Communication paper
The munication paper is designed to reflect on your professional munication style. You will be interviewing an adult client as scheduled. Your goal is to utilize therapeutic munication skills during the interview, and then to evaluate the munication interaction in the areas of environment, psychological climate, physical/cultural variables, verbal and non-verbal behaviors. You will also be asked to ment on any other possible facilitators or barriers to therapeutic munication. Remember the importance of maintaining a nurse-client relationship at all times during this interaction. (It will be helpful to review the therapeutic munication content reviewed and discussed in class).

COMMUNICATION PAPER GUIDELINES:
1. Describe the situation, environment for your interaction, participants, psychological climate, physical and cultural variables. (3 points)

2. Describe your interaction including both verbal and non-verbal behaviors of each participant. The discussion should be at least 20 to 25 minutes in length. Use a narration style in chronological order in your paper when describing the interaction (i.e. describe the non-verbals at the same point in the paper as you are describing the verbals) (3 points)

3. Identify a minimum of THREE therapeutic munication strategies used during the interaction process (i.e. reflection, restatement, a direct question). (3 points)

4. From your perspective, evaluate the effectiveness of the munication
including a minimum of TWO strengths and areas needing growth. Were
there any bridges or barriers that impacted the interaction either on your part
or the Senior’s (and if so identify and discuss). Identify TWO suggestions you
might include next time to improve the munication process. (6 points)

5. Summarize the insights you have gained about your own munication style
Describe specific actions/strategies you will take to continually gain skill and
confidence in therapeutic munication. (4 points)

6. Use APA Format (2 points).

The length of the paper is limited to FIVE pages and a Reference page using APA format. The paper should also include an introductory paragraph describing the topic or topicss to be discussed, the interview and analysis and a summary paragraph demonstrating conclusions and insights learning from this interview.

American Psychological Association (Current Edition) Publication manual of the American Psychological Association (5th Ed. or Recent Edition) format.

Used in healthcare as a focused, purposeful exchange between nurse and client
Goal is to reach client’s health care goals
Support
Educate
EMPOWERTime limited

Focused
A therapeutic conversation tells the story of an illness with both nurse and client taking different roles in telling it.” (Arnold & Boggs, 2003)
Active Listening:
Crucial part of therapeutic munication
Client sends message, nurse decodes message
Nurse uses client’s values and feelings to interpret the meaning
At same time delivers non-verbal messages of presence and caring
Nurse listening for facts and underlying meaning Physical factors:
Body posture
Sit/stand fully facing client
Direct eye contact
Lean slightly forward
Relaxed posture
Environmental setting
Privacy
No distractions
Personal space

Limited self disclosure from nurse

Professional boundariesPersonal factors
Differences between nurse and client;
Socioeconomic
Previous life experiences
Education level
Occupational status
Clients who refuse to ‘ply’
Clients who have lost hope
Nurse needs to be self-aware of biases
Language
Nurses should pay close attention to verbal expressions and language usage

Mirror them whenever possible

Beware of verbal information overload
Open-ended
Allows client to tell story
Similar to essay question on exam
Cannot be answered by ‘yes’ or ‘no’
Elicit client’s thoughts/perspectives
How
What
Where
When
In what way
Can you tell me about

Closed-ended
Limited answer options
Limits expression of feelings
Takes more questions to obtain information
Emergency situatCircular
Focus on interpersonal CONTEXT
Identify family relationships and impact of illness on family
‘who is most anxious about your mother’s illness’
ionsThemes
Central idea
Underlying feeling associated with facts
Understanding what client is NOT saying
Moving beyond facts
Critical thinking
objectivityCommunication patterns
Strengths/limitations
Family munication dynamics
Developmental/educational levels
Culture, role
Ways of handling conflict
Ways of dealing with emotions
Intuitive munication
Focusing
Intuition
Inner response not supported by objective data
Minimal cuesReflection
Focuses on the emotions
‘it sounds like’
‘it seems that’
Further develops relationship between content and feeling
SummarizationSilence
Very powerful
Emotionally charged issues
Allows time to think
Touch
When words are inadequate, inappropriate
Used for healing
Deepens meaning of language
Task touch vs caring touch
Links ideas and actions together

Smiling, nodding, leaning forward
Clarification
Gaining accuracy and plete understanding
Restatement
Use sparingly
Paraphrasing
Take original message and put into your own words
Don’t lose meaning
Client re-hears their messageSilence
Very powerful
Emotionally charged issues
Allows time to think
Touch
When words are inadequate, inappropriate
Used for healing
Deepens meaning of language
Task touch vs caring touchMirroring depth
Level of depth, meaning and language
Serious/flip remark
Superficial/intense

Appropriate vocabulary
Jargon
Education level appropriate
Focusing
Prioritizing munication topic
Limited time
Metaphors
Mental picture of healthcare concern
‘pain in the neck’
Reframing
Changing the frame in which the client is viewing the situation
Leads to changing the meaning for client
More positive interpretation
I.e. diagnosis bees a ‘gift’
Presenting reality
Introduces an alternative explanation for client to consider
‘all you nurses do is sit at the desk all night’
‘it sounds like you had a rough night’

Humor
Evaluate client to know if humor would help
Use only occasionally
Do not ridicule with humor
Confirming
Validate client by restating client’s concern

Giving feedback
Message sent from receiver back to sender in response to a message or observed behavior
Helps client know nurse is listening and attending to health care needs
Timely, usable, clear, honest, reflective
Arnold, E. & Boggs, K. (2003). Interpersonal relationships (4th ed). St. Louis: Saunders.

The munication paper is based on an elderly person from age 50 to 60. the closed question such as are you married? did you work? do you currently work? do you take any medications? while the open-ended questions such as tell me about your faamily? what activities(hobbies) do you enjoy? can you tell me a little about your work and what you liked best about your job? while validating questions- when you say…do you mean…while clarifying questions- i am not sure what you mean.review APA documentation for munication paper. IF YOU HAVE ANY QUESTION PLEASE CALL ME ON CELL PHONE OR EMAIL