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communication
foundations exam 3
| Question | Answer |
|---|---|
| communication and clinical reasoning importance | patient safety, ethical responsibility, legal ramifications |
| sentinel events regarding patient safety | lack of/ failure in communication, lack of teamwork, not following policies |
| types of communication | intrapersonal, interpersonal |
| intrapersonal communication | internal, within an individual |
| interpersonal communication | between two or more individuals or groups |
| types of communication | verbal, nonverbal, open, closed |
| verbal communication | what is said, how it is said |
| nonverbal communication | eyes, posture, positioning |
| open communication | what, when, how, tell me more |
| closed communication | do/did/does |
| factors influencing communication | developmental level, sociocultural differences, use of medical terminology, lack of role clarity, fear/insecurity, pain, LOC/alertness |
| effective communication | active listening, eye contact, tone of voice, facial expressions, noise, distractions, privacy, barriers, timing, location, restate/reflect |
| setting the stage | SOLER |
| SOLER | sit facing client, open posture, leaning into the conversation, eye contact, relaxed posture |
| patients: clear role and expectations | provide role clarity, communicate expectations (mutual respect), communicate with intention |
| patients: therapeutic communication | compassion, caring/concern, empathy, no judgement, silence, use caution |
| patients: therapeutic communication- use caution | humor, helping v. friendship, touch |
| family: collaborative communication | acknowledge visitors in the room, do not assume relationship, ask visitors to step out of room (if pt requests visitors to stay, address both patient and family and give opportunity for questions) |
| communicating to educate | include caregiver when possible, identify focus of education, assess current knowledge/understanding/motivation, break info into smaller sections, teach back, do not wait until discharge |
| purpose of communicating to educate | provide information for informed decision making, not your personal stance or opinion |
| Patient has right to... | follow or reject education |
| healthcare team: communication methods | clear communication saves lives: medication, surgical, etc. errors, missed care, unnecessary care, trust/rapport with the healthcare team/system |
| Must be able to communicate with the healthcare team: | clearly, concisely and effectively |
| ISBAR | introduction, situation, background, assessment, recommendation |
| nurse to nurse handoff | occurs anytime care is transferred from one nurse to another: between shifts, another nurse is providing a portion of the client's care, transfer to another unit or facility |
| safe handoff components | name and age, PMH/PSH, admission diagnosis, brief summary of care since admission, brief summary of previous shift's events, physical assessment findings by system (VS, neuro, CP, MS, skin, pyschosocial), care needed during next shift |
Created by:
camrynfoster