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
3. What are the nursing interventions that can be implemented to facilitate communication between the client and her
Nurses who capture the non-verbal language, with regard to the signs and needs expressed by patients, often lead to providing positive results to the resolution of their problems. In Glasgow coma scale, a patient with a rating of four with severe brain injury, who may show a reaction such as tearing upon hearing that his or her family is waiting for him is an amazing note to appreciate. Moments like these indicate that our awareness and perception as nurses are significant. It is important to always keep in mind that a person’s sense in not only attributed by the brain function on its highest capability. The human body is also composed of caravans of receptors, hormones, and even enzymes that takes the responsibility for making sense of the wonders that our brain registers such as vision, hearing, smell, taste and touch.
The articles does a good job explaining the concept of touch and how this affect us as a future nurses. I agree with the author about how touch is a important skill set to have in this nursing profession. When intimate touch is professional, and respectful, it can be a key to successful interaction and relationship with the patient and the nurse. The article also mention that some participants suggested that they want some type of relationship with nurses, they want their nurse to be there for them, and want to be able to make choices for themselves. A professional mutuality between the patient and nurse can foster comfort, trust, care, and respect.
A therapist plays a passive but very important role in order to make the therapy work. The therapist needs to see that the therapy goes in the correct direction and that the client can achieve the goals easily, effectively and in a way that gives the client maximum benefit. While active listening is one of the most vital practices in a client-centered therapy, there are many roles and suggestions for client-centered therapists that they should keep in mind to facilitate successful therapy sessions. Following are some definite roles that a therapist must carry out:- • Genuine empathy – This refers to the therapist’s ability to see and understand issues and situations from the client’s perspective. When the therapist is able to show an empathetic understanding of what the client is experiencing, it helps the client have a better inner understanding as well.
I adopted the ideas of Egan (2002)which contain three stages .The first stage involves being a skilled helper and focus on the client’s problem to build a therapeutic relationship, help mother to tell her story freely and helps the client to investigate their issues and concerns (Nelson 2007). It could be troublesome for the client to recount the story openly as clients have an inclination to be on edge and startled when reaching others shockingly. When I attend my client for the first time, she refused to talk so I respect the client’s wishes. Moreover, it gives challenge to know and clarify the reason behind that attitude.
This week I had the opportunity to work with an occupational therapist during morning care. This gave me the chance to work and collaborate with other team members. It also presented an opportunity for me to learn about the occupational therapist role with different patients. This week in clinical gave me an opportunity to work with a different member of the health care team during morning care. This was a great opportunity to be able to work with a different member of the health care team.
My supplemental psychology education fortified my acuteness awareness of verbal and nonverbal communication which enables me to assess patients holistically. For example, during a shift at Seattle Children’s, I became aware of a patient’s family member interacting with hospital staff in an agitated manner. Respectfully, I intervened and asked if I might be of assistance. I listened attentively to the family’s concerns and was able to defuse the situation. When I suggested to my preceptor nurse how the patient’s family dynamics might impact the patient’s recovery, the preceptor stated, “I don’t normally see that level of perceptiveness and compassion until nurses have been working several
This entails the use of body movements which is used by most patients in delivering mixed messages. Facial expressions and use of touches can also be used in delivering the nonverbal messages (Tee Brown, 2012). All these theories have been used by the nurses in order to understand the conditions of the woman. Through the effective communication criterion, the nurses will be able to know what to give to the woman depending on her body movements and facial expressions while still in the primary stage of treatment. Therefore, it is important for the nurses to read the woman’s communication formats in order to come up with a
I am convinced that mental illness is an area in which most people are uncomfortable either talking about or taking part in preventing and supporting those who suffer from mental issues. I have excellent communication skills which I have gained through working in care .For example when I am communicating with clients that have trouble speaking, I will use good body language and good eye contact. I sometimes use objects such as toys when they want to play or a spoon when it is time to eat. I learned to use documentation when working with clients as each individual client has a care plan that we use to write their daily notes such as personal care, activities and appointments with doctors as every patient is unique in their own ways.
Being attentive when communicating might influence the client’s viewpoint and success in therapy. I believe these three methods could help a client with better understanding their issues and how to
When there is a barrier in the health services provider’s interpersonal communication, it leads to a high risk of making avoidable mistakes, critical information for the patient’s care could be neglected and not communicated to the appropriate personal. Effective interpersonal communication among the health care service providers, create an effective team collaboration, the public health care personnel can easily collaborate with the other healthcare professionals to implement certain policies or carry out health care programmes in the community, lack of effective communication leads to medical errors which have potentials risk of harm or injury to the patients or clients. Medical errors itself needs to be communicated to the appropriate personnel for immediate rectification and preventing further damage or harm to the patient. Effective team members with trust, respect and collaboration helps to create interpersonal communication
Observing the response and actions of the patient can assist the nurse in
Good communication skills places the client at ease and this will reduce they anxiety ,A Welsh Health Survey 2008-2009 indicates that across 10% of adults self-reported as receiving treatment for mental health illness, including stress, anxiety ,depression and a range of other mental health illness Finding out about tests and treatment you’ll need, not seeing your family as often and the fear of the unknown are some factors that affect the way the patient feels. Communication is key in this instance, these problems for the client can often lead to out of character moments, aggressive or anti-social behaviour, or self-isolation. It is important to notice if characteristics that highlight anxiety issues are present. Does the person often feel nervous, are they breathing quicker, or have they had a panic attack? Excellent communication is
We must not make any assumptions about the patients, we overestimate people’s reading levels because we are not in their position and we do not think about how something so “easy” to us can be such a challenge for others. Nurses should expertise in communication to understand their patients better and help them avoid humiliation and anxiousness. We believe in holistic care, which means caring for the whole body. Therefore, their feelings and emotions matter just as much as their health, rather they can read or
A therapeutic nurse-patient relationship is defined as a helping relationship based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification[comfort] of patient 's physical, emotional, and spiritual needs through ones knowledge and skill. The relationship develops when the nurse and their patient comes together, resulting in harmony and healing. Effective verbal and nonverbal communication is important in the nurse-patient interaction, as well as providing care in a manner that enables patient to be an equal partner in achieving wellness. What a nurse should do is to, Introduce oneself to the patient and address the patient using his/her name while talking. A handshake at your initial meeting is a good way to establish trust and respect.