Scholarly Paper: Communication and Therapeutic Nurse-Patient Relationship | Sa Rah Sheen
This article focuses on the concept of "Therapeutic communication". it also tries to communication they should establish a relationship, identify the patients' worries key words: therapeutic communication, (non) verbal, doctor, nurse, patient. A home health nurse established a nurse-patient relationship while providing care This article reviews this case in depth along with the legal and ethical. Scholarly Paper: Communication and Therapeutic Nurse-Patient Relationship. Abstract. Communication is one of the essential factors to maintain a good quality .
According to cultural and religious beliefs in Iran, touching and gazing are inconsistent with the principles of the society Anoosheh et al. Similar to many Asian cultures, speaking about sexual problems is also considered impolite Im et al. Given the aforementioned principles, the number of male nursing students should increase considering the shortage of male nurses in hospital wards.
In another study, differences in age and social class were included as communication barriers Anoosheh et al. However, according to a study by Baraz, age differences had no negative impact on nurse-patient relationship Baraz et al. Generally, communicating with different age groups has its own challenges and complexities. Evaluation of the viewpoints of nurses and patients showed that among nurse-related barriers, being overworked, shortage of nurses, and lack of time were the most important barriers for the nurse group.
Nurse is considered the direct care provider and the smallest delay in care provision will be considered as medical negligence. Thus, given the direct relationship between nurses and patients, the image created by nurses affects their being accepted as professional staff, and their role will be highlighted in establishing an effective communication Aghabarari et al.
In terms of environmental barriers, the presence of critically ill patients in the ward, the hectic environment of the hospital, and unsuitable environmental conditions are considered the main barriers in both groups. The findings of previous studies confirm the aforementioned results.
The shortage of nurses and the presence of critically ill patients in the ward cause a lot of stress for the patient and lead to decreased ability and motivation to communicate with other patients; on the other hand, medical environment conditions have great effects on the quantity and quality of communication Bartlett et al. Factors disturbing the communication process can be improper temperature, excessive noise, poor ventilation, and lack of respect for the privacy of the two sides of the relationship Mendes et al.
Thus, providing a safe and comfortable environment leads to psychological and physical comfort of the nurse and patient, and facilitates using communication skills and establishing an effective communication. One of the limitations of this study was the low number of male nurses.
Another limitation was lack of evaluation of cultural forces operating between patients and nurses, regardless of the country of origin or background in the hospitals active, passive, or power relationships.
Therapeutic relationship: Is it still heart of nursing? | Nursing Reports
It is recommended that future studies pay more attention to communication facilitators and divide the participants to male and female groups.
It is also suggested that religious and cultural beliefs as well as language barriers be more thoroughly evaluated in patients and nurses.
Conclusion The purpose of any system is to provide services with optimal quality and quantity, and health care systems are no exception. Thus, according to the results of this study and previous studies, the following measures will be considerably helpful in establishing an effective nurse-patient communication: The authors wish to express their sincere gratitude to the study participants without whom this study could not have been conducted. Unfortunately, the concept of privacy is pretty much unknown to the Greek hospital system.
Skilled nursing operations for the patients are made in chambers without screens or in hallways, in front of others. Patients and visitors of hospitals move without restriction in all the areas of the nursing and clinical departments. However, it is up to us to teach our colleagues and especially the new nurses and their patients setting the right example, in order for things to slowly change for the better Even more than the comfort of space, communication with the patient requires ample time.
Each patient has his own way and pace to reveal his problem, but it takes some time to get to know the nurses and feel the confidence necessary to face them. The patient should have the feeling that the time-whether it is five minutes or an hour-is entirely his.
The patient who has the undivided attention of the nurse reveals his problem sooner, with the satisfaction that the nurse has listened and observed him The language he uses for this purpose is very important. Often the patient is bombarded with big words with little or no significance for him Once again the nurse may be directed to the ill in an incomprehensible way. Patients that are ashamed of their ignorance or are hesitant, avoid seeking an explanation, and as a result the consultation is inadequate and does not lead to the right outcome for the patient.
The language of communication should therefore be at the level of the listener, who is not able to assess our scientific knowledge, but has to understand what we are telling him Another important requirement for proper and successful communication between nurses and patients is frankness and honesty. The discussion with the patient should leave no suspicions, doubts and misunderstandings.
Communication as already stated is bidirectional, but the nurse or other health professional is responsibility for its proper conduct. Moreover, depending on the psychosynthesis it can be more or less calm.
Communication in Nursing Practice
Reactions such as anger, disbelief, moaning, aggression and denial of reality are known defence mechanisms, which are recruited to help him adjust to the new situation he is facing 8 The angry patient usually does not have any previous personal differences with health professionals, although they are the direct recipients of his anger.
The latter should understand and accept these mechanisms which serve the underlying anxiety of the patient and to respond with information, awareness and readiness to provide all possible assistance Finally, people differ in their needs for communication. Some expect or require patient listening, without caring much about the answers.
Others want a specific explanation for everything that happens to them. These different needs should be treated accordingly by the nurses, who should be able to detect what each patient wants What of course in any case should be avoided by the caregivers is silence and indifference to the questions of the patient.
In the best cases, the patient will leave disappointed and in the worst really indignant with nurses 9. It is not only based on an innate ability that varies from person to person, but also on the necessary training and experience that one acquires during exercise The need also for education in communication has been recognized worldwide 6. The results of this will be to demonstrate greater understanding among patients with greater benefit to patients and personal satisfaction to nurses in the performance of nursing Good communication also improves the quality of care provided to patients, which is observed in the results.
Additionally, it is considered an inalienable right and a prerequisite for building a genuine and meaningful relationship between patients and nurses and other health professionals So in order for modern Nursing as a service to humans to realize the project, there is a need for dialogue and a good interpersonal climate that develops personally with each sick person, especially in our modern multicultural society.
The best expertise training and continuing education of nurses in matters relating to the proper technique of communication will enable them to respond adequately and humanely to the expectations of patients.
Nursing of man as a unique person Nosileftiki. Exploring contextual factors of the nurse-patient relationship: Talking with the patient: Medical Time Northwestern Greece.
Exploring communication skills training in undergraduate nurse education by means of a curriculum.
Communication in Nursing Practice
Wadsworth Publ Co; Improving Communication Skills Communication skills may be useful to overcome the barriers that inhibit nurses from building healthy patient-nurse relationship. According to Robinson and Watterscommunication skills can be attained and improved through practice. Effective therapeutic communication skills gather or transmit information successfully and promote healing and recovery of the patient.
Active listening is required since hearing without actually listening may cause a problem Jasmine, Listening allows nurses to gain essential information, to understand patients, and to provide better care. Egan suggested the proper body position that would help a person to effectively engage in conversation: In addition, communication should be taken in place with minimal distraction. For example, drawing curtains and moving a patient to a private counseling room would provide less distraction.
Encouragement can be done through using touch, humor, and tears. For the better therapeutic communication, open-ended questions can be used to assist the patient to discuss and clarify what he or she is thinking, concerning, and feeling.
Then, paraphrasing conversations helps nurses to repeat and reinterpret what has been said during communication Jones, The communicator needs to be assertive and responsive. The e-learning package used scenario based learning method. According to the authors, it is not only cost-effective, but also easily accessible.
Moreover, a nurse educator, clinical nurse specialist, and registered nurses contributed in expanding and developing the scenario to maximize its purpose. According to the authors, the e-learning package should be implemented and developed more since it had positive outcome, which delivers better care to patients and reduces stress. The scenario and problem based e-learning package could improve communication skills and difficult nurse-patient relationship because the nurse has more knowledge, skill, and confidence.
As a result, patients may receive optimal care from the nurse. Summary, Conclusion and next steps based on the literature. There are many barriers that disrupt therapeutic communication. Also, when my patient wants to discuss his or her concern, or if I notice something different with my patient, I will stop what I am doing, sit down, listen, and solve the problem with the patient.
Then, I will continuously evaluate the progress until the goal is achieved. How I artistically present myself and communicate with my patient could influence healing processes.
Based on the literatures I reviewed, I learned to practice and focus on communicating with patients and building therapeutic relationship with my patient.
Since communication assures healthy nurse-patient relationship and promotes healing process, I will focus on the whole person rather than disease or tasks.
I learned to use appropriate therapeutic communication techniques according to the situation. For example, making observation, asking opened question, offering self, encouraging, accepting, using silence, focusing, exploring, and so on can be used when my patient is having a difficult time or when I need to get to know about my patient.