Communication & Interpersonal Skills in Nursing

To meet competency standard two, registered nurses need to consciously and actively engage in therapeutic and professional relationships (Nursing and Midwifery Board of Australia [NMBA], 2016); Doherty & Thompson, 2014). Therapeutic nurse-patient relationships are built on trust, where the patient feels safe to be open and honest; enabling a productive relationship with positive patient-centred outcomes (Doherty & Thompson, 2014). A vital principal in delivering patient-centred care is to foster effective communication along with establishing personal and professional relationship boundaries (NMBA, 2016). This fundamental approach to care, ensures

There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and clients.

Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

This assignment will critique the enhanced communication skills between a registered nurse and service user. For the purpose of this assignment the service user will be referred to as Iris. Confidentiality will be maintained throughout, as stated by the nursing and midwifery council (Nursing and Midwifery Council [NMC], 2015). The physiological assessment being observed was blood pressure and will critique the communication skills, active listening, non-verbal, verbal communication and dignity. Verbal, non-verbal, visual and written communication are the four main types of communication (Boyd & Dare, 2014). During this observation Iris was having her blood pressure taken prior to commencing haemodialysis. Rapid removal of fluid increases the chance of hypotension during and towards the end of dialysis (Cormier, Magat, Hager & Lee, 2012). This is why it is important to monitor Blood pressure before, during and after haemodialysis. I observed Iris’s Blood Pressure being monitored prior to commencing haemodialysis.

Non-verbal communication refers to the communication and interpretation of information by any means other than language. Non-verbal communication includes communication through any behavioral or expressive channel of communication such as facial expression, bodily movements, vocal tone and pitch, and many other channels. Patients are particularly sensitive to nurses’ non-verbal behaviors because they are often nervous and insecure and

The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’

1. Why do you think that research has found that physicians with good communication skills had fewer patient complaints and lawsuits? Identify at least two specific ways that a doctor’s communication skills can improve the patient’s experience.

Therapeutic relationships also known as nurse-patient relationships refer to the relationship between a healthcare professional and their patient; it is the foundation of nursing practice. As a future nurse, it is fundamental to have a basic understanding of what it means to provide therapeutic relief and how to correctly and appropriately communicate with patients. If a relationship is not

How often does a registered nurse effectively communicates the medication and the rationale and or importance for taking the medication to their patients? I chose goal nine from the fifteen Patient Safety Goals created by the The Joint Commission on Accreditation and HealthCare Organizations. Goal nine, or NPSG.03.06.01, focuses on maintaining and communicating accurate patient medication information. Whether it is from the physician to the nurse or the nurse to the patient. Lack of proper communication often leads to medications errors. In fact, in 1999, the Institute of Medicine estimated approximately 7,000 deaths are caused by medication errors annually. This can be a mixture of not being competent with medications, not effectively communicating

The verbal therapeutic relationship that I noticed in my interview were: clarifying, talking calmly, active listening, and not using medical terms. The importance of doing these four of many steps are to make sure the nurse’s patient feels safe talking to the

Being a professional means to have an excellent level of education, follow regulations and policies, keeping patient's information confidential, making them feel safe and also keeping patients feeling relaxed. A professional is considerate, respectful, honest, determined to be the best nurse that they can be, conduct endless professionalism, be compassionate and also have a caring manner. Being health professional, it is also important to understand the different phases of the therapeutic relationship. Maintaining a Therapeutic relationship with a patient is important to build trust and to also communicate well with them. Within this essay, verbal and non-verbal communication will also be discussed as it is a crucial part of maintaining a therapeutic relationship with any client that has any needs. Mary Young from Horizon Hospital is a 71-year-old Indigenous woman who was recently admitted to the hospital from experiencing an ischaemic Stroke (City of Horizon 2018). Mary is also experiencing left side hemiparesis and has slight paralysis on the right side of her body. When Mrs Young was a child, she was diagnosed with Chronic Otis Media, which has led to hearing deficits currently. As the nurse for Mrs. Young, it will be essential to form a therapeutic relationship with verbal and non-verbal communication to ensure that she gets the most effective care possible.

After reflecting upon my capstone experience, I thought of a few different instances that I was able to demonstrate the core values of human dignity, integrity, autonomy, and altruism.

The therapeutic relationship enables the nurse to express their compassion and knowledge of the patient’s individual experiences to humanise the healthcare experience. In the majority of nursing situations, this is the type of relationship formed between the nurse and patient (Stein-Parbury, 2009). The main characteristics of the therapeutic relationship are that they are a professional relationship instead of being social, have professional boundaries in addition to differing in the level of involvement for each relationship (Stein-Parbury, 2009).

Throughout the paper I will be using Johns’ adapted model of structured reflection (15th edition) (2006), fours scholarly nursing articles and the CNO and RNAO guidelines to evaluate the nurse client relationship and to determine if the nurse acted in the appropriate manner. The purpose of this paper is to demonstrate an understanding of intentional caring abilities that can be expressed within a nurse client relationship. A therapeutic relationship is based upon many aspect such as respect, empathy and power professionalism, that play an important role in a therapeutic relationship (CNO, 2006). As stated by the College of Nurses of Ontario (CNO, 2006), it is always the responsibility of the health care professional providing the care to form and uphold the nurse client relationship. Furthermore, the Registered Nurses of Ontario (RNAO, 2006) have further established Best Practice Guidelines to ensure that each health care professional understands how to build a nurse client relationship. Within the RNAO guidelines it helps all health care professionals understand the assets and tools that are needed in themselves to understand the nurse client relationship. In the professional lives the all health care providers it is the obligation of the health care professional to ensure that the nurse client relationship is maintained during the duration of the relationship and to care for each individual in the same manner as the client