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    This document discusses therapeutic and non-therapeutic communication techniques for nurses. Therapeutic communication is purposeful, has defined goals, and aims to meet the needs of participants through limited self-disclosure. Aids to therapeutic communication include active listening, silence, exploring topics, restating, theme identification, paraphrasing, suggesting, reflecting, asking open-ended questions, focusing, clarifying, validating, humor, and summarizing. Non-therapeutic techniques are false reassurance, giving approval/disapproval, advice, defending, minimizing feelings, changing the subject, and superficial social conversation. Effective communication relies on genuineness, respect, and empathy.

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    Therapeutic Communication Technique

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    This document discusses therapeutic and non-therapeutic communication techniques for nurses. Therapeutic communication is purposeful, has defined goals, and aims to meet the needs of participants through limited self-disclosure. Aids to therapeutic communication include active listening, silence, exploring topics, restating, theme identification, paraphrasing, suggesting, reflecting, asking open-ended questions, focusing, clarifying, validating, humor, and summarizing. Non-therapeutic techniques are false reassurance, giving approval/disapproval, advice, defending, minimizing feelings, changing the subject, and superficial social conversation. Effective communication relies on genuineness, respect, and empathy.

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    148 views25 pages

    01-Therapeutic Communication Techniques

    Uploaded by

    OliviaMirzaNuswantari
    This document discusses therapeutic and non-therapeutic communication techniques for nurses. Therapeutic communication is purposeful, has defined goals, and aims to meet the needs of participants through limited self-disclosure. Aids to therapeutic communication include active listening, silence, exploring topics, restating, theme identification, paraphrasing, suggesting, reflecting, asking open-ended questions, focusing, clarifying, validating, humor, and summarizing. Non-therapeutic techniques are false reassurance, giving approval/disapproval, advice, defending, minimizing feelings, changing the subject, and superficial social conversation. Effective communication relies on genuineness, respect, and empathy.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    of 25

    Mental Health Series

    Therapeutic NursePatient Relationship 2


    By Sawiji, S.Kep. Ns., M.Sc.
    Email: [email protected]
    Phone: +6281-328-028-333
    +62877-1515-9222

    Nursing Basic Science Department


    Muhammadiyah Gombong Health
    Science Institute

    Therapeutic Communication

    Undertaken to carry out the nursing care plan


    Purposeful
    Has one or more goals
    Aimed at meeting the needs of one of the
    participants
    Self-disclosure by the interviewer is limited

    Social Communication
    May not have any specific goal
    May not be purposeful
    Meets the needs of all the participants
    May be significant self-disclosure of all
    participants

    Aids to Communication
    Active listening
    Expression of interest
    Leaning forward
    Nodding head
    Verbalizations such as Uh-huh and Go on
    Frequent validation
    Attempt to fully understand

    Silence
    If you dont know what to say, say nothing
    Gives patient time to think
    Gives nurse time to think
    May allow patient to expand upon what he was
    saying or think of a new topic to discuss
    As anxiety grows, patient is more likely to say
    something

    Exploring
    Trying to get the patient to expand upon a topic
    or bring up another topic
    Would you tell me more about that?
    What else makes you feel that way?

    Restating
    Pt.: I couldnt sleep all night.
    Nurse:You couldnt sleep all night. or
    You couldnt sleep all night?
    Pt.: My husband is very worried about me.
    Nurse:Your husband is very worried about
    you.
    Your husband is very worried about you?

    Theme Identification
    Ive noticed that in all of the relationships
    that you have described, youve been hurt
    or rejected by the man. Do you think this is
    an underlying issue?

    Paraphrasing
    Repeating what the patient says in different
    words
    Pt.: Im worried about my operation tomorrow.
    Nurse: Youre concerned about tomorrows
    surgery. (or ?)

    Suggesting
    Have you thought about responding to your
    boss in a different way when he raises that
    issue with you?

    Reflecting or validating
    - signifies understanding, empathy, interest,
    and respect for the patient. It consists of
    repeating in fewer and different words the
    essential ideas of the patient. (similar to
    paraphrasing) Reflection can refer to
    content or feelings.

    Open-ended questions
    Tell me what happened?
    How are you today?

    Focusing
    Can we continue talking about your mother
    right now?

    Clarifying, validating
    Im having some difficulty. Could you help
    me understand?

    Humor
    That gives whole new meaning to the word
    nervous, (said with shared kidding between
    the nurse and the patient).

    Summarizing
    -So far we have talked about..

    Informing
    I think you need to know more about how
    your medication works.

    Non-therapeutic Communication
    False Reassurance
    Everythings going to be all right.
    Youre doing just fine.
    Pt.: Im afraid I wont wake up from the
    surgery.
    Nurse:Sure you will.

    Barriers cont.
    Giving approval or disapproval; being
    judgmental; agreeing or disagreeing
    I wouldnt say that.
    Of course; I agree.

    Barriers cont.
    Giving advice
    If I were you
    I think you should
    It seems to me the best course of action is

    Barriers cont.
    Defending
    Pt.: The nurses were very slow
    answering my light last night.
    Nurse:I dont know how you can say that. This
    floor has the best nurses in the hospital.

    Barriers cont.
    Minimizing feelings
    Pt.: Im quite scared about this surgery.
    Nurse:Oh, everyone feels that way before an
    operation.
    Pt.: I really hate shots.
    Nurse.Dont be silly. Its just a little stick.

    Barriers cont.
    Changing the subject
    Pt.: I hope someone comes to visit me today.
    Nurse:Its such a beautiful day today.

    Social response
    - nurse uses superficial social conversation
    that is not client-centered.
    - How does the coffee taste today?

    Responsive dimensions
    Genuineness- the nurse is open, honest,
    and sincere.
    Respect- unconditional positive regard. The
    nurses attitude is nonjudgmental.
    Empathy- sensitivity to the pts current
    feelings and the verbal ability to
    communicate this understanding.

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