NR 222 Chamberlain College of Nursing

NR 222 Chamberlain College of Nursing

Latest 2023 / 2024

Make sure we’re not unconsciously biased • Evaluate our own values

Therapeutic communication • Purposeful use of communication • Build+ maintain helping relationships with patients, families, significant others • Purpose to our conversation • Patient-centered/ planned/ goal directed • Factors

• Rapport

▪ Harmony + affinity between people in relationships

• Empathy

▪ Understand another’s feeling without losing personal identity + perspective

• Trust
• Reliance on pt to carry out responsibilities + prmises
• Proxemics

▪ Personal space

▪ Intimate: 0-1.5 ft

▪ Personal: 1.5-4 ft

▪ Social: 4-12 ft

▪ Public: 12 – 25< ft

• techniques

• active listening
• sharing
• touch
• silence
• clarifying
• reflecting
• focus
• paraphrase
• summarize
• humor 1 / 3

health promotion/ sensitivity to each pt. goals + values • goals to have pt adopt health promoting behaviors

• info not enough

therapeutic effectiveness • self-awareness + self-reflection • openness • self-confidence + strength • genuineness • concern for individual • respect for individual • knowledge • ability to empathize • sensitivity • acceptance • creativity • ability to focus + confront

Emotional/ spiritual/ physical care • Listening

• Shows pt you care
• Get info

• Silence

• Nonverbal response

• Open ended questions • Listen/ silence/ touch/ convey acceptance

Health people 2020 • Improve health literacy

• Health promotion requires effective communication
• Read, comprehend, + follow through on health info.

Values clarification • Method discovering 1’s values + importance of these values 2 / 3

• Own values + biases • Helps people recognize what values they hold + evaluate how those values influence their actions • Pt values lead to behaviors that conflict with RN value of promoting health

• Ethical dilemmas
• RN examine conflicting values
• Possible outcomes to promote health interventions

Steps in self-awareness • Listening to oneself

• Self-concept

▪ Mental picture of self

• Self-esteem

▪ How people feel about way they see themself

• Judgement + attitudes about self

• Listening to + learning from others

• feedback

• Self-disclosure

• Share aspects of self
• Disclosure in 1 triggers disclosure in another

• Practical reflection

• Understand 1’s own thoughts + actions to take action in future

• Need self awareness + clarifications of values

• Therapeutic use of self impaired

Relationship stages • Orientation/ introductory phase/ RN + pt meet

• RN structure interaction
• Establishing a connection

▪ Consistency ▪ Sensitive pacing of communication ▪ Active listening ▪ Conveying concern + warmth ▪ Pay attention to comfort + control • Working phase

• RN + pt work together to promote pt’s health

• Termination phase

• Ending relationship
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