Download Communication - Bakersfield College

BAKERSFIELD COLLEGE
LICENSED VOCATIONAL NURSING PROGRAM
1ST SEMESTER FUNDAMENTALS
PROFESSIONAL STANDARDS IN NURSING PRACTICE
CHAPTER 24 - COMMUNICATION
INTRODUCTION
Effective communication skills are essential if a nurse expects to provide a high caliber of
client care. By using communication skills appropriately, a nurse can establish a
therapeutic relationship with a client that will assist that individual to acquire healthy
behaviors. Not only must the nurse be able to convey messages accurately, he/she must
be able to understand the client’s message.
OBJECTIVES
Upon completion of this unit, the student will be able to:
A.
Theory
1.
Define therapeutic communication.
2.
Identify characteristics of verbal and nonverbal communication.
3.
Describe the nurse-client relationship.
4.
Identify factors that influence communication.
5.
Define the phases of a therapeutic helping relationship.
6.
Give examples of helpful characteristics of therapeutic communication.
7.
State what is the most important part of communication.
8.
List and define non-helpful blocks to communication.
9.
Define territoriality.
10.
Describe skills that facilitate active listening.
11.
Describe the difference between sympathy and empathy.
B.
Laboratory
1.
Interview the client you are assigned to care for.
ASSIGNMENT
A.
B.
Read Chapter 24 - Potter & Perry – Critical Thinking Exercise #3 and Review
Questions & Study Guide for Chapter 24
Conduct a 5 minute observation or two people practicing therapeutic
communication and evaluate their effort.
 Chapter 24 Communication
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Communication and Nursing Practice
A lifelong learning process for nurses
An essential attribute of professional nursing practice
Builds relationships with clients, families, and multidisciplinary team members
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Communication and Interpersonal Relationships
The means to establish helping and healing relationships.
The ability to relate to others is important for interpersonal communication.
Developing communication skills requires both an understanding of the
communication process and of one’s own communication experience.
 Levels of Communication
 Basic Elements of the Communication Process
 Forms of Communication
 Verbal
 Vocabulary
 Denotative and connotative meaning
 Pacing
 Intonation
 Clarity and brevity
 Timing and relevance
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 Nonverbal Communication
Personal appearance
Posture and gait
Facial expressions
Eye contact
Gestures
Sounds
Territoriality and personal space
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Professional Nursing Relationships
Nurse-client helping relationships
Nurse-family relationships
Nurse-health team relationships
Nurse-community relationships
 Elements of Professional Communication
 Communication Within the Nursing Process
 Assessment
 Physical and emotional factors
 Developmental factors
 Sociocultural factors
 Gender
 Communication and Nursing Process
 Diagnosis
 Many clients experience difficulty with communication
• Lacking skills in attending, listening, responding, or
self- expression
• Inability to articulate, inappropriate verbalization
• Difficulty forming words
• Difficulty with comprehension
 Communication and Nursing Process
 Planning:
 Goals and outcomes:
• Specific and measurable
 Setting of priorities
 Continuity of care:
• Collaboration with other health care providers
Communication and Nursing Process
 Implementation:
 Therapeutic communication techniques
 Nontherapeutic communication techniques
 Adapting communication techniques
Communication and Nursing Process
 Evaluation:
 Nurses and clients need to determine whether the plan of care has been
successful.
 Nursing interventions are evaluated to determine which strategies or
interventions were effective.
 If expected outcomes are not met, the plan of care needs to be modified.