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Chapter 3 communication skills
Communication and interpersonal skills
Effective communication skills
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The student nurse completed her behavioral health clinical at Prairie Care, a mental health facility that services the child and adolescent population in the greater Twin Cities area. The purpose of this journal is to reflect upon personal growth during this clinical rotation.
Self Analysis
From the start the student nurse had mixed emotions, the feelings were a combination of excitement and apprehension. The student nurse was excited about the opportunity for a real life learning experience, and at the same time felt apprehension when thinking of patients who could be hallucinating and possibly dangerous. Having taken a wide variety of coursework related to psychology the student nurse had basic knowledge on a wide range of mental health conditions, but lacked hands on experience working with these types of patients.
Patients on a
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When the nurse becomes an effective communicator this greatly increases positive patient outcomes as well as provides the nurse with professional satisfaction (Potter, Perry, Stockhart, & Hall, p. 309). Communication skills must be practiced intensely before they are integrated into a working therapeutic relationship. As with all new learning experiences, the student nurse at times felt awkward and at a loss for words when trying to implement therapeutic communication techniques. Therapeutic relationships are extremely important to the wellness of mentally ill patients and often times are challenging during hospitalizations. In addition, the student nurse understands the importance of develpoing a personal relationship before developing a professional one. The knowing, building, and understanding the importance of a therapeutic relationships is one of the foundations of nursing and was the primary objective during this clinical
The best way to understand exactly what a therapeutic nurse-patient relationship is is to look into the characteristics of the relationship. As previously stated, the therapeutic relationship focuses on the client and their goals. In contrast with a social relationship, the actions of both the nurse and patient are dedicated to the needs of the patient. Nurse and patient work together to attain the goals set for the patient. Although the nurse may enjoy interacting with the patient, this is not the purpose of the relationship. The parameters of the relationship are defined to ensure that the relationship does not curve in that direction. Parameters include, “[the] relationship is terminated when goals are met and service no longer needed” (Craven & Hirnle, 2009, p. 330). This ensures that boundaries are not crossed and the nurse-patient relationship stays a professional one.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
The opportunity to expand and refine my nursing knowledge has always equated to me attending the University of Alabama School of Nursing’s masters program. With their master’s degree programs earning the number one spot for Top 50 Best Value, the quality of the programs is undeniable. I selected to apply to the psychiatric mental health track because during my undergraduate studies, I realized this was a career worthy study. My brother was diagnosed with bipolar/schizophrenia at fifteen, and I always questioned his lack of motivation and self-care abilities. It was not until taking the Concepts of Behavioral Health Nursing, that I realized the existence of positive and negative symptoms in patients with schizophrenia, and that apathy and learning disabilities were just as much a part of my brother’s illness as hallucinations or delusions. According to Akiko (2004) “Severity of negative symptoms was significantly associated with worse performance on attention/working memory,”(p. 750). With this
A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).
During her early career she has practiced as a psychiatric nurse in acute care and in community settings. She is faculty member in department of Nursing at the California State University at Los Angeles, professor
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Each individual gets to a point in life whereby they assess their internal qualities, people reflect their profession aspirations and attempt to see which careers will make them happy in their lives. It is also important for a person to consider whether they have the qualities needed for a particular profession and also consider the available resources that will help him or her reach their set goals (Chafey, Rhea, Shannon, & Spencer, (1998). Every human being has weaknesses and strengths in their personal or professional aspirations. Having strength means that someone has the physical and mental power to perform things in a successful manner. On the other hand, weaknesses are the drawbacks, the inadequate lack of strength or power to accomplish important goals in life, and every human has some potential of being a leader in some way (American Association of Critical Care Nurses (2006). This paper will discuss the outcome results inventory on the nurse as a manager, it illustrates personal strength and weaknesses in relation to personal life and professional aspirations. The paper will also discuss planning for career, disciplines in personal expedition, practice
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Emotional intelligence and reflective practice are integral components of building a therapeutic relationship in nursing
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
Therapeutic relationship is well-defined as the process of interrelating, that concentration on advancing the physical and emotional comfort of a patient. Nurses use therapeutic practices to provide support and evidence to patients. It may be compulsory to use a variation of techniques to achieve nursing goals in collaborating with a patient. By discovering the reluctance of the patient to study, as well as the opinions and beliefs of the client and their family, the nurse work together with the client to discoveraexplanation. The...
To begin my personal statement, I grew up in the West African nation of The Gambia. I am the youngest of thirteen children and I was adopted by my uncle and his wife at age 2. My adoption was very different than the American way where all sorts of contractual documents had to be signed. Although the end results are the same, mine was done without signing any documents because my parents were just giving me up to my uncle and his wife to raise me. At age 5, my uncle enrolled me at Primary School without the consent of my biological parents for fearing that they would object because most parents in the Gambia do not think girls have the same rights to education as boys. I grew up without a television, running water or electricity. I did not know that I lacked
Regardless of the specialty, the main focus of a nurse includes assisting doctors in treating patients and providing clinical and emotional support to both patients and ancillary staff. With the role of administrative nursing supervisor comes additional responsibilities and administrative roles, such as staffing, organizing, prioritizing, and ultimately ensuring safe and quality patient care.
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in