Poor Communication Skills:
We have discussed effective and non-effective communication skills throughout our time together. It is important for us to establish healthy and effective communication skills to establish therapeutic relationships with our patient and gain rapport.
You will find a video link that is listed below. I want you to watch the video in entirety. Then I would like you to respond with a discussion post answering the following questions:
https://www.youtube.com/watch?v=W1RY_72O_LQ
1. Overall, was communication style therapeutic or non-therapeutic? Please explain why. Minimum 4 sentences.
2. Identify what non-therapeutic or strategies were demonstrated in this video. Look at the PowerPoint that we did to identify names of different strategies if used in the video.
3. Identify what therapeutic strategies were demonstrated. Look at the PowerPoint to identify names of strategies to list here if used in the video.
4. Stepping into the patient’s shoes – if you were the patient, how would this interaction make you feel?
5. How could she improve – list out suggestions of different techniques by their name and give examples of questions or statements should have provided
THERAPEUTIC
RELATIONSHIPS &
COMMUNICATION
DIFFERENT TYPES OF
THERAPY
By: Brittani Bromley
NURSE-PATIENT
RELATIONSHIP
Therapeutic relationships are goal oriented.
Ideally, the nurse and patient decide together
what the goal of the relationship will be. Most
often, the goal is promotion of learning and
growth to bring about change in the patient’s
life. In general, the goal of a therapeutic
relationship may be based on a problem-
solving model.
2
ESTABLISHING THERAPEUTIC RELATIONSHIPS
RAPPORT
TRUST
RESPECT
EMPATHY &
GENUINENESS
Trying to connect on topics of interest;
treating patient as a person and not their
diagnosis
Nursing interventions that convey a sense of warmth and
caring to the patient i.e., providing blanket when patient is
cold; being honest; being consistent in adhering to unit
guidelines; listening to preferences, requests, opinions
Spending time with the patient, calling them by name;
giving patients sufficient time; promoting privacy;
listening; always being open and honest; striving to
understand the patient
Stepping into the patient’s shoes; understanding
their perspective; remain emotionally separate
from another person in doing so; being open,
honest, and real with the patient
3
PHASES OF NURSE RELATIONSHIP
Pre-interaction Phase
Preparation for first encounter
Obtaining information on client
Reflecting on own perceptions and feelings
Orientation/Introductory Phase
Nurse and client become acquainted.
Rapport is established.
Layout expectations and responsibilities
Formulate nursing diagnoses; interventions and goals
Set action up action plan
Working Phase
Therapeutic work accomplished during this phase Provide
education about disorder
Promote patient’s insight and perception of reality
Problem-solving and promote symptom management
Continuously evaluating progress
*Transference and Countertransference may occur in this
stage*
Termination Phase
Goals have been reached;
Client discharged from hospital;
Goal is to bring therapeutic conclusion to
relationship
4
NURSE-PATIENT
RELATIONSHIP
5
• Transference occurs all the time in our everyday
interactions and is where we may be reminded of
someone in the behavior of others. So specifically
in nursing, it is when a patient will view the nurse
as someone who is similar to an important person
in their life.
• Countertransference in nursing is whene
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