Goal for the interaction: My goals for the interaction was to create and build a therapeutic relationship with the client. I hoped to use multiple communication techniques such as the use of open ended questions and general leads. Description of the environment: The interaction first took place in the cafeteria of the home during breakfast. We were both seated at a table and there was plenty of background noise as there were multiple people eating and having conversations. Later on the interaction moved to the client’s room because it was quiet and there was almost no background noise. The client sat on the edge of here bed while I sat on a chair beside the bed. Student’s Communication (including non-verbal)Students Thoughts and FeelingsClient’s Communication (including non-verbal)Analysis of Interaction “Hi, how are you, my names Justin I’m a nursing student from lakehead is it okay if I talk to you today?”
•I was seated next to the client leaning slightly forward and maintaining eye contact to let her know I was interested.At this point within the interaction I was slightly nervous because I had not been introduced to anyone the clients before while the rest of the students had. The client understood my purpose for being there which allowed me to act with more confidence.“Yes you can, it’s good to see more males getting into nursing”
•Client turned chair towards me to engage in conversation and ensure eye contact
During the orientation phase the client was very welcoming and inviting. The nurse-client relationship was beginning to develop. The environment where the interaction was taking place was also very welcoming and quite which meant that there would be little distractions. Therapeutic conversations typically take place within a social distance (Arnold & Boggs, 2011, p. 178). The table that the client was sitting at permitted me to sit in a position that I was able to look directly at the client with a reasonable space in between us. Client-centered conversations are structured to be person focused rather than problem focused (Arnold & Boggs, 2011, p.179). The purpose of this interaction is to improve my communication skills and in order to do so I used open-ended questions to get the information I needed. Open-ended questions encourage the client to take the initiate (Arnold & Boggs, 2011, p.181). “Tell me about living in Thunder Bay”
•Continuing to smile as well as facial expressions including excitement and curiosity.When she started to tell me about living in Thunder Bay I didn’t really know how to react or what to say because I wanted a more in depth conversation but I didn’t know exactly how to get to where I wanted. I was worried that I wouldn’t get the information I need in order to complete this assignment.“I’ve lived in Thunder Bay my whole life, I lived here before it was called Thunder Bay, I used to live over on Hill St. when it was still Port Frances here, are you from Thunder Bay”
•The client situated herself so that she was facing me and continued eye contact. She was now asking me the open-ended questions.In order to reach my goals and improve my communication skills, I needed to start using message competency which refers to the ability to use language and nonverbal behaviours strategically in the intervention phase of the nursing process to achieve the goals of the interaction (Arnold & Boggs, 2011, p.171). The main nonverbal techniques I used consisted of eye contact, silence and facilitative body language which encouraged the client to open up and share personalized information. “No I’m new to Thunder Bay, I came here just for school, from London, can you tell me about what you’ve seen change in Thunder Bay?”I was hoping by asking this question I would be able to get more information about her life. I was curious as to know what the client had experienced throughout her life.“ Lots of people from the south seem to come up...