Why is communication so important to the assessment step of the nursing process?
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Bergdahl E, Berterö CM. Concept analysis and the building blocks of theory: misconceptions regarding theory development. J Adv Nurs.. 2016; 72:(10)2558-2566 https://doi.org/10.1111/jan.13002 Brown R. An analysis of loneliness as a concept of importance for dying persons. In: McKenna H, Cutcliffe J (eds). Philadelphia (PA): Elsevier Churchill Livingstone; 2005 Campbell JD, Lavallee LF. Who am I? The role of self-concept confusion in understanding the behavior of people with low self-esteem. In: Baumeister RF (ed). New York (NY): Plenum Press; 1993 Department of Health and Social Care. Essence of care 2010: benchmarks for the fundamental aspects of care. 2010. https://tinyurl.com/y3z8grqe (accessed 10 August 2020) Dithole KS, Thupayagale-Tshweneagae G, Akpor AO, Moleki MM. Communication skills intervention: promoting effective communication between nurses and mechanically ventilated patients. BMC Nurs.. 2017; 16:(74)1-6 https://doi.org/10.1186/s12912-017-0268-5 Duldt BW, Giffin K, Patton BR. Interpersonal communication in nursing: a humanistic approach.Philadelphia (PA): FA Davis; 1983 Fakhr-Movahedi A, Salsali M, Negharandeh R, Rahnavard Z. Exploring contextual factors of the nurse-patient relationship: a qualitative study. Koomesh.. 2011; 13:(1)23-34 Fleischer S, Berg A, Zimmermann M, Wuste K, Behrens J. Nurse-patient interaction and communication: a systematic literature review. J Public Health.. 2009; 17:339-353 https://doi.org/10.1007/s10389-008-0238-1 Gadamer HG. Philosophical hermeneutics. Translated by DE Linge.Berkeley (CA): University of California Press; 1976 Ghafouri R, Rafii F, Oskouie F, Parvizy S, Mohammadi N. Nursing professional regulation: Rodgers' evolutionary concept analysis. Int J Med Res Health Sci. 2016; 5:(9S)436-442 Hazzard A, Harris W, Howell D. Taking care: practice and philosophy of communication in a critical care follow-up clinic. Intensive Crit Care Nurs.. 2013; 29:(3)158-165 https://doi.org/10.1016/j.iccn.2013.01.003 Jevon P. Clinical examination skills.Chichester: Wiley-Blackwell Publications; 2009 McCabe C, Timmins F. Communication skills for nursing practice, 2nd edn. Basingstoke: Palgrave; 2013 McCarthy DM, Buckley BA, Engel KG, Forth VE, Adams JG, Cameron KA. Understanding patient-provider conversations: what are we talking about?. Acad Emerg Med.. 2013; 20:(5)441-448 https://doi.org/10.1111/acem.12138 McKenna HP. Nursing theories and models.London: Routledge; 1997 Newell S, Jordan Z. The patient experience of patient-centered communication with nurses in the hospital settings: a qualitative systematic review protocol. JBI Database System Rev Implement Rep.. 2015; 13:(1)76-87 https://doi.org/10.11124/jbisrir-2015-1072 Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication barriers perceived by nurses and patients. Glob J Health Sci.. 2016; 8:(6)65-74 https://doi.org/10.5539/gjhs.v8n6p65 Nuopponen A. Methods of concept analysis: a comparative study. LSP.. 2010; 1:(1)4-12 Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://tinyurl.com/zy7syuo (accessed 10 August 2020) O'Hagan S, Manias E, Elder C What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. J Adv Nurs.. 2013; 70:(6)1344-1355 https://doi.org/10.1111/jan.12296 Orem DE. Nursing: concepts of practice, 4th edn. St. Louis (MO): Mosby-Year Book; 1991 Rodgers BL, Knafi KA. Concept development in nursing: foundations, techniques and applications, 2nd edn. Philadelphia (PA): WB Saunders; 2000 Schirmer JM, Mauksch L, Lang F Assessing communication competence: a review of current tools. Fam Med.. 2005; 37:(3)184-192 Thompson CJ. Nursing theory and philosophy terms: a guide.South Fork (CO): CJT Consulting and Education; 2017 Walker LO, Avant KC. Strategies for theory construction in nursing, 5th edn. Norwalk (CT): Appleton and Lange; 2011 What is communication? Communication is the process of sharing information or the process of generating and transmitting meanings.
General Purposes of Communication The following are the purposes of communication:
Elements of Communication The following are the six elements of communication which are needed to perform effective communication:
Steps in Communication Process The following are the steps in the communication process:
Channels of Communication It is necessary that whatever type of communication is utilized, the data needs to be conveyed effectively. Various modes or medium to transmit and receive the information is referred to as “communication channels.” 1. Auditory
2. Visual
3. Kinesthetic
Modes of Communication Communication can be verbal and nonverbal. The following are the modes of communication: 1. Verbal Communication. This involves spoken and written words. Words are tools or symbols used to express feelings or ideas, arouse emotional responses, or describe objects, observations, memories, or inferences.
2. Nonverbal Communication. This involves transmission of messages without the use of words. It involves facial expression, posture, touch, gestures, physical appearance, eye contact, and other body movements. These are considered more accurate expressions of true feelings. Gestures impart meanings that are more powerful than words. The following are examples of nonverbal communication:
Types of Communication
Benefits of Effective Communication By applying effective communication in the work setting, there are many benefits that emerge from it.
Barriers to Effective Communication
Reasons for Ineffective Communication What are the instances where communication may fail? Any interference or failure in the process can create ineffective communication.
Phases of Communication Orientation Phase
Working Phase
Termination Phase
Communication is one of the means in establishing rapport and a helping-healing relationship to our clients. It is an essential element in nursing and this post will help you understand the concept of communication. This is also a primer teaching you documentation and reporting in nursing. DefinitionCommunication is the process of exchanging information or feelings between two or more people. It is a basic component of human relationship, including nursing. CommunicationIs the means to establish a helping-healing relationship. All behavior communication influences behavior. Communication is essential to the nurse-patient relationship for the following reasons:
Basic Elements of the Communication Process
Modes of CommunicationVerbal CommunicationVerbal Communication – use of spoken or written words. 1. Pace and Intonation
2. Simplicity
3. Clarity and Brevity
4. Timing and Relevance
5. Adaptability
6. Credibility
7. Humor
Nonverbal CommunicationNonverbal Communication – use of gestures, facial expressions, posture/gait, body movements, physical appearance and body language 1. Personal Appearance
2. Posture and Gait
3. Facial Expression
4. Gesture
Electronic CommunicationElectronic Communication– many health care agencies are moving toward electronic medical records where nurses document their assessments and nursing care. E-mail
a. When information is urgent b. Highly confidential information (e.g. HIV status, mental health, chemical dependency) c. Abnormal lab data
Characteristics of Good Communication
Factors Influencing the Communication Process1. Development
2. Gender
3. Values and Perception
4. Personal Space
a. Intimate: Touching to 1 ½ b. Personal: 1 ½ to 4 feet c. Social: 4 to 12 feet d. Public: 12 to 15 feet 5. Territoriality
6. Roles and Relationships
7. Environment
8. Congruence
9. Interpersonal Attitudes
Communicating With Clients Who Have Special NeedsClients who cannot speak clearly (aphasia, dysarthria, muteness)
Clients who are cognitively impaired
Clients who are unresponsive
Communicating with hearing impaired client
Client who do not speak English
Reports
Common reports
Documentation
Confidentiality
Guidelines of Quality Documentation and Reporting1. Factual
Example: “The client seems restless” (the phrase seems restless is a conclusion without supported facts.) 2. Accurate
3. Complete
Example: The client verbalizes sharp, throbbing pain localized along lateral side of right ankle, beginning approximately 15 minutes ago after twisting his foot on the stair. Client rates pain as 8 on a scale of 0-10. 4. Current
5. Organized
Example: An organized note describes the client’s pain, nurse’s assessment, nurse’s interventions, and the client’s response Legal Guidelines for Recording
Why is communication important in assessment?Communication skills assessment is the fundamental step to screening candidates. It helps determines their future job role and cultural fitment in the company. Effective communications skills are the clear sign of a high-performance employee and, therefore, should be scouted for at the onset of a hiring process.
Why is communication in nursing so important?As frontline workers in healthcare, nurses rely on communication for all aspects of their jobs. Strong verbal and written communication skills are central to improving health outcomes, fostering relationships with co-workers, patients and families, and navigating complex situations.
Why is it important to communicate with your patient before during and after every procedure?Effective and clear communication is essential to provide the best care possible for patients. Communication with surgical patients has to be even more clear and precise as most of the time the surgeon is delivering a large number of instructions and education ahead of anticipated surgery.
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