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Steps of the Communication Process - -Initiated based on stimulus; Sender or source of
message (encoder) begins process; Message—communication product from the source;
Channel of communication—auditory, visual, kinesthetic; Receiver (decoder) —translates and
interprets the message being received; Confirmation of the message provides feedback.
Forms of Communication - -Verbal—depends on understanding of language; Nonverbal—
facial expressions, gestures, eye contact, touch, space, time, boundaries, body movements,
posture, gait, general physical appearance and mode of dress or grooming, sounds (moaning,
crying, gasping, sighing).
Communication Technologies - -Includes electronic communication, social media, e-mail
and text messages, telehealth and telemedicine.
Electronic Communication - -Includes social media; Both the American Nurses
Association (ANA) and the National Council of State Boards of Nursing (NCSBN) have issued
guidelines for RNs regarding use of social media; The risk for violating patient privacy and
confidentiality exists any time a message is sent electronically; Health care agencies usually
have security measures in place to safeguard e-mail and text communications.
Four Levels of Communication - -Intrapersonal—self-talk; Interpersonal—occurs between
two or more people with a goal to exchange messages; Group—small-group; Organizational
communication; Group dynamics.
Intrapersonal Communication - -Self-talk that happens within the individual.
Interpersonal Communication - -Occurs between two or more people to exchange
messages.
, Group Communication - -Includes small-group and organizational group communication.
Characteristics of Effective and Ineffective Groups - -Group identity, cohesiveness,
patterns of interaction, decision making, responsibility, leadership, power.
Factors Influencing Communication - -Developmental level, sociocultural differences,
roles and responsibilities, space and territoriality, physical, mental, and emotional state, values,
environment.
Touch as a Personal Behavior - -Touch is a personal behavior that means different things
to different people.
Using Hand-Off Communication: SBAR Technique - -A structured method for
communicating critical information that requires immediate attention and action.
The Therapeutic Relationship - -Sets the climate for the participants to move toward
common goals; does not occur spontaneously; characterized by an unequal sharing of
information; built on the patient's needs.
Characteristics of the Therapeutic Nurse-Patient Relationship - -Caring, person-centered
relationship; dynamic; both people involved are active participants; purposeful and time
limited; the person providing the assistance is professionally accountable for the outcomes;
goals are determined cooperatively and defined in terms of the patient's needs.
Phases of the Therapeutic Relationship - -Orientation phase, working phase, termination
phase.
Orientation Phase - -An agreement or contract about the relationship is established.