安徽医科大学护理学院思维与沟通课件 第九章.ppt

Assessment Communication is based on general communication, helps us collect the clients’ information as much as impossible, which is used for further diagnosis ,treatment and nursing. Therapeutic communication is a goal –directed ,focused form of dialogue used as a tool in health care to promote a client s well-being and positive response to treatment Definition Active listening is a dynamic interactive process in which a nurse (1) hears a clients message (2) decodes its meaning (3) provides feedback to the client regarding the nurses understanding of the message. Body actions: smiling, nodding, leaning forward. Words:“mm” of uh huh,” “Oh really,”,“go on.” “Are you saying that...(Repeat clients words)?” “You mean...［repeat clients words］?” Minimal Cues and Leads Restatement Therapeutic Listening Responses “You sound really frustrated because the treatment is taking longer than you thought it would.” “Could you describe what happened in sequence?”“Im not sure I understand what you mean. Can you give me an example?” Reflection Clarification Therapeutic Listening Responses “Before moving on, I would like to go over with you what I think we accomplished thus far.” Summarization Client: I cant take this anymore. The chemo is worse than the cancer. I just want to die. Nurse: it sounds as though you are saying you have had enough. Paraphrasing Therapeutic Listening Responses Verbal responses are communications the nurse uses to relate in significant way to a client: to teach, to encourage, providing information, to gather information, to move a client in a certain direction toward goal achievement. Active listening and verbal responses are inseparable from each other. Verbal Responses Mirroring Depth in Verbal Response Matching Response with Verbal Content Using Appropriate Vocabulary Using Metaphors Metaphor is a therapeutic communication strategy in which one idea or object substitutes for another in a way that implies their similarity