Therapeutic Communication

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University of Makati
College of Allied Health Study

Title2: Relationship of therapeutic communication of nurses as a contributing factor to patient’s satisfaction in Ospital ng Makati: A basis for tips on effective use of therapeutic communication

• Related Literatures

• Background of the study

• Statement of Problems

• Hypotheses

• Significance of the study

• Scope and limitations

Submitted by:

Marinay, Jane Paula P.

Pesebre, Johnette P.

Related Literatures:

1. Cheermith Villarosa:

Some of the nurses don’t understand the feelings of the patients, but some people understand it. But I’m just curious of one thing. Why some of the patients are getting well if they're nurses is talking to them? I’m just curious of how did nurses do that? It is really amazing for me! So I search one of the hospitals in here in my country Philippines to ask the nurses about this topic. When I ask some nurses there I was so surprise when she answer's my question. My question goes like this, “are you having a conversation with your patients?” She answers it like this, “I always have a conversation with my patients because every time I do talk to them that will be the only way your patient will trust you and you’re too lucky if your patients trust you. And every time you medicate your patient they will not ask you “what is that?” all that they know is that the medicine that you will gave them is the only way that they will recover and having a conversation to your patients is a proper way of being a nurse. Not just the talk but the way you took care to them also.”

2. Barbara Bryant:

Nurses spend more time with and often get to know patients better than physicians do, especially in the hospital setting. As a result, they need to interact with patients on many different levels to assess their moods and perspectives to help them prepare for and undergo treatment. Nurses need to develop relationships with patients and make them feel at ease in the clinical setting, but also maintain a professional relationship with them at a time when they may be emotionally vulnerable.

o Balance of Power

Nurses have knowledge, skills and authority that patients count on, which makes patients dependent on them, the British Columbia College of Registered Nurses website points out. This can make patients feel vulnerable and, perhaps at times, defensive. Gentle, nonjudgmental interactions with patients are key to earning their trust and willingness to communicate.

o Rapport

Open communication between nurses and patients is important because nurses may need to recognize subtle cues from reticent patients to understand what they're thinking and feeling if they are feeling afraid or defensive. This is especially if they've been admitted on short notice, after an accident, or due to a sudden health problem or abuse. They may be disoriented or unwilling at first to explain the circumstances surrounding their admission if they suddenly find themselves in the hospital. In any case, introducing your name, using the patient's name in conversation and maintaining eye contact with the patient helps to form a therapeutic bond, according to the Nursing Made Easy website. Listening carefully to what the patient says and rephrasing the concerns he expresses indicates your understanding of their concerns.

o Visual Cues

Nurses need to read the physical cues patients send out during interactions. Some patients like to be touched frequently as a gesture of reassurance or solidarity. Others may not wish to be touched due to cultural influences, the Nursing Made Easy website states. The desire to maintain distance could also be caused by psychological trauma. For example, a woman who has been physically assaulted by a male may not want to be touched soon thereafter by a male physician or nurse. This is a subtle form of communication nurses should pick up on.

3. Wanda Lockwood:...
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