203: Exam 4

intrapersonal

Commnication within oneself (self-talk, reflection)

interpersonal

direct, face-to-face communication between individual, (nurse-patient, nurse-family)

interpersonal communication

direct, face-to-face communication between Indvidual (nurse-patient, nurse-family)

group communication

interactions within small or large groups (team meeting)

publication communication

addressing a larger audience (community health presentation)

transpersonal communication

communication that talks spiritual needs and meets interventions to meet those needs

nursing dx: readiness for enhanced communication

is appropriate when client expresses willingness to improve communication that is already effective

nursing dx: impaired verbal communication

used when 1) expressive aphasia or a physiological problem 2) receptive aphasia or sensory deficits that impair the ability to receive message

nursing dx: impaired communication

client is unfamiliar with the dominant language or other difficulty receiving and sending messages

nonverbal behaviors

facial expression, posture and gait, personal appearance, gestures, touch, and territoriality and personal space

effective verbal communication techniques

open-ended questions, clarifying and summarizing, active listening, therapeutic communication, avoiding medical jargon

readiness to learn

physical condition, emotions, and stress

• teacher: demands on the nurse times, schedules, coordination of class lecture, space and privacy, not seen priority

• learner: sickness, time, support or motivation, jargon and terms

• technology-based learning: social interaction, poor learning motivation, diverse learning styles, time issue, tech problems, access to internet

assertive communication

clear, direct, respectful (ideal for nurses)

passive communcation

avoids conflict, often unclear

aggressive communication

demanding, disrespectful

passive aggressive

indirect resistance, sarcasm

rights of teaching

time, context (setting), goal (learner involved, realistic), content (relevant, appropriate level), method (strategies varied, appropriate for pt)

communicating with non-English speaking & aphasic patients

using visual aids, gestures, and simplified language to ensure understanding and effective interaction, maintain eye contact

• yes/no questions, communication boards, be patient and calm

compassion and empathy

• taking action to alleviate suffering

• understanding and sharing another’s emotional experience

both are essential to patient-centered care

med timing

• BID- twice a day (12 hrs)

• TID- three times a day (every 8 hrs)

• QID- four times a day (every 6 hrs)

autocratic

directive, makes decisions alone

democratic

encourages team input

Laissez-faire

minimal direction, hands-off

transformational

engage and empower other, supportive environment, communicate vision

transactional

focuses on task, rewards/punishments

• people are motivated by reward and punishment and that work best within a clear chain of comand

positional/legitimate

person’s authority is derived from her location in the organization’s hierarchy

referent

informal power created through relationships with people within the organization

reward

ability of an individual to control or allocate incentives

expertise

based on knowledge/ skills

coercion

control others through threats or discipline.

effective followership

active engagement: offers ideas, feedback

critical thinking: doesn’t blindly follow

reliable and accountable

supports team and leadership