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Explore strategies for enhancing communication in nursing interviews including nonverbal cues, verbal techniques, and cultural considerations. Learn to use therapeutic communication tools like active listening and clarifying techniques. Understand the impact of personal, environmental, and relationship factors. Discover how to prepare for interviews and maintain effective attending behaviors.
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Chapter 10 Communication and the Clinical Interview
The Communication Process Stimulus for information, comfort, or advice Sender – initiates contact Message – sent or expressed Variety of media – hearing, visual, touch, smell Feedback received
Factors That Affect Communication • Personal factors • Environmental factors • Relationship factors
Nonverbal Communication • Tone of voice • Emphasis on certain words • Physical appearance • Facial expressions • Body posture • Amount of eye contact • Hand gestures
Verbal Communication • All words a person speaks • Communicates • Beliefs and values • Perceptions and meaning • Can convey • Interest and understanding • Insult and judgment • Double or mixed messages
Therapeutic Communication Techniques • Tools for enhancing communication • Using silence • Active listening • Listening with empathy
Clarifying Techniques Paraphrasing Restating Reflecting Exploring
Asking Questions and Eliciting Patient Responses • Open-ended questions • Closed-ended questions
Nontherapeutic Communication Techniques Excessive questioning Giving approval or disapproval Giving advice Asking “why” questions
Cultural Considerations Communication style Eye contact Touch Cultural filters – form of bias or prejudice
Preparing for the Interview Pace Setting Seating Introductions Initiating the interview
Attending Behaviors • Foundation of the interview • Eye contact • Body language • Vocal quality • Verbal tracking
Process Recording Written record of a segment of the nurse-patient session that reflects as closely as possible the verbal and nonverbal behaviors of both patient and nurse Useful tool for identifying communication patterns