environment Have a comforter – toyHave a comforter – toy

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Strategies in Strategies in CommunicationCommunication Listen carefullyListen carefully Do not interrupt patientDo not interrupt patient Acknowledge concernsAcknowledge concerns Intrapersonal communication Intrapersonal communication Interpersonal communicationInterpersonal communication SilenceSilence Explore – attitudes/ perceptions/ Explore – attitudes/ perceptions/

values/ beliefsvalues/ beliefs Resolving internal conflict Resolving internal conflict

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Strategies used in Strategies used in CommunicationCommunication

Remain calmRemain calm Be clear, direct, honestBe clear, direct, honest Do not invade personal spaceDo not invade personal space Do not block the exit for patient and Do not block the exit for patient and

nursenurse Do not corner yourselfDo not corner yourself Compromise / collaborateCompromise / collaborate ContinueContinue

Strategies used in Strategies used in CommunicationCommunication

Transpersonal communication – Transpersonal communication – prayer/ meditationprayer/ meditation

Small group communicationSmall group communication DocumentationDocumentation Be aware of cultural differencesBe aware of cultural differences Technology – translations / researchTechnology – translations / research Provide feedbackProvide feedback

Talk to meTalk to me

http://www.youtube.com/watch?v=http://www.youtube.com/watch?v=Nipj7PwCjTc&feature=fvwNipj7PwCjTc&feature=fvw

A YouTube clip to view on A YouTube clip to view on communication with an ill patientcommunication with an ill patient