Preview

Therapeutic Communication In Nursing

Better Essays
Open Document
Open Document
1130 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Therapeutic Communication In Nursing
Therapeutic communication is a core factor in mental health nursing. It is important for a mental health nurse to have knowledge and interpersonal skills to communicate with a client who is experiencing a mental health disorder. Therefore, it allows a good relationship between a nurse and a client. Communication is an involvement with thinking, feeling and behaviour either its verbal, in writing or non verbal. Therapeutic communication is mostly client focused and is towards patient’s “goal directed”. Therefore, it is essential for a nurse to review any relevant medical histories or clinical data regarding the client before an assessment and by talking to other caregivers’ information can be collected as a result of any arising or concerning …show more content…
“The best and the most therapeutic thing to do are saying less and listen more”. It was stated by Stevenson (2008, p.110) “even if the mental health nurses does nothing but listen, there is likely to be a therapeutic effect.” Therefore listening can help client to feel that he is been cared and accepted which can make him feel important and respected. In addition a client can feel that there is someone who can hear and understand him and he can engage with other people like cares or helpers to develop trust. As a result, a client can feel less lonely or left by himself this allows him to convey his emotions and let go his tension. Listening involves “active” listening (McCabe and Timmins, 2006), which is providing full attention towards client by physically, mentally and emotionally. However, effective listening is a process of “cognitive, behavioural and affective process” (Arnold and Underman Boggs, 2003). Listening can involve non verbal behaviour that can be through eye contact by staring or avoiding eye contact. A nurse can use facial expression like frowning, smiling, biting lips and raising eyebrows as well as body movement with different posture or different gestures and shuffling. Therefore, there can be a psychological response which could be perspiring or breathing rapidly and blushes it can also involve a both client and nurses …show more content…
On the other hand a mental health nurse should be aware of “their own non behavioural body language” before dealing with a client. It is important for a nurse to educate themselves regarding “body language” how it is being used when interacting with a client and also not to “over interpret non verbal communication” (Egan, 2010, p.147). A mental nurse should be mindful to different backgrounds and the sensitivity of different practices with concerns of using eye contacts and body languages with genders. Touch is another form of non verbal communication and also it is an important factor of therapeutic communication as well. Touch “can be used as a means of reassuring and/ or breaking down barriers between nurse and client” (Gleeson and Higgins, 2009). In mental health nursing touch is either helpful or technical in addition it can be compulsory or deliberate which has to dealt with care and respect as with all other communication skills. In the contemporary before attempting this skill a mental nurse has to take into consideration that offering touch has to be related to client’s needs. A nurse has to respect client’s culture their age, ethnicity and the gender as it is not acceptable in some cultures to touch someone who is not closer to them. Therefore, a nurse has to be mindful that a client’s response may not be predicted when touching them in a

You May Also Find These Documents Helpful

  • Best Essays

    Peplau’s model shows this through four phases of the interactive nurse-client relationship. Working through these phases helps the nurse have a better understanding of the relationship when nursing with a mental health client. Having a consideration of the six role examples nurses take on in the relationship is an important process in providing for the patient’s needs. Having had this opportunity, to discuss the underlying knowledge of Peplau’s theory, has greatly increased my understanding of the importance in creating a therapeutic interpersonal relationship in mental health nursing. Peplau’s model is a great theoretical coaching framework that will guide my practice. It is necessary for understanding the nature of the problem-solving process within mental health nursing, and gaining knowledge of the pathway that will help the patient to the resolution of their…

    • 2490 Words
    • 10 Pages
    Best Essays
  • Satisfactory Essays

    "Understanding a patients individual needs and perception of health issues is fundamental to implementing a treatment plan with successful outcomes".(p.144) Communication is a very important aspect through the nurse and patient. It 's…

    • 467 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Phases of the Nurse-Client Relationship: • Pre-Orientation- Self assessment examine own feelings, fears, anxieties. • Orientation – Introductory Phase establish trust, share information with client; discrete self-disclosure. convey support, facilitate healing educate Phases of Therapeutic NurseClient Relationship—cont’d. • The Working Phase – Problems identified Exploration- guide client to examine feelings/responses, develop new coping skills  Termination Phase – Resolution phase Examine goals achieved; Explore feelings regarding termination Establish plan for continuing assistance Obstacles to the Therapeutic Relationship: • Inappropriate Boundaries •…

    • 1283 Words
    • 12 Pages
    Powerful Essays
  • Better Essays

    AV Paper Psych

    • 3127 Words
    • 9 Pages

    The research observed three different patients, each session lasting between 12-19 minutes. The conversations took place in an urban community mental health center during a medication monitoring session. All three patients were videotaped three times each for a total of nine meetings. The analysis of the videotapes proceeded in a series of fours steps. After each step was completed, the data revealed interesting behavioral interactions between both the client and the nurse. It was noted that when the nurse moved her body towards the participant while he or she was speaking, this conveyed a message of concern towards the patient. This would cause the patient to want to open up a little more, and continue to speak to the nurse. The nurse at times would also display nonverbal body language that conveyed the participant to want to join in. In other instances, the nurse would sit forward with the chart in her lap, which in a sense presented body…

    • 3127 Words
    • 9 Pages
    Better Essays
  • Better Essays

    Nursing Theorist Grid

    • 1905 Words
    • 8 Pages

    Description of Theory: “Orlando’s theory is a reflective practice that is based on discovering and resolving problematic situations” (Alligood, 2010, p. 339). This theory is focused on defining the nurse-patient relationship. According to Orlando, the main function of nursing is to determine the needs of the patient and ensure that these needs are met, whether by the nurse or by others. The patient will have verbal and nonverbal behaviors that clue the nurse into the nature of his or her problems. The nurse must explore these behaviors with the patient to determine the needs that must be met to resolve the problematic situation that the patient presents with. The nurse must also be aware of his or her reactions to the cues the patient presents and must validate these reactions with the patient. It is always possible for the nurse to misinterpret the behaviors of a patient, and form incorrect ideas about what the patient needs. Validating the behaviors with the patient ensures that the nurse can fulfill the function of nursing, which is to find and meet the patient’s immediate need for help in the immediate situation which results in improvement (Alligood, 2010). The success of the help provided can be evaluated by observing for improvement in the patient’s verbal and nonverbal behavior. These behaviors must also be validated with the patient. This makes this theory dynamic and collaborative.…

    • 1905 Words
    • 8 Pages
    Better Essays
  • Powerful Essays

    Efficient communication between nurse and client can result in improved health outcomes and client satisfaction (Arnold and Boggs, 2011). To make nurse-client interactions meaningful and clear, active listening strategies need to be implemented including verbal and nonverbal responses (Arnold and Boggs, 2011).…

    • 1815 Words
    • 8 Pages
    Powerful Essays
  • Satisfactory Essays

    It is widely known that expectant mothers who utilise prenatal care, a more likely to have a normal and succesfgul pregnancy resulting im positive health outcomes for both mother and child. This also accounts for a decline in post natal depression rates as mothers have support from nurses throughout and after pregancy…

    • 7945 Words
    • 32 Pages
    Satisfactory Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    In my context with the patient, it is important for me to improve the nurse-patient relationship. In this relationship, there is a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). (Peplau 1952, cited in Harkreader and Hogan 2004) note that a good contact in a relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 2007) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    As Davies (2012,p.69) explains, communication skills are essential for understanding patients and putting them at ease. By using reflective skills, showing interest and asking appropriate questions, the relationship between the nurse and the patient should ultimately strengthen…

    • 598 Words
    • 3 Pages
    Good Essays
  • Good Essays

    From the nurses perspective, a holistic approach is employed when dealing with the patient where attention is given to the patient as a whole. By listening and establishing a dialogue, the nurses strive to get the patient's skin through a therapeutic relationship where the patient is a key partner. The nurses employ sensitivity to the patient's culture, beliefs, and values where they recognize the patients as the experts regarding their needs (ACSQHC, 2010). To provide the best care competences are given on communication, self-management, counseling, strategies for behavior change among…

    • 1084 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Currently I am a senior level 4 nursing student. With being a nursing student it requires many communication skills verbal and non-verbal. Various classes in the communication curriculum would be very beneficial to my major. For example, COMM 1018 interpersonal communication would be very helpful because with this class I would learn communication skills such as; looking for detailed feelings and face-to-face non-verbal and verbal cues. Having the knowledge that I have now if I would have taking communication classes earlier I may have had a better experience understanding the signs of pain that patients gave me without actually telling me.…

    • 511 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Communication provides a means for people to connect to each other and provides a bridge so that we can share information, signals, or messages between us (Giger, 2013). In the healthcare setting it is imperative that the communication between patient and provider be exchanged quickly, accurately and effectivity. One of the most demanding situations for members of a linguistic team is assisting the conversation between the healthcare professional and the patient (Issacs, Laurier, Turner, & Segalowitz, 2011).…

    • 649 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Communication In Nursing

    • 427 Words
    • 2 Pages

    According to Douglass, “Leadership and management are achieved through effective communication.” (1992, p. 151). Communication is key in the field of nursing, without proper delivery, reception, and interpretation of the message, patient’s safety is at risk. According to Gardezi et al. (2009) “inadequate communication is a primary cause of medical errors” (p. 1391). Though nursing schools encourage and support the importance of good communication, there isn’t a formal class or training specifically addressing this topic. As a result, each nurse must seek out this knowledge and independently master these proficiencies. Good communication skills are not only essential while offering the best quality of care to the patient, but are crucial in…

    • 427 Words
    • 2 Pages
    Good Essays
  • Best Essays

    In this assignment, I will reflect an incident happened during my clinical placement to develop my communication skills not just theoretically but in practical facing real life environment. There is a lot of factors that may influence nursing practice. In this essay, I will discuss the importance of communication in developing nurse-patient relationship. Communication in nursing as stated by Sheldon (2004) was, "Many definitions describe [communication] as a transfer of information between a source and a receiver. In nursing, communication is a sharing of health-related information between a patient and a nurse, with both participants as sources and receivers. The information may be verbal or nonverbal, written or spoken, personal or impersonal, issue-specific, or even relationship-oriented, to name a few possibilities.".…

    • 1940 Words
    • 8 Pages
    Best Essays
  • Powerful Essays

    Every day nurses interact with numerous people; the most important of these are their patients. For this interaction to be meaningful and have a positive impact on the health outcomes of the patient, the nurse needs to build interpersonal connections with the patient to form a therapeutic relationship. The nurse also needs to be aware of the patient’s culture and practice in a culturally safe way when establishing this relationship. In this essay the main characteristics of both interpersonal connectedness and the therapeutic relationship will be described using relevant literature. It will then go on to describe culture and cultural differences and then finally discuss how the cultural difference of the patient speaking a different language, may impact on the nurse’s ability to communicate effectively in the development of this relationship.…

    • 1433 Words
    • 6 Pages
    Powerful Essays