THERAPEUTIC COMMUNICATION
What are critical thinking standards nurses should use to ensure sound effective communication with patients?
Self-confidence
Independent attitude
Humility
What does I- SBAR stands for?
introduction
situation
background
assessment
recommendation/referral/request
Ethnicity is defined as
A common identity with members sharing social and cultural heritage
What is public health? Why are they important?
Prevention programs for populations
What is the difference between ethnicity and race?
Ethnicity refers to a shared identity, whereas race is limited to biological attributes
What does SOLER stand for? Why is it important ?
To facilitate active listening.
S- sit facing the patient
O- open stance and posture
L- learn forward
E- eye contact
R- relax in a comfortable position
What are the components of SBAR and give examples of each.
Introduction- Introducing your name, designation, hospital you're calling from
Situation - Name, Unit, Patient Name, The problem
Background- Medical history, investigations, surgery, allergies, medications
Assessment- Vital signs. The patient is on/off oxygen, Test Results, Mental Status, Respiratory, Skin Colour, Neuro, Pain, Rhythm, Musculoskeletal, GI/GU
Recommendation/referral/request- Actions taken.
Any tests needed?, How often do you want vital signs? If the patient does not improve, when would you want us to call again?
What does being culturally aware means? Give example
A process involves the recognition of one's biases, prejudices, and assumptions about individuals who are different. Without being aware of the influence of one's own cultural values, there is risk that the nurse may engage in cultural imposition
What is Ethnohistory
knowledge of a patient’s country of origin and its history and ecological contexts is known
What is Narrative Interaction? Give example
Nurse asking a patient to share personal stories about the care that has been received
What type of patients can cause harder + challenging communication?
Patient who has dyspnea or has a tracheostomy
Patient who is anxious
Patient has aphasia
Older adult patients who are demanding
Female patients who are outgoing and flirty
A child who is developmentally delayed
Patients frightened by the prospect of impending surgery or treatment
Why is SBAR important?
The SBAR provides a framework to briefly
present the patient or clinical situation.
SBAR is a mechanism to support open, honest
communication for sharing information, asking
questions, and providing suggestions
How can you provide cultural competent care?
Care that includes the nurse learning about cultural issues involved in the patient’s health care belief system and enable patients and families to achieve meaningful and supportive care
What are commonly seen health problems in Aboriginal people?
Diabetes mellitus
Suicide
HIV/AIDS
What does culturally congruent care means
Fits the patient’s valued life patterns and set of meanings
What are the zones of personal space?
intimate zone
personal zone
social zone
public zone
What is assertive communication? Give example
Use as a patient safety strategy. Individuals with a concern about patient care speak up and state their information or concern with appropriate persistence until there is a clear resolution.
Example: I will not work overtime today.
I am uncomfortable with that statement.
You have to respect my decision.
What does collectivistic and patrilineal culture mean?
Kinship is limited to the side of the father.
What is health inequity and why is it important to know in nursing?
Health inequity refers to unnecessary and unfair differences in health.
What are the phases of the nurse-patient helping relationship? Give examples
Pre-interaction, Orientation, Working, Termination
What does mutuality means?
believes that the nurse-patient relationship is a partnership, and that both are equal participants
When can you use I-SBAR?
• Nurse to physician
• Physician to physician
• Resident to attending
• Nurse to nurse
• Pharmacy to physician/nurse
• Nurse to technician
• Dietary/housekeeping staff to patient
What are the process in developing Cultural Competence?
cultural desire
cultural awareness
cultural knowledge
cultural skill
What are examples of visible and invisible components of Culture?
Visible—easily seen
-Clothing, jewellery, charms, hairstyles
Invisible—less observable
-Value belief system that drives visible practices
What does Acculturation mean?
has learned to speak English and has adopted certain Western characteristics, but has continued to adhere to their values, beliefs, and traditions.