Therapeutic Communication and Group Dynamics

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Recommended: Patient clinician communication

In regards to therapeutic communication and group dynamics, I feel that I have an interesting perspective. I function as a telephone triage nurse taking after hours calls for physicians, as well as answering health advice questions for community callers. My current workplace is such that as nurses, we work autonomously while on shift. For the most part, our coworkers at the time of our shift are actually the doctors on call. However, in order for the dynamics of our departments to work most effectively, we must work together as a team. I have made observations regarding the dynamics of our team over the last several years in this unique position. I have found that those nurses who are willing to put aside their own agenda, for the good of the team, serve to improve our departments function. There are many tasks that we are charged with doing that are not of the typical "nursing" tasks. Such as mailing materials to the community, or assisting the community with scheduling of classes and or patient appointments. When nurses who work in our department have a negative attitude toward tasks at hand and do not take these tasks as seriously as the calls with the patients, there can be a breakdown of the system.
I have however, noted therapeutic communication and group dynamics that is a positive aspect of working in this manner. For instance, my boss is not a nurse. She is a customer service representative who manages several departments within the health system. This is the first nursing job I have had in which my manager is not also a nurse. I feel that this has been an advantage in this type of environment. Unfortunately, in previous workplace environments it seems as if the nurse managers are not as effective in terms of being...

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...ship is a way for nurses to serve God through our presents and mindful care of patients (O’Brien, 2011).

References
Jacobs, E. E., Masson, R. L., & Harvill, R. L. (2012). Group counseling: Strategies and skills (7th ed.). Sudbury, MA. Jones & Bartlett.
Klatt, M., Buckworth, J., & Malarkey, W. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior, 36(3), 601-614. doi:10.1177/1090198108317627
O’Brien, M. (2011). Spirituality in nursing: Standing on holy ground. (4th ed.). Sudbury, MA. Jones & Bartlett.
Poulin, P., Mackenzie, C., Soloway, G., & Karayolas, E. (2008). Mindfulness training as an evidenced-based approach to reducing stress and promoting well-being among human services professionals. International Journal of Health Promotion & Education, 46(2), 72-80. doi: 10.1080/14635240.2008.10708132

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