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14.01.2014 admin
According to a 2013 study published in the Journal of Patient Safety, as many as 440,000 people die each year from preventable medical errors, representing the third leading cause of death in the U.S.
Increases in nursing communication can lessen medical errors and make a difference in positive patient outcomes. Multiple communication theories are used in nursing to help explain and guide interactions made between nurses and patients, as well as nurses and other health care professionals. This theory focuses on the nurse-client relationship and the therapeutic process that takes place. Orientation Phase: The nurse engages the patient in treatment, and the patient is able to ask questions and receive explanations and information. Exploitation Phase: The patient takes advantage of all services offered, exploiting the nurse-patient relationship to address treatment goals. Resolution Phase: As a result of effective communication, the patient’s needs are met, and he or she moves toward full independence. The dyadic interpersonal communication model describes the dynamic interactive process that takes place between two people. As the sender or encoder provides a message, the recipient, or decoder, must process the information. A number of other theories in communication and specifically in nursing communication have been used in health care. In order to help patients and work alongside peers, nurses must consider the skills and tools that are involved in effective communication. Nurses who are aware of the common barriers to effective communication will be able to anticipate and properly react to any roadblocks. An “ongoing process … characterized by facial expressions, gestures, posture and physical barriers such as distance from the interlocutor,” nonverbal communication must agree with verbal communication.
An important part of communication, listening is a “responsible nursing practice and requires concentration of attention and mobilization of all the senses for the perception of verbal and nonverbal messages emitted by the patient.” By listening, nurses can be attentive to the needs of the patient and integrate care according to the patient’s evolving needs. Marked by kindness, compassion and care, nurses can develop good personal relationships with the ability to “ask questions with kindness and provide information that does not scare, that demonstrates interest, creates feelings of acceptance, trust and a harmonious relationship, especially in modern multicultural society.” This relationship is connected to not only the transmission of information, but also the mental and emotional dynamics found in communication.
It is no secret that communication skills for nurses are essential and difficult to master — and they require proper attention. Through education and employment-sponsored training, nurses can advance communication skills that are crucial to improving as effective health care professionals. Effective nurse-patient communication is the cornerstone of nursing care and treatment, irrespective of any healthcare setting.


Effective verbal and non-verbal communication forms the basis of nurse-patient interaction and fosters therapeutic communication that enables patient to achieve wellness in a better manner. To start with, give a friendly gesture to your patient, and introduce yourself and it is good to call your patients with their name as this shows concern and builds trust and respect. Secondly, actively listen to your patients and if need be you can restate what they have verbalized in order to ensure.
Ensure your patient gets enough privacy when providing care and all their basic needs are taken care of such as relieving pain or any other discomfort they are experiencing during the treatment.
Always respect cultural differences and maintain professional boundaries such as some patient needs therapeutic touch like hand-holding, a light hug while others prefer no touching. At INSCOL – Center for Continuing Education, you can find more types of such workshops and training programs such as Airway Management, Nasogastric tube care, human factors in nursing more according to your professional and learning needs.
The ability to communicate and connect with patients and health care professionals can help build relationships, prevent mistakes and provide a higher level of care. In a 2014 study published by the New England Journal of Medicine, medical error rates in nine children’s hospitals decreased by 23 percent after a handoff program was instituted to enhance and standardize communication. Communication that occurs in this context involves complex factors such as environment, in addition to attitudes, practices and beliefs in the dominant culture.
This stage helps the patient develop trust and is where first impressions about the nurse and health care system begin to evolve.
These interactions provide the basis for understanding, trust and acceptance as the patient becomes an active participant in treatment.
Based on a sender and recipient — the encoder and decoder — and outside influences such as perception, attitude, content and the emotional and physical elements, the model points to the many factors that can alter the message or the message’s delivery. The dyadic interpersonal communication model highlights the importance of clarity and awareness for the many factors that can affect verbal and nonverbal communication.
For instance, Jean Ann Seago notes that “Habermas’ critical theory has been used to identify successful nurse-physician collaborative strategies, including a willingness to move beyond basic information exchange and to challenge distortions and assumptions in the relationships.” Also, Seago mentions theories deriving from Foucault, feminism and the aviation industry to understand and enhance communication. From being aware of potential barriers blocking effective communication to utilizing integral communication skills, nurses can take steps toward providing better care.
In stressful moments, Kourkouta and Papathanasiou note, changes in these two communication types can be difficult to assess. Bramhall points out that asking open questions, clarification and screening questions can help keep the focus on the patient. At Southeastern University, current nursing professionals can enhance their communication skills with an online RN to BSN degree.


As nurses cultivate these skills to develop professional relationships with fellow health care professionals, connect to patients and become more well-rounded and effective individuals, education and on-the-job training can maximize the impact improved communication skills will have in the workplace.
Poor communication between nurses and physicians is the number-one cause for hospital errors, and many of these errors have fatal results. One of the most important communication skills is listening attentively and not interrupting. The term Therapeutic Communication is mainly used in the field of nursing however it is not restricted to nursing only rather all healthcare professionals, family and friends of patient play a vital role in implementing the strategies of communication in a therapeutic manner. Establishing a therapeutic communication is the cornerstone of nursing work and all nursing professionals irrespective of field they are working needs to be well acquainted with the concept of therapeutic communication. Of deaths due to medical errors, The Joint Commission estimates that 80 percent involve miscommunication.
According to Ros Wright, the body of literature in nursing communication points to “increased recovery rates, a sense of safety and protection, improved levels of patient satisfaction and greater adherence to treatment options” as well-documented results of effective communication. In addition to these types of theories, several others could be named, such as those in experiential communication. For information giving, providing small amounts of information at a time, checking what information the person knows already and pausing before continuing can help.
The program expands on knowledge and skills nurses need to advance into leadership positions. If you are looking for a simulation based workshop on Therapeutic communication, INSCOL Center for Continuing Education (CCE) provides a one day workshop on Therapeutic Communication accredited by University of London.
The Joint Commission’s analysis of 2012, 2013 and first-quarter 2014 data revealed that in all three time frames, communication was one of the top three leading causes of sentinel events, a patient safety event unrelated to the patient’s illness or condition that results in death, permanent harm or another qualifying negative outcome. And for listening, summarizing, paraphrasing, empathizing and making educated guesses can demonstrate that the nurse is listening and able to communicate effectively to patients and other health care professionals. It has been observed the ideal therapeutic communication between patient and nurse acts as a catalyst in gratification of patient’s physical, emotional and spiritual needs. This workshop highlights the significance of therapeutic communication in nursing and various strategies and implications of therapeutic communication skills in nursing practice.



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