Random
This is a service provided by the College of Nurses of Ontario so anyone can look up the registration status of a nurse.
What is Find a Nurse?
Rephrasing what patient is saying in your own words, summarizing emotion, “it sounds as though you don’t think this treatment is working and you’re frustrated.”
What is paraphrasing?
Examples are:
Avoid jargon and abbreviations
Not overly loud or soft
Open and close ended questions
Humour
Asking how the person would like to be addressed
Caring comments
Positive attitude
What are examples of positive verbal communication techniques?
During this interaction, information such as the reason for presenting to care, medical history, medications, living situation, support system, spiritual/religious beliefs is collected and is a great opportunity to build trust and rapport with the patient.
What is the interview to complete a health history?
Behavioural rules of conduct of group members, in this case explicit. Examples are expectations around confidentiality, competence, etc. In the case of the College of Nurses of Ontario, nurses are held accountable if they do not comply with the standards.
What are universal norms?
Characteristics of people:
•Evaluate themselves realistically
•Are non defensive and assertive in response to criticism
•Accept compliments easily
•Strong social supports
•Generally content with life
•Internal locus of control
What are characteristics of someone with positive self esteem?
False reassurances: “it will be ok, everything will work out”
Giving advice: making a decision for the patient, “If I were you….”
False inferences: jumping to conclusions
What are examples of negative responses?
Examples are:
Maintain eye contact
Smile often if appropriate
Nodding head to show attentiveness
Upright posture, open stance
At level of patient
Showing respect
What are example of appropriate non verbal communication strategies?
This is when the nurse regards the patient in a good, respectful way regardless of their circumstances or behaviours.
What is unconditional positive regard?
Tuckman's five stages of group development are:
Forming
Storming
Norming
Performing
Adjourning
“totality of each person’s beliefs about their inner self”
•Integration of culture, environment, gender roles, ethnic and racial identity, spiritual beliefs, values, upbringing, education, personality and life experiences
What is self concept?
When a patient is:
Preoccupied with pain, physical discomfort, worry, personal beliefs
Unable to understand nurse or what is going on
Struggling with highly emotional situation
Feeling defensive, insecure or judged
What are barriers to communication from the patient perspective?
There are two components to the response:
reflect on person's emotion, such as "It sound like you're very upset about your diagnosis,"
then ask an open ended question, "tell me how you think it will impact your life."
What is active listening?
Nurse will be aware of verbal and non verbal communication, have unconditional positive regard, be empathetic and actively listen.
Some task functions are:
initiating
seeking information or opinion
giving information or opinion
clarifying or elaborating
summarizing
consensus taking
What are task functions in a group?
“Give me an example of when you….”
“Tell me about the pain in your arm”
“When did you start feeling the
cramping?”
What are examples of focused questions?
Nurse Factors:
Preoccupation with personal agenda
Feeling hurried or overwhelmed
Making assumptions about patient
Cultural stereotypes
Defensiveness about job or being able to help patient
What are barriers to effective communication that involve the nurse?
Advantages of this are:
Establishes therapeutic relationship
Assessment more accurate and in depth
Faster, more accurate diagnosis
Better, more appropriate care
Less chance of errors!
Higher patient satisfaction
Higher nurse satisfaction
Less conflict
Better teams
What are benefits of effective communication?
The environment should be quiet and private. No interruptions during the interview. Nurse should be eye level with patient. Minimal notes jotted down.
What is an effective setting for conducting the interview?
Don't show up, don't add anything, let everyone else do the work!
Roles include: aggressor, blocker, joker, avoider, self-confessor and recognition seeker
What are unhelpful behaviours in groups?
“Did your daughter come to the hospital with you?”
“What time did you go to the scan?”
“Do you have any allergies?”
What are examples of closed ended questions?
“What is important to you right now?”
“What do you see as the options for your next step?”
“What has this experience been like for you?”
“How can I help you?”
What are examples of open ended questions?
Nurse has power due to specialized knowledge, professional position, access to privileged information about the client.
Client often in vulnerable state, usually unwell, may be scared.
Professional accountability keeps somewhat of a balance.
What makes the nurse client relationship imbalanced?
This phase of the interview involves introducing yourself, explaining the reason for the interview and establishing rapport with the client.
What is the beginning of the interview?
A phenomena where people tend to conform to group decisions without critically thinking and speaking out about their opinions and feelings.
What is group think?