Therapeutic communication is how the nurse interacts with the client. The skills that the nurse uses are essential to helping the person, as well as the development of a positive nurse-patient relationship. It is important for the nurse to have good communication skills as the form the basis of every intervention. According to Stevenson these skills are essential. Another skill that nurses need to be able to perform is listening.
Communication is a ‘two way process which can be simultaneously simple and complex. In simple terms, the process consists of a ‘sender’ who transmits information to the receiver. ‘(Bach and Grant, 2011) It is a vital element needed for all health workers in order to avoid conveying inadvertent messages about their feelings, beliefs or assumptions. (Robertson, 2008.) All nurses need to have good communications skills so they can communicate with a wide range of people successfully.
Communication does not only mean being able to talk to the person, it also implies effective listening. According to Morrissey et al (2008), simply listening to the patient enables the individual to feel more comfortable with telling the nurse their mental health stories. A nurse can show their full capacity to communicate effectively with the service user by giving their complete attention to the individual through encouragement, like nodding and holding the client’s hand, if appropriate for the individual. It is essential that the nurse displays this sense of presence in their delivery of person-centred care as the client may feel uneasy in continuing with their story if they feel that the nurse has lost interest (Morrissey et al, 2008). Langewitz et al (1998, p.230) describes person-centred communication as “communication that invites and encourages the patient to participate and negotiate in decision-making regarding their own care”.
The nursing intervention classification also differentiates between two words that are direct and indirect intervention. Direct nursing intervention is defined as any type of treatment that is done through interaction with the patient. On the other hand indirect nursing intervention is defined as any action that is performed by the nurse away from the patient but on the latter’s behalf .As part of the implementation, there are a number of steps carried out some of them including counseling, teaching and direct care. In this through a well planned care plan that the nurse will be able to perform these steps effectively. There are also three types of nursing interventions; nurse initiated, dependent and interdependent.
Also, it is good practice to involve patient into decision-making as it empowers patients and helps radiographers to perceive things from the patient’s point of view. Communicating with patients is also important to preserve the patient’s dignity. Dignity is the maintenance of the patients’ self-respect through respecting their privacy and autonomy. Nonverbal communication: According to Burgoon et al. (1995), non-verbal communication is a form of communication where information is transmitted between
The importance of ethical education for nurses cannot be underestimated, although it is undervalued. The commitment to ethics in nursing education is at best uneven across programs. Some programs require a specific course (or more) in ethics ( Michael D, Dahnke PhD ). Ethics are very important in the practice of nursing, to make sure the treatment of patients is in the right way. (Macciocchi French, Bush, 2009) The relationship between health care worker and patient must be characterized by privacy, linked to the patient 's need to ease the suffering of quickly.
Delegating tasks can help patients get the appropriate care in a timely manner. Whereas the assistant can easily grab vitals and help with ADL’s and the LPN can give medication. This allows the RN to fully assess patients, allows for teaching, and the other activities not able to be delegated. RN’s are ultimately responsible for the tasks they delegate. Although the LPN or assistant have to competent in their skills to agree to take on the delegated task.
Psychology can be used to help nurses to understand the patient, and understand how they are feeling and also as a nurse, you can be able to understand the patient physically, emotionally, etc… Psychology plays a major role in nursing. For a nurse to be in the nursing field they have to be able to understand how a patient thinks, feels, and understands. Psychology refers to human activities including education, events, employment, association, relationship and treatment of mental health difficulties. Everything we perform is much related to psychology. Basically psychology studies who and what we are, why we are like that, why we act and think like that and what we could be as a person and it’s a nurse job to find out all of this from the patient.
This type of strategy helps to keep the patient accountable, and as nurses, it is our responsibility to encourage the patients to follow and maintain certain standard to ensure they are compliant to their recovery model. Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice.
Through effective engagement with the patient it can instil a sense of connection and in turn the patient will actively participate throughout the interview. Effectively engaging is ultimately the foundation for motivational interviewing. In order for patients to feel connected and comfortable, nurses must be open minded, compassionate as well as providing reassurance in order to create relaxed environment for patients to voice both positive and negative feelings in relation to behavioural change (Resnicow, K & Blackburn. D