Humor Health Promotion/ Sensitivity to Each Patient’s Goals + Values
- Goals to have patient adopt health-promoting behaviors
- Information not enough
Therapeutic Effectiveness
- Self-awareness + self-reflection
- Openness
- Self-confidence + strength
- Genuineness
- Concern for individual
- Respect for individual
- Knowledge
- Ability to empathize
- Sensitivity
- Acceptance
- Creativity
- Ability to focus + confront
Emotional/ Spiritual/ Physical Care
- Listening
- Shows patient you care
- Get information
- Silence
- Nonverbal response
- Open-ended questions
- Listen/ silence/ touch/ convey acceptance
Healthy People 2020
- Improve health literacy
- Health promotion requires effective communication
- Read, comprehend, + follow through on health information.
Values Clarification
- Method discovering one’s values + importance of these values
- Own values + biases
- Helps people recognize what values they hold + evaluate how those values influence their actions
- Patient values lead to behaviors that conflict with RN value of promoting health
- Ethical dilemmas
- RN examines conflicting values
- Possible outcomes to promote health interventions
Steps in Self-Awareness
- Listening to oneself
- Self-concept
- Mental picture of self
- Self-esteem
- How people feel about the way they see themselves
- Judgement + attitudes about self
- Self-concept
- Listening to + learning from others
- Feedback
- Self-disclosure
- Share aspects of self
- Disclosure in one triggers disclosure in another
- Practical reflection
- Understand one’s own thoughts + actions to take action in future
- Need self-awareness + clarification of values
- Therapeutic use of self-impaired
Relationship Stages
- Orientation/ introductory phase/ RN + patient meet
- RN structures interaction
- Establishing a connection
- Consistency
- Sensitive pacing of communication
- Active listening
- Conveying concern + warmth
- Pay attention to comfort + control
- Working phase
- RN + patient work together to promote patient’s health
- Termination phase
- Ending relationship
- For therapeutic relationships
Ethical Communication
- How receiver is getting the message
- Treat people with respect
- Barriers
- Sender
- Message
- Receiver
- Anxiety/ attitudes/ noise/ activity/ distance/ language/ beliefs