Communication and Collaboration in Professional Nursing (Chapter 12)

Vocabulary flashcards covering key terms and definitions from the nursing communication and cultural care notes.

Therapeutic Use of Self

Using the nurse's own personality and interpersonal skills to build trust and a meaningful nurse-patient relationship (Peplau).

Therapeutic Nurse-Patient Communication

Communication aimed at establishing trust and a therapeutic exchange to support patient care.

Orientation Phase

Initial phase where nurse and patient get to know each other, identify problems, estimate relationship length, and plan collaboration.

Trust

Confidence between nurse and patient that the relationship will continue and needs will be addressed.

Working Phase

Phase of increased interpersonal comfort where tasks are carried out; patient alternates between effort and resistance; change is hard; patience required.

Regression

Temporary return to earlier behaviors before progress in change.

Termination Phase

Ending the relationship therapeutically; planning begins in orientation; feelings may be sadness or anger; maintain professional boundaries.

Professional Boundaries

Ethical limits in nurse-patient relationships; violations can endanger license.

Underinvolvement

Inadequate involvement in patient care; can be detrimental.

Overinvolvement

Excessive involvement that can blur boundaries and impair judgment.

Reflective Practice

Process of self-examination to recognize and manage personal beliefs and biases impacting care.

Desensitization

Reduced emotional responsiveness due to factors like time constraints or emotional distance, which can foster prejudice.

Patient-Centered Care

Care that respects patient autonomy, choice, participation, and values; aims for an egalitarian nurse-patient relationship.

SBAR

Structured communication framework: Situation, Background, Assessment, Recommendation.

I-SBAR-R

SBAR plus Introduction and Readback to improve initial contact and confirm understanding.

Introduction (SBAR)

Opening by giving name, designation, and ward/unit at the start of the communication.

Situation (SBAR)

Statement of the reason for the call or referral.

Background (SBAR)

Relevant medical, surgical, or social background and history.

Assessment (SBAR)

What you think the problem is and possibilities considered.

Recommendation (SBAR)

What you want from the other person, including a proposed plan and time frame.

Read Back

Repeat or confirm what was heard to ensure accuracy.

Feedback

Receiver's response indicating the effect of the sender's message; evidence of successful communication.

Active Listening

Fully focusing on the speaker, acknowledging feelings nonjudgmentally, and maintaining an open posture.

Barriers to Listening

Distractions such as being busy, worried, or personal/professional problems.

Open-ended Questions

Questions that invite elaboration rather than yes/no answers.

Silence

Therapeutic use of silence to allow reflection and processing.

Interpreters

Use professional medical interpreters; avoid relying on family members for translation.

Cultural Competence

Attitudes, knowledge, and skills enabling nurses to provide quality care to diverse populations; reduces miscommunication.

Cultural Assessment

Self-reflection first; ask patients about beliefs, preferences, family structure, decision-makers, and meanings of illness.

Stereotyping

Pigeon-holing individuals into generalizations; leads to nonadherence and dissatisfaction.

Ethnocentrism

Belief that one’s own culture is the standard by which others are judged.

Illness: Acute

Severe but short-lived illness; sudden onset; may not require medical attention but can lead to chronic illness.

Chronic Illness

Long-lasting illness requiring ongoing medical attention; may persist for life and impact function and finances; may have remission or exacerbation.

Consequences of Chronic Illness

Life-altering effects on functioning and family life; potential financial hardship and lifestyle changes; often a life crisis.

Adjustment to Illness

Coping stages: disbelief/denial, irritability/anger, attempting to gain control, depression/despair, acceptance/participation.

The Sick Role

Parsons' concept of expected dependent, passive, and exempt behavior; increasingly culturally competent and patient-empowered.

Internal Influences on Illness Behavior

Dependence/independence and coping ability shaping responses to illness.

Resourcefulness

Coping skills taught by nurses: self-regulation, problem solving, conflict resolution, emotion management, self-mastery.

Locus of Control

Internal vs external orientation: internal believes outcomes are controllable by the individual; external blames outside forces.

Compassion Fatigue

Emotional exhaustion from ongoing caregiving that can affect nurses’ self-care and patient care.