
NUR 139 MODULE C
NUR 139 MODULE C
SBAR Communication
- Situation
- Background
- Assessment
- Recommendation
Three Channels of Communication
- Auditory
- Visual
- Kinesthetic
- nurses use all channels of communication to communicate with their patient and typically receive feedback on their communication
- "noise"(not just obvious sound) can be distracting and inhibit communication in certain situations
- monitors
- TV/other audio
- family members
- patient's experience in regards to their Maslow needs at the time
- Verbal VS Nonverbal
- Verbal: any spoken or written words
- Nonverbal: any other type of communication
Factors that Influence Communication
- developmental differences
- gender
- socio-cultural differences
- roles
- space (intimate, personal, social, public)
- physical, mental, and emotional state
- values
- environment
Defining the Communication Process
- process of exchanging information and generating, transmitting information between two or more people
- the communication process is based on a need
- the sender of a message is also known as the encoder
- the message is the actual communication product from the source which may include verbal communication but also can be nonverbal cues
- ADPIE requires the nurse to communicate effectively
Therapeutic Communication Techniques
- Conversation Skills: ex. tone, speed of voice, patient control of conversation, being clear/concise
- Active Listening: ex. seated at level of patient, maintain eye contact if applicable, open posture
- Silence (to allow for processing of information at times)
- Touch (in a therapeutic manor)
- Humor (when appropriate for the situation/patient)
- Interviewing Techniques: open ended questions, closed ended questions, validating questions, clarifying questions, reflective questions, sequencing questions, directing questions
Examples of Blocks to Therapeutic Communication
- not using a variety of question types to gain information
- failure to perceive that the patient as a human being
- nontherapeutic comments/questions
- cliches
- yes or no questions
- questions with the words why or how
- leading questions
- comments that give personal advise
- judgmental comments
- changing the subject
- giving false assurance
- gossiping and rumors
- disruptive interpersonal behavior and communication
- Nurses should avoid using "elder speak" when communicating with older adults
- can include speaking patterns and words mimicking "baby talk"
- imply that the older adult is not competent
Examples of Patients who have Special Needs
- hearing impaired patient
- get in their line of vision
- talk directly to your patient
- can use nonverbal cues or other resources to convey questions
- use of written messages if applicable
- visually impaired patient
- remember that they will not be able to pick up on nonverbal cues
- cognitively impaired patient
- may need to keep statements simple
- short ended questions but still give choices to promote autonomy when you can
- unconscious patient
- still communicate directly and clearly
- keep conversations that pertain to the patient only
Phases of the Nurse Patient Relationship
- Orientation Phase
- the patient will call the nurse by name
- describe the roles of the relationship
- establish goals of the relationship
- describe location, frequency, and length of the contacts
- duration of the relationship
- Working Phase
- the patient will actively participate in the relationship
- work towards achieving mutually acceptable goals
- the patient will express feelings and concerns to the nurse
- Termination Phase
- the patient will participate in identifying the goals accomplished or the progress made towards the goals
- the patient will verbalize feelings about the termination of the relationship
Therapeutic Nurse Patient Relationship
- AKA the "helping relationship"
- foundation of clinical practice
- respectful
- patient focused
- time limited
- honest and trusting
- promotes patient autonomy
NUR 139 MODULE C
SBAR Communication
- Situation
- Background
- Assessment
- Recommendation
Three Channels of Communication
- Auditory
- Visual
- Kinesthetic
- nurses use all channels of communication to communicate with their patient and typically receive feedback on their communication
- "noise"(not just obvious sound) can be distracting and inhibit communication in certain situations
- monitors
- TV/other audio
- family members
- patient's experience in regards to their Maslow needs at the time
- Verbal VS Nonverbal
- Verbal: any spoken or written words
- Nonverbal: any other type of communication
Factors that Influence Communication
- developmental differences
- gender
- socio-cultural differences
- roles
- space (intimate, personal, social, public)
- physical, mental, and emotional state
- values
- environment
Defining the Communication Process
- process of exchanging information and generating, transmitting information between two or more people
- the communication process is based on a need
- the sender of a message is also known as the encoder
- the message is the actual communication product from the source which may include verbal communication but also can be nonverbal cues
- ADPIE requires the nurse to communicate effectively
Therapeutic Communication Techniques
- Conversation Skills: ex. tone, speed of voice, patient control of conversation, being clear/concise
- Active Listening: ex. seated at level of patient, maintain eye contact if applicable, open posture
- Silence (to allow for processing of information at times)
- Touch (in a therapeutic manor)
- Humor (when appropriate for the situation/patient)
- Interviewing Techniques: open ended questions, closed ended questions, validating questions, clarifying questions, reflective questions, sequencing questions, directing questions
Examples of Blocks to Therapeutic Communication
- not using a variety of question types to gain information
- failure to perceive that the patient as a human being
- nontherapeutic comments/questions
- cliches
- yes or no questions
- questions with the words why or how
- leading questions
- comments that give personal advise
- judgmental comments
- changing the subject
- giving false assurance
- gossiping and rumors
- disruptive interpersonal behavior and communication
- Nurses should avoid using "elder speak" when communicating with older adults
- can include speaking patterns and words mimicking "baby talk"
- imply that the older adult is not competent
Examples of Patients who have Special Needs
- hearing impaired patient
- get in their line of vision
- talk directly to your patient
- can use nonverbal cues or other resources to convey questions
- use of written messages if applicable
- visually impaired patient
- remember that they will not be able to pick up on nonverbal cues
- cognitively impaired patient
- may need to keep statements simple
- short ended questions but still give choices to promote autonomy when you can
- unconscious patient
- still communicate directly and clearly
- keep conversations that pertain to the patient only
Phases of the Nurse Patient Relationship
- Orientation Phase
- the patient will call the nurse by name
- describe the roles of the relationship
- establish goals of the relationship
- describe location, frequency, and length of the contacts
- duration of the relationship
- Working Phase
- the patient will actively participate in the relationship
- work towards achieving mutually acceptable goals
- the patient will express feelings and concerns to the nurse
- Termination Phase
- the patient will participate in identifying the goals accomplished or the progress made towards the goals
- the patient will verbalize feelings about the termination of the relationship
Therapeutic Nurse Patient Relationship
- AKA the "helping relationship"
- foundation of clinical practice
- respectful
- patient focused
- time limited
- honest and trusting
- promotes patient autonomy