With the implementation of therapeutic communication, it is important to follow the person Centered care and have corrective verbal and nonverbal communication to foster the patient-centric relationship (Santana, et al, 2018). Within the healthcare, the importance of the establishment of fostering the effective therapeutic relationship in between the nurse and patient, which can be done through the verbal (soft-spoken skills, using appropriate tones, attitudes, behavior and using good words) and the nonverbal skills (like touching, eyes, and facial behavior) which nursing staff and patients can interact with each other for the information transfer, provision of psychological support and also providing the therapeutic benefits in themselves (Riley, 2020). The best ways to foster the nurse’s way to interact with the patients in practice can help to deliver the patient outcomes. Through the therapeutic relationship, it helps to foster the components in practice which remains a vital aspect of nurse training and in professional development.
To have a clear, concise, and transparent relationship along with using the soft language, focused on the skillset and providing a better care plan (Sharp, 2016). The verbal communication involves, asking the right course of questions and help in understanding the patient's condition, for example, the patient has an asthmatic attack, asking about the breathing problems, and rate of occurrence, reactions, and the other minute details. But, all should be asked empathically and follow the course of the directions. At no point, while practicing the therapeutic communication shouting, screaming and rude remarks should be used. Vocal intonation can also provide an effect beyond the words care especially when there has been a particularly information related to the person's emotional state. The patient can understand how the other one is giving treatment with the rhythm, pitch (Riley, 2020).
Nonverbal communication is following the set of communication through body behavior, signs, and facial expressions (Eide, 2017).
Facial Expressions -: The facial expression should be clear, empathic, and sympathetic. They should be of some concern and even maintaining a relationship quality and overcoming any sort of discomfort or challenges.
Eyes-: The nurse should maintain eye contact and look directly into the eyes of the patient. She should not avoid any indirect eye contact or avoid the patient. Through the direct looking into the eyes, the contact can be established (Feo, 2017).
Touch-: Timely touching, holding hands, placing hands on the forehead, are some of the powers that can help the nurse to know the nurse's concern.
While obligating the intra- and inter-professional communication during the clinical handover can ensure a concise spoken and the other written communication to be adhered to. In the clinical handover, it is described as the continuity of care, as and further, it obligates the handover of the care of patients by being able to maintain the health professional’s relation while shifting and patients are then transferred from one team or location to another (Feo, 2017).
Clinical handover is a high‐risk activity, and ineffective handover practice constitutes a risk to patient safety. Evidence suggests that handover effectiveness is achieved through staff training and standardized handover protocols. Every minute detail from the medical administration to sleeping, to obligating the food diet has to be noted down, recorded. during the handover, the patient all the details has to detailed to the other shift nurses, in order to note the reactions, counter effects or any signs of improvements, The details should be communicated orally as well and every small detail should be told to the other shift nurse, such as how much the patient sleeping, any signs of discomfort, medicine relations, and any counter reactions can be recorded and detailed further (Jackman, 2017).
As per the framework, to obligate completeness of the information and further can help to reduce the likelihood of missed data. The obligation is to focus on the easy ways of setting expectations, as to what they can communicate and how they can maintain their relationship and to provide a concise recommendation which would clear and professional To follow effective communication and obligate the clinical handover which can help to improve patient safety and even help in reducing the adverse outcomes. While handing over, it is important to abide by the doctors, nurses along with the allied health staff to follow the standardized communication. The “isobar” is defined as the identify–situation–observations–background–agreed plan–read back and it further follows the comprehensive care plan. It is important to understand the extensive clinician involvement and leadership and further to abide by the handover checklists improves patient outcomes (Hardman, 2019). To ensure, what information has been communicated, is easy to understand to be obligated.
In order to have effective communication, it is important to ensure, that concise information has been sued, along with obligating the rightful course of the information, structured, concise, and follows all the protocol. At no point, there should be a discrepancy as to what is been observed, how it has been followed. The potential problems while following the communication barriers are the-:
Low listening-: Even if the nurses communicate with each other, if there is not effective communication, it would further lead to the conflict and can cause the problem while understanding the patient's concerns. Further, it would be a problematic concern, if the diagnoses have not been followed, understood with each other, and how it can result in the collaboration with each other (Haydon, 2018).
Bilingual problem-: The problem can be bilingual and the multi-language problem, due to which there can be a lack of coordination and lack of non-understanding of the problem. For example, if the nurse belongs from China and others from America, then the problem can be a lack of the common language and lack of understanding of each other conflicts (Kilpatrick, 2019).
Information overload -: The understanding of the information can be obligated due to the lack of focus and would lead to the
Lack of credibility -: If the information is credible, then the problem can lead to the lack of exchange of the information and following the structure information. Due to the lack of credibility of the information, it can cause a lack of trust and lack of reliability of the information (Miller, 2019).
Miscommunication-: Potentially over hearing or misunderstanding the problem, can cause confusion, issues and even conflicts in understanding. Relating with the sound knowledge and understanding from own perspective can cause conflict and further problems. The best ways to foster the nurse’s way to interact with the patients in practice can help to deliver the patient outcomes. Through the attentive listening and active participation, full engagement can help to restore the relationship, and can help to balance the correct mode of communication. By not following the protocols and mishandling the communication, can cause the problems during the course of treatment.
Eide, H., Hafskjold, L., Sundling, V., & van Dulmen, S. 2017. 16 Person‐Centred Communication Research: Systematic Observation of Real Life Practice. Person‐Centred Healthcare Research, 191.
Feo, R., Rasmussen, P., Wiechula, R., Conroy, T., & Kitson, A. 2017. Developing effective and caring nurse-patient relationships. Nursing Standard (2014+), 31(28), 54.
Jackman, L. 2020. Extending the Newcastle Model: how therapeutic communication can reduce distress in people with dementia. Nursing older people, 32(2).
Hardman, D., & Howick, J. 2019. The friendly relationship between therapeutic empathy and person-centered care. European Journal for Person Centered Healthcare, 7(2), 351-357.
Haydon, G., Browne, G., & van der Riet, P. 2018. Narrative inquiry as a research methodology exploring person-centered care in nursing. Collegian, 25(1), 125-129.
Kilpatrick, J., Elliott, R., & Fry, M. 2019. Health professionals' understanding of person-centered communication for risk prevention conversations: an exploratory study. Contemporary Nurse, 1-12.
Miller, E., & Webb, L. 2019. SEVEN THEORY TO PRACTICE: COMMUNICATING THERAPEUTICALLY. Communication Skills in Nursing Practice, 103.
NS884, F. R., Rasmussen, P., & Wiechula, R. 2017. Developing effective and caring nurse-patient relationships.
Riley, G. A., Achiampong, J., Hillberg, T., & Oyebode, J. R. 2020. Relationship continuity and person-centered care in how spouses make sense of challenging care needs. Aging & mental health, 24(2), 242-249.
Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. 2018. How to practice person-centered care: A conceptual framework. Health Expectations, 21(2), 429-440.
Sharp, S., McAllister, M., & Broadbent, M. 2016. The vital blend of clinical competence and compassion: How patients experience person-centered care. Contemporary Nurse, 52(2-3), 300-312.
Shirley, N., & Phan, L. T. M. 2019. Therapeutic Communication Skills of Nurses Towards People With Dementia.
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