Nursing: Communication Skills in Practice

by Webb, Lucy

• ISBN13: 9780199582723
• ISBN10: 0199582726
• Format: Paperback
• Copyright: 2011-04-22
• Publisher: Oxford University Press

Summary

The journey to becoming a nurse requires students to demonstrate effective communication skills with patients, carers and other healthcare professionals, based on sound evidence and apply these in a variety of care settings.Nursing: Communication Skills in Practicehas been specifically developed as a one stop shop of healthcare communication theory and practical skills for all aspects of the pre-registration course - in both the classroom and on clinical placement. The authors introduce essential communication and interpersonal theories before explaining how these can be applied therapeutically with patients and carers, professionally with colleagues and on health records, as well as how to overcome common challenges in practice. Practice examples, scenarios, and videos apply skills to a huge range of clinical settings and client groups so readers can easily see how to adapt their approach for different fields of practice and individual patient needs whilst basing decisions on a clear rationale. Useful for the entire course, the content reflects the NMC domain for communication and interpersonal skills and also addresses the student's experience of placement learning, presentations, assignments and personal development. Written in an easy to read, student friendly manner and accompanied by video, this text will help student nurses develop excellent communication skills so they are truly prepared for practice. Online material to accompany the book Videos: bring theory to life by demonstrating communication skills in action. Quizzesallow students to test their underlying knowledge and understanding. Scenariosgive students a chance to consider knowledge and apply their skills prior to placement or assessments. Practice exercisesand learning materials can be printed off to be used in placement with mentors to help students translate theory into practice and achieve their learning outcomes. Adviceand reflections from academics, clinicians and other students will give junior students the benefit of other's experience and tips on what works well.

Table of Contents

About the authors	p. xiii
How to use this book	p. xvi
Online Resource Centre	p. xviii
Theories of communication
Introduction to communication skills	p. 3
Introduction	p. 3
Why is communication important for nursing?	p. 4
What is communication?	p. 7
Interpersonal skills	p. 10
Application of communication in nursing	p. 13
Conclusion	p. 16
The nurse-patient relationship	p. 20
Introduction	p. 20
The foundation of therapeutic relationships	p. 21
The nurse-patient relationship process	p. 29
Conclusion	p. 31
How to relate to others effectively	p. 33
Introduction	p. 33
Transactional analysis (TA)	p. 34
Non-verbal communication and TA	p. 40
Positions	p. 40
Summary of TA	p. 44
Heron's six-category intervention analysis	p. 44
Summary of Heron's model	p. 47
Skills development: self-awareness in communication styles and observation skills	p. 48
Conclusion	p. 49
Active listening and attending: communication skills and the healthcare environment	p. 52
Introduction	p. 52
Core skills of effective communication	p. 53
Communicating for the assessment of needs	p. 62
Therapeutic use of self	p. 64
Informing	p. 66
Motivating	p. 68
Conclusion	p. 69
Groups and teamwork	p. 72
Introduction	p. 72
Groups and group behaviour	p. 73
Group structures	p. 79
Groups and teams in practice	p. 83
Conclusion	p. 87
Application of communication skills in nursing
Theory to practice: communicating therapeutically	p. 93
Introduction	p. 93
Person-centred communication	p. 94
Rogerian counselling: the three core conditions of non-directive therapy	p. 94
Structuring the nurse-patient encounter	p. 95
Behaviour change and communication	p. 101
Social learning theory	p. 106
The cognitive behavioural approach	p. 109
Dysfunctional thinking styles	p. 111
Conclusion	p. 113
Facing challenges in healthcare communication	p. 116
Introduction	p. 116
The domiciliary visit	p. 117
Cultural difference and using interpreters	p. 121
Taking'reasonable steps' to facilitate communication for informed consent	p. 127
Dealing with reluctance, resistance, and strong emotions	p. 128
Dealing with aggression	p. 131
Conclusion	p. 134
Health promotion and communication techniques	p. 137
Introduction	p. 137
Defining health promotion	p. 138
Individual and population levels of communication in promoting health	p. 138
Nurses as role models in communicating health	p. 140
Where is health promotion communicated?	p. 141
How is health promotion communicated?	p. 143
Factors that may influence health communication	p. 148
Using the nursing assessment to communicate health promotion	p. 150
Conclusion	p. 153
Using health information (informatics)	p. 156
Introduction	p. 156
Terms in informatics	p. 157
Sources of information in health	p. 159
Organizational communication systems	p. 161
Collecting and using patient information	p. 166
Accessing and sharing information with patients	p. 170
The future of health information and communication	p. 176
Conclusion	p. 178
Professional communication skills for student survival: self-management, writing, and presenting	p. 182
Introduction	p. 182
The challenges facing the student	p. 183
Managing stress: using communication skills	p. 186
Writing in clinical practice	p. 187
Academic writing: how to get your message across	p. 191
Surviving making presentations	p. 195
Conclusion	p. 197
Advancing application of communication skills
Communicating in immediate and short-term care situations	p. 203
Introduction	p. 203
The challenges to communication in acute care	p. 204
Priorities for high-risk patients	p. 206
Multidisciplinary communication	p. 209
Developing communication skills	p. 211
Communication skills for emergency situations	p. 216
Conclusion	p. 221
Communicating with people with chronic and long-term health needs	p. 224
Introduction	p. 224
Identifying patient concerns	p. 225
Breaking bad or significant news	p. 230
Self-care and behavioural change	p. 237
Conclusion	p. 240
Communicating with children and young people and their families	p. 244
Introduction	p. 244
Getting involved	p. 245
Inclusive communication with children/young people	p. 246
Fraser Guidelines and 'Gillick competence'	p. 248
Communicating with children/young people at home	p. 249
Methods of communication in community settings	p. 251
Communicating with the child/young person in hospital	p. 252
Engagement with parents and siblings in hospital	p. 256
The vulnerable child/young person	p. 257
Conclusion	p. 260
Communication and the cognitively impaired patient	p. 264
Introduction	p. 264
Why does cognitive impairment present a communication problem for nurses?	p. 265
What are cognitive impairments?	p. 265
Communication with people with cognitive impairments	p. 270
Communication techniques for people with severe cognitive impairment	p. 273
Conclusion	p. 275
Engagement, motivation, and changing behaviour	p. 277
Introduction	p. 277
Theories behind health beliefs	p. 278
The behaviour change model in action	p. 284
Applying behaviour change skills in different settings	p. 290
Conclusion	p. 297
Communication for personal and professional development	p. 300
Introduction	p. 300
Personal and professional development	p. 301
Post-qualifying personal and professional development	p. 306
Conclusion	p. 310
Glossary	p. 313
Index	p. 316
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