NCM 103 CARE AND COMMUNICATION

• care - is our core business, defines nurses and their work
• compassion - how care is given through relationship based on empathy, respect and dignity
• competence - all caring roles must have the ability to understand an individual's health and social needs
• communication - key to a good workplace with benefits for those in our care and staff alike
• courage - enables nurses to do the right thing fir the people we care for
• commitment - to provide the best nursing care
• providing presence

  • person-person encounter conveying a sense of closeness or caring
  • "being there" and "being with"
• touch or comforting

  • used to communicate concern and support
  • relational and leads to connection between nurse and patient
• task oriented touch - performing task or procedures
• caring touch - nonverbal communication. enhances self-esteem, confidence, comfort, and security
• protective touch - protects nurse/patient preventing accident, nurse distances from patient emotionally
• listening - a planned deliberate act in which the listener is present and engages the patient in a nonjudgmental and accepting manner
• knowing the patient - complex process with a temporal nature that occurs within the context of the nurse-patient relationship

  emerges from a caring relationship between a nurse and patient
• spiritual caring - an individual achieves spiritual health after finding balance between his or her own life values, goals and belief systems and those of others
• relieving symptoms and suffering

  • human suffering is multifaceted. it also affects the patient's family and friends
  • a nurse often conveys a quiet caring presence, touching a patient, or listening which helps to assess and understand the meaning of your pt's comfort
• family care

  • the family is an important source
  • success of the intervention often depends on the willingness to share info, participate in therapies, interventions are fit to their ADLS, support and deliver the actions recommended
• therapeutic communication - promotes personal growth and attainment of patient's health related goals
• intrapersonal communication

  • self talk
  • people's thoughts and inner perceptions, feelings, behavior and self-esteem
  • nurses use this to develop self awareness and positive self esteem
• small group communication

  • occurs when a small group of people meet
  • usually goal-directed and requires and understanding of group dynamics
• public communication

  • interaction with audience
  • nurse often speak with a group of consumers about health-related topics
• electronic communication

  • use of technology to create ongoing relationhips
• verbal communication

  • use spoken or written words. it conveys specific meaning through a combination of words
• non-verbal communication - involves the 5 senses and does not include spoken or written word
• covert communication - represents inner feelings that a person may be uncomfortable talking about. needs validation to confirm observation, feedback, interpretation and clarification
• zones of personal space

  • intimate zone
  • personal zone
  • social zone
  • public zone
• zones of touch

  • social zone
  • consent zone
  • vulnerable zone
  • intimate zone