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Concept Analysis Diagram - Communication Nursing Practice Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome. Attributes Defining characteristics of the concept What property, quality, or data must be present for the concept to exist Antecedents What precedes the concept for it to exist Events or incidents that must happen before the concept Consequences Untoward events or outcomes that occur due to malfunction within the concept Positive events or outcomes that occur due to proper functioning within the concept Interrelated Concept Concepts which can affect change in the other Concepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the other Sub-Concept Critical components of major concept Nursing Practice Attributes Encoding & Decoding of Messages Safety Comfort Teamwork and Collaboration Coping Professionalism Interrelated Concepts Interpersonal Relationships Mood & Affect Antecedents Cognition Intact Nervous System Intact Interpretation Perceptions Human Development Communication The process of interaction between people where symbols are used to create, exchange, and interpret messages about ideas, emotions and mind-states. (G) PatientCentered Care Consequences (Outcomes) Frustration Anger Negative Patient Advocacy Process Sub Concepts Patient Satisfaction Four Levels of Communication Positive Miscommunication Improved Outcomes Verbal, Nonverbal, Meta-communication Documentation Nontherapeutic Response by Nurse Reporting Patient Education Shared Meaning 27 © 2015, Texas CBC Consortium. All Rights Reserved. Revised 6.15 Safety Issues Concept Analysis Diagram - Communication Explanation of Communication Diagram: Communication is the process of interaction between people where symbols are used to create, exchange, and interpret messages about ideas, emotions and mind-states. In order for communication to occur the following antecedents must be present: cognition, intact nervous system, intact interpretation and perceptions. The attributes, encoding and decoding of the message, must occur for the communication concept to exist. The sub-concepts or critical components of communication include process, four levels of communication, verbal, non verbal, métacommunication, and documentation. Interrelated concepts can affect change in the communication process and vice versa. The concepts that work together to ensure a normal process or if impaired can cause a negative consequence include: teamwork/collaboration, comfort, professionalism, interpersonal relationships, mood and affect, and patient-centered care. Positive outcomes or consequences of communication include patient satisfaction, advocacy, education, improved outcomes, and shared meaning. Negative outcomes or consequences include anger and frustration of the patient, nontherapeutic response by nurse, and miscommunication, which can lead to a safety issue. When nursing interventions are required, they are focused on enhancing antecedents to allow for optimal measurement of attributes resulting in positive consequences. 28 © 2015, Texas CBC Consortium. All Rights Reserved. Revised 6.15