The process of transmitting messages and interpreting meaning Effective communication is vitally important in nursing. It is the foundation of a therapeutic nurse-client relationship and the medium for implementing the nursing process.; Effective communi
Non-therapeutic (Non-helpful) Techniques
Giving false reassurance; Changing the subject; Giving advice, approving/disapproving; Probing or excessive questions; Self-focusing statements; Minimizing feelings; Making stereotypical comments
Personal Space Zones
Public (12’ and up); Social (4’ – 12’); Personal (18” – 4’); Intimate (touch - 18”)
Cultural Considerations
Three areas of concern when interpreting verbal and nonverbal messages when the nurse and client are from different cultures: communication styles; eye contact; touch
Orientation – initial interaction (ground rules, trust, rapport, goals); Working – What happens all day as trying to meet goals; Termination – Crucial (tell patient in beg. how long you’ll be there that day. Keep pt. updated all day as to how much time yo
Nonverbal Communication
Facial expression; Eye contact; Observable physiological responses; General appearance
“Why” Questions
Imply criticism; Sounds intrusive and judgmental and sets up a defensive reaction; More useful to ask “What” “Who” “When”
Use of Silence
Silence is a useful technique, it is not the absence of communication; Silence communicates the need for support and encouragement; Silence allows the clients time to collect their thoughts and choose their own words