Therapeutic Communication Techniques

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Introduction

There is a difference between everyday social conversation and Therapeutic conversation. Therapeutic conversation gives clues to nurses’ heads up any exacerbation in patients as well indicate the progress of diseases development.

Communication is crucial at each process to get along with people, understanding their needs, gain confidence and win their respect. Communication is a simple yet impactful procedure in psychiatric nursing to understand patient behaviour e.g. a patient dealing with depression, severe anxiety or bipolar disorder could not communicate on the other side it could be really difficult to deal with patients who are over talkative since they suffered from mania. 

Therapeutic communication emerged as an invaluable approach applicable to almost all the multiple disciplines. The primary idea of therapeutic communication first evolved in 1799 and 1800 when both the patient responded to moral treatment despite having severe symptomatology. In 1800 Florence Nightingale commented on the importance of communication developed between nurses and patients. Later in late 1800, she quoted, if you want to get the necessary information from the patient, first you need to sit in patient view so that they don’t feel to turn here and there to look at you. 

JurgenRuesch and Harry Stack Sullivan, two prominent figures in communication addressed interpersonal theories respectively shed the light on the importance of Therapeutic benefits especially in terms of justifying mental illness in 1900. Consequently, many theorists come together expanded the concept of therapeutic communication in mid of 1900-1964(Sherko, Sotiri, and Lika, 2013). Since the entire theories discussed above approach to defining importance therapeutic, in this article we are trying to illustrate theories one by one as well as covering highly used Therapeutic Communication Techniques till the date.

Discussion

Whether it is psychiatric nursing or correctional nursing practices, professionalism is knowing the boundaries of patients and nurses relationships. In this case, effective communication is a key component for transmitting the message and interpreting information. 

From birth to last breath, nurses have made an intimate journey with patients and their families. Throughout the journey, it is required to develop therapeutic communication that allows the patients or the family to feel actually there is someone who cares for them. This can be a fundamental process of recovery or overcoming the grievance in their needed time. 

Therapeutic communication encourages patients to express their emotions, opinion conveys nurses acceptance and respect by the patient. The core motive of therapeutic communication at the end is to preserve the self-respect of both the individual (nurses and patient). In modern societies and the competitive health care industry, majorly health institutes are seeking to adopt client-centric approaches. With this system, the quality of life and client satisfaction is becoming important same as expected clinical outcomes after the surgery. 

As per the definition of Negi, 2016, therapeutic communication includes reflection, focusing on sharing perception or opinion, humour, silencing, theme identification suggesting confrontation and monitoring the client’s progress. After following each measurement and procedure, the caregiver will come to know what the patient is thinking, on the same note if the entire thing goes smoothly then the patient is OK. However, the assignment writer predicted, all the emotions that follow between clients and patients should be explored as soon as possible in fact if possible do it within the first meeting. 

Real Time Application Of Therapeutic Communication

In today’s time’s nurses uses therapeutic communication to build rapport or trust that allows them to provide reverse care in a natural environment implies nurses enables the patients to feel secure enough to share the emotions, information, frustration, pain, improvement and much more. Indeed therapeutic communication is a weapon helping nurses to develop skills. A different study conducted in Asia, China, Iraq, UK, the USA and other European countries have concluded 31% of the patients during the survey accepted that nurses clarified their doubts and seem polite and humble at the time of therapeutic communication. Akhtari-Zavare et al. (2006) revealed in a study 81.5% of patients were satisfied with their communication with nurses. Also, the mean patient’s satisfaction score was higher than the patient in the general ward. 

Therapeutic communication identified the barrier at the system level

Currently, therapeutic communication is a widely accepted communication structure in physicians, nurses, mental health and social workers. The process of therapeutic communication has shown to have numerous benefits in multiple domains including increasing accuracy in diagnosis, exploring patients changing behaviour and identifying the best therapeutic measure, improving and apprehension around diagnosis and treatment. 

Adhering to therapeutic benefits can lead to a number of palpable benefits-

  • It leads to an accurate description of the diseases, facilitate a better understanding of the diseases
  • It offers a reliable tool to uncover accumulated stress orienting a person more towards the most suitable therapeutic agents (Kourkouta, and Papathanasiou, 2014)
  • It offers certain chances to patients to diagnosed treatment needs perception and apprehension regarding the diseases
  • It offers premise to the patient to take self satisfactory decisions

Many online assignment help in Oman experts opined, the communication abilities of the professional generally assessed by patients being important or not, being able to perceive the information or not. In this sense patient psychology comfort largely depend on the factors how ably professional convey the message and how much patients perceive, Last but not least doctor-patient communication has a direct influence over patient control especially in chronic conditions,

Use Time Conveniently To Build Better Therapeutic relationship 

Various studies and accumulated data during the survey have shown a positive communication between patients and health caregivers established when it is proportionate to the frequency of distribution. Many times it has been seen, patients complaints about the insufficient time spent by the doctor often not led them to reveal hidden grieve, emotion, possibilities and much more. Apparently, these problems can’t be solved as the doctor per patient ratio is not equal. Still, there is a solution and it has a lot to do with the quality tone of the nurses and professionals at the time assessments (Egyankosh.2020). As per the diseases, stage and patient needs the quantity of therapeutic relationship can differ but if nurses allow genuine emotional exchange and support, then this problem could go off the air. 

Assertiveness- An Efficient Way To Develop A Therapeutic Relationship

In order to enhance the doctor-patient or nurses patient relationship, assertiveness is a very useful concept meant to be aligned with favourable compliance of diseases and represents honest ability to express emotion and supporting care giving facilities

As derived by essay helper, assertiveness depicts both openness, receptiveness but in a limit of empathy. In the doctor-patient or nurses patient relationship, assertiveness refers to dialogue medicine as it is referred to as a significant tool to build trust and know what patients actually thinking that is a positive influence on therapeutic compliance. In absence of assertiveness, negative consequences can be reflected in many distinct scenarios as shown in the figure-

Emotional ReactionBehavioral changes 
 PatientNurses/Doctors
DepressionNon compliance, learned passivelyAvoiding patients and his or family lead to emotional exhaustion or burnout
FrustrationBlaming doctors for not providing proper care, self blamingFeeling of manipulated, at times avoiding patients counterference
AngerAggressivenessAvoiding contacting with patients, without explanation giving medication
AlienationPerceiving meaningless relationship from doctors often non complianceAMBIVALNCE, professional failure feeling of being discovered
Source- Popa-Velea, and Purcărea, 2014

Educating health professionals in cultivating environment has different benefits

  • It will produce cathartic effect enables both patient and doctors to share their knowledge, expression, and after listening to patient needs, doctors to decide the actual treatment
  • It increases the patient’s ability to express emotion deposits the stress 
  • It will enhance caregiver expertise and knowledge power(Clarkson, 2003)
  • It will produce mutual gain means patients will gain the right treatment and doctors will gain knowledge
  • It somewhat helps the participants to overcome stereotypic beliefs, so that both the participant and doctor gain the power and freedom to exchange the contextualization
  • In the end, it will help in developing the solid foundation of professional and patient relationships subject resulted from the dynamic care. To know more about therapeutic benefits, take essay writing help in Oman

Therapeutic Communication Techniques

In a therapeutic nurses relationship, it is essential to develop certain skills to be an effective communicator. In the given below, some techniques have been illustrated-

  • Observing

This is non-verbal technique requires complete attention, sensory function etc. Henceforth be attentive, write what you have observed patients emotions action silently, For instance, if they are looking hungry, ask them to eat something

  • Active Listening

Listening is an active process of receiving information implying complete attention to the patients. Here one should never be engaged in preoccupation with oneself. Nurses should be attentive all the time, it may require observing both verbal and non-verbal cues to interpret information(Rout, 2017)

  • Questioning

Questioning is the most useful tactic to clear doubt. However, always avoid too much questioning. Nurses can use both open and close-ended questions to get insight and the most useful information they are seeking from the patient. The close-ended question comes with yes or no whereas the open-ended question seeks a brief explanation from the patient.(Kameg.2019)

  • Restating

In this tactic, nurses repeat the patient’s statements indicating nurses listening to whatever is being said. For instance, the patient says, I don’t go to the office because I don’t like my boss, nurses could restate, so you don’t like your boss you don’t want to visit the office. This will give time to the patient what they want to communicate to the nurses. To know more about the nurse’s documentation process, you can take instant assignment help from Oman essay experts

  • Reflection

This means nurses will restate the patient’s emotions, ideas and questions and content. According to many medical professionals, reflection means validating ideas. Reflection also refers to responding to patient feelings in a sophisticated manner

  • Clarification

 If a patient is upset or having stress, his verbal expression may not seem adequate to get a proper insight into his medical condition. A patient may remarks confused, distorted confused due to illness. Henceforth nurses need to establish a link between the patient needs, feelings and actions which is possible by asking a question.

  • Sharing Perception

These are techniques nurses used to correct what is being said or to know what patients want to communicate. For instance, nurses say, though you are smiling, I am feeling you are angry at me.

  • Theme identification

This will involve identifying the problem, the patient is dealing with also emerges repeatedly during the session

  • Summarizing

As per essay rewriter the summarizing nurses highlight what is being said, focusing on patients needs and further if required disclose any doubts that remain

Conclusion

Enabling therapeutic communication with patients always seems challenges. For decades, many theorists have explained the importance of therapeutic communication after conducting massive surveys and concluded In doctor-patient or nurses patient relationships, assertiveness refers to dialogue medicine as it is referred to as a significant tool to build trust and know what patients thinking that is positive influence with therapeutic compliance. This article finally concludes therapeutic communication is used to build rapport or trust that allows them to provide reverse care in a natural environment implies nurses enables the patients to feel secure enough to share the emotions, information, frustration, pain, improvement and much more.

References

Kameg, K., Mitchell, A.M., Clochesy, J., Howard, V.M. and Suresky, J., 2009.Communication and human patient simulation in psychiatric nursing.Issues in Mental Health Nursing, 30(8), pp.503-508.

Egyankosh.2020. communication techniques used in psychatric nursing- available at-https://egyankosh.ac.in/bitstream/123456789/31557/1/Unit-2.pdf

Sherko, E., Sotiri, E. and Lika, E., 2013. Therapeutic communication.Jahr: Europskičasopiszabioetiku, 4(1), pp.457-466.

Kourkouta, L. and Papathanasiou, I.V., 2014. Communication in nursing practice.Materia socio-medica, 26(1), p.65.

Clarkson, P., 2003. The therapeutic relationship.John Wiley & Sons.

Popa-Velea, O. and Purcărea, V.L., 2014.Issues of therapeutic communication relevant for improving quality of care.Journal of medicine and life, 7(Spec Iss 4), p.39.

Rout, J., Swain, M., Nayak, R. and Roy, D., 2020. Assessment Of The Language And Therapeutic-Communication Issues Among Student Nurses. European Journal of Molecular & Clinical Medicine, 7(11), pp.1265-1271.

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