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Interpersonal Relationships - E-Book

Interpersonal Relationships - E-Book

Elizabeth C. Arnold | Kathleen Underman Boggs

(2015)

Additional Information

Book Details

Abstract

Effective communication with clients, families, and professional colleagues starts here! With Interpersonal Relationships: Professional Communication Skills for Nurses, 7th Edition, you’ll see how good communication skills can lead to achieving treatment goals in health care. Clear guidelines show how you can enhance the nurse-client relationship through proven communication strategies as well as principles drawn from nursing, psychology, and related theoretical frameworks. And you’ll see how to apply theory to real-life practice with case studies, interactive exercises, and evidence-based practice studies. A two-time winner of the AJN Book of the Year award, this book is updated to emphasize interdisciplinary communication and QSEN competencies. From expert nursing educators Elizabeth Arnold and Kathleen Underman Boggs, this comprehensive, market-leading text is unmatched for helping nurses develop effective communication skills!

  • Interactive exercises offer the opportunity to practice, observe, and critically evaluate your professional communication skills in a safe learning environment.
  • Practical guidelines describe how to modify communications strategies for various populations and situations including children, the elderly, end of life, clients with special needs, health teaching, stress, crisis, and professional colleagues.
  • Case examples help you develop empathy for clients' perspectives and needs.
  • Nursing, behavioral, developmental, family, and communication theories provide an essential foundation and a theoretical perspective for effective communication.
  • Learning objectives, chapter overviews, and a detailed glossary focus your study and help you absorb and retain key content.
  • NEW! A greater emphasis on communication, interdisciplinary theory, and interprofessionalism includes a focus on the nursing paradigm, nursing discipline, and ways of knowing.
  • NEW! Focus on QSEN competencies reflects current thinking on technology, safety, and evidence-based practice, especially as they relate to communication in nursing.
  • NEW! Discussion questions at the end of each chapter encourage critical thinking.
  • NEW! Clarity and Safety in Communication chapter addresses topics such as huddles, rounds, handoffs, SBAR, and other forms of communication in health care.

Table of Contents

Section Title Page Action Price
Cover Cover
IFC IFC
Interpersonal Relationships i
Copyright ii
Dedication iii
Reviewers and contributor v
Reviewers v
Contributor v
Acknowledgments vii
Preface ix
Part-01 Conceptual Foundations of Interpersonal Relationships and Professional Communication Skills 1
Chapter 1 - Theory Based Perspectives and Contemporary Dynamics 1
BASIC CONCEPTS 1
THE DISCIPLINE OF NURSING 2
THE SCIENCE OF NURSING 2
COMMUNICATION THEORY 6
APPLICATIONS 11
GENERAL SYSTEMS THEORY 11
THE FUTURE OF NURSING 18
SUMMARY 19
DISCUSSION QUESTIONS 20
REFERENCES 20
Chapter 2 - Professional Guides for Nursing Communication 22
BASIC CONCEPTS 22
STANDARDS AS GUIDES TO COMMUNICATION IN CLINICAL NURSING 22
ORGANIZATIONS OR AGENCIES ISSUING HEALTH CARE COMMUNICATION GUIDELINES 23
PROFESSIONAL NURSING ORGANIZATIONS ISSUING HEALTH CARE COMMUNICATION GUIDELINES 24
ETHICAL STANDARDS AND ISSUES 27
LEGAL STANDARDS 28
APPLICATIONS 29
EVIDENCE-BASED PRACTICE 29
STANDARDS 30
USING THE NURSING PROCESS IN NURSE-CLIENT RELATIONSHIPS 30
APPLICATION OF ETHICAL AND LEGAL GUIDELINES 35
SUMMARY 38
DISCUSSION QUESTIONS 39
REFERENCES 39
Chapter 3 - Clinical Judgment and Ethical Decision Making 40
BASIC CONCEPTS 40
TYPES OF THINKING 40
ETHICAL REASONING 41
CRITICAL THINKING 44
APPLICATIONS 47
PARTICIPATION IN CLINICAL RESEARCH 47
SOLVING ETHICAL DILEMMAS IN NURSING 47
PROFESSIONAL VALUES ACQUISITION 49
APPLYING CRITICAL THINKING TO THE CLINICAL DECISION-MAKING PROCESS 49
SUMMARY 54
DISCUSSION QUESTIONS 55
REFERENCES 55
Chapter 4 - Clarity and Safety in Communication 57
BASIC CONCEPTS 57
SAFETY DEFINITION 57
GENERAL SAFETY COMMUNICATION GUIDELINES FOR ORGANIZATIONS 59
BARRIERS TO SAFE, EFFECTIVE COMMUNICATION IN THE HEALTH CARE SYSTEM 59
INNOVATIONS THAT FOSTER SAFETY 60
APPLICATIONS 64
TOOLS FOR SAFER CARE 64
TEAM TRAINING MODELS 68
CLIENT SAFETY OUTCOMES OF TEAM TRAINING PROGRAMS 69
OTHER SPECIFIC NURSING EFFORTS 71
SUMMARY 72
DISCUSSION QUESTIONS 73
REFERENCES 73
Part-02 Essential Communication Skills 75
Chapter 5 - Developing Therapeutic Communication Skills 75
BASIC CONCEPTS 75
CONCEPTS OF THERAPEUTIC COMMUNICATION 75
VERBAL COMMUNICATION 76
NONVERBAL (BEHAVIORAL) COMMUNICATION 76
PURPOSE OF CLIENT-CENTERED COMMUNICATION 76
THEORETICAL PERSPECTIVES 77
APPLICATIONS 81
APPLYING CONCEPTS OF CLIENT-CENTERED COMMUNICATION 81
BUILDING RAPPORT 81
ASKING QUESTIONS 82
EMPATHETIC LISTENING FOR UNDERSTANDING 83
THEMES 83
OBSERVING NONVERBAL BEHAVIORS 85
OBSERVING COMMUNICATION PATTERNS 86
USING ACTIVE LISTENING RESPONSES 86
VERBAL RESPONSES 90
OTHER FORMS OF COMMUNICATION 93
USING TECHNOLOGY IN COMMUNICATION 95
SUMMARY 96
REFLECTIVE DISCUSSION QUESTIONS 96
REFERENCES 96
Chapter 6 - Variation in Communication Styles 99
BASIC CONCEPTS 100
METACOMMUNICATION 100
VERBAL COMMUNICATION 100
VERBAL STYLE FACTORS THAT INFLUENCE NURSE-TO-CLIENT PROFESSIONAL COMMUNICATION 101
NONVERBAL COMMUNICATION 102
COMMUNICATION ACCOMMODATION THEORY 105
EFFECTS OF SOCIOCULTURAL FACTORS ON COMMUNICATION 105
APPLICATIONS 107
KNOWING YOUR OWN COMMUNICATION STYLE 107
INTERPERSONAL COMPETENCE 108
STYLE FACTORS THAT INFLUENCE RELATIONSHIPS 109
ADVOCATE FOR CONTINUITY OF CARE 110
SUMMARY 111
DISCUSSION QUESTIONS 111
REFERENCES 111
Chapter 7 - Intercultural Communication 113
Basic Concepts 113
DEFINITIONS 113
Applications 118
IMPORTANCE OF CULTURE IN HEALTH CARE COMMUNICATION 118
CULTURAL COMPETENCE 119
CARE OF THE CULTURALLY DIVERSE CLIENT 120
THEORETICAL FRAMEWORKS 120
CULTURAL IMPLICATIONS IN CLIENT-CENTERED DECISION MAKING 120
WORKING WITH LANGUAGE BARRIERS 122
COMMUNICATION PRINCIPLES 123
KEY CULTURAL GROUPS 124
POVERTY 131
SUMMARY 132
DISCUSSION QUESTIONS 132
REFERENCES 132
Chapter 8 - Therapeutic Communication in Groups 136
BASIC CONCEPTS 136
DEFINITIONS OF GROUP 136
PRIMARY AND SECONDARY GROUPS 136
CHARACTERISTICS OF SMALL GROUP COMMUNICATION 137
APPLICATIONS TO HEALTH-RELATED GROUPS 142
GROUP LEADERSHIP 143
APPLICATIONS 144
THERAPEUTIC GROUPS 144
APPLICATIONS IN THERAPEUTIC GROUPS 145
TYPES OF THERAPEUTIC GROUPS 147
GROUP PRINCIPLES APPLIED TO PROFESSIONAL WORK GROUPS 151
SUMMARY 156
DISCUSSION QUESTIONS 157
REFERENCES 157
Part-03 Therapeutic Interpersonal Relationship Skills 159
Chapter 9 - Self Concept in Professional Interpersonal Relationships 159
BASIC CONCEPTS 159
DEFINITION 159
THEORETICAL FRAMEWORKS 162
APPLICATIONS 163
SELF-CONCEPT 163
PATTERNS AND NURSING DIAGNOSIS RELATED TO SELF-CONCEPTS 166
PERSONAL IDENTITY 167
SELF-ESTEEM 170
SELF-EFFICACY 173
SUMMARY 178
DISCUSSION QUESTIONS 178
REFERENCES 178
Chapter 10 - Developing Therapeutic Relationships 180
BASIC CONCEPTS 180
DEFINITIONS 180
LEVEL OF INVOLVEMENT 184
THERAPEUTIC USE OF SELF 186
APPLICATIONS 187
ADAPTATION FOR SHORT-TERM RELATIONSHIPS 197
SUMMARY 199
DISCUSSION QUESTIONS 199
REFERENCES 200
Chapter 11 - Bridges and Barriers in Therapeutic Relationships 202
BASIC CONCEPTS 202
BRIDGES TO THE RELATIONSHIP 202
RESPECT 203
CARING 203
EMPOWERMENT 204
TRUST 205
EMPATHY 205
MUTUALITY 206
VERACITY 207
OTHER BARRIERS TO THE RELATIONSHIP 207
APPLICATIONS 212
STEPS IN THE CARING PROCESS 212
STRATEGIES FOR EMPOWERMENT 212
APPLICATION OF EMPATHY TO LEVELS OF NURSING ACTIONS 213
REDUCTION OF BARRIERS IN NURSE-CLIENT RELATIONSHIPS 214
VERACITY AND TRUST 214
RESPECT FOR PERSONAL SPACE 214
VIOLATION OF CONFIDENTIALITY 215
AVOIDING CROSS-CULTURAL DISSONANCE 215
SUMMARY 215
DISCUSSION QUESTIONS 216
REFERENCES 216
Chapter 12 - Communicating with Families 217
BASIC CONCEPTS 217
DEFINITION OF FAMILY 217
FAMILY COMPOSITION 218
THEORETICAL FRAMEWORKS 219
APPLICATIONS 222
FAMILY-CENTERED CARE 222
ASSESSMENT 222
APPLYING THE NURSING PROCESS 228
SUMMARY 238
DISCUSSION QUESTIONS 238
REFERENCES 238
Chapter 13 - Resolving Conflicts betweenNurse and Client 241
BASIC CONCEPTS 241
DEFINITION 241
NATURE OF CONFLICT 242
CAUSES OF CONFLICT 242
RISK FOR VIOLENCE: INCIDENCE STATISTICS 242
STAGE OF ANGER 243
CONFLICT OUTCOMES: WHY WORK FOR CONFLICT RESOLUTION? 243
UNDERSTAND OWN PERSONAL RESPONSES TO CONFLICT 243
OUTCOME: POSITIVE GROWTH 247
OUTCOME: DYSFUNCTION, SUCH AS UNRESOLVED CONFLICT 247
NATURE OF ASSERTIVE BEHAVIOR 247
SAFETY 248
APPLICATIONS 248
PREVENTING CONFLICT 248
ASSESSING THE PRESENCE OF CONFLICT IN THE NURSE-CLIENT RELATIONSHIP 248
TECHNIQUES FOR CONFLICT RESOLUTION 250
NURSING COMMUNICATION INTERVENTIONS: FOLLOWING THE C.A.R.E. STEPS 252
THE ANGER MANAGEMENT PROCESS: NURSING BEHAVIORS TO AVOID VIOLENT CLIENT BEHAVIOR 253
CONFLICT COMMUNICATION SKILLS 256
CLINICAL ENCOUNTERS WITH ANGRY CLIENTS 257
STRATEGIES USEFUL DURING CLINICAL ENCOUNTERS WITH VIOLENT CLIENTS 258
DEFUSING POTENTIAL CONFLICTS WHEN PROVIDING HOME HEALTH CARE 259
SUMMARY 259
DISCUSSION QUESTIONS 260
REFERENCES 260
Part-04 Communicating to Foster Health Literacy, Health Promotion and Prevention of Disease Among Diverse Populations 261
Chapter 14 - Communicating to Encourage Health Literacy, Health Promotion, and Prevention of Disease 261
BASIC CONCEPTS 261
DEFINITIONS 261
GLOBAL AND NATIONAL HEALTH PROMOTION AGENDAS 263
THEORY-BASED FRAMEWORKS 264
APPLICATIONS 269
HEALTH EDUCATION FOR HEALTH PROMOTION 270
COMMUNITY VOICES IN HEALTH PROMOTION ACTIVITIES 274
SUMMARY 281
DISCUSSION QUESTIONS 282
REFERENCES 282
Chapter 15 - Health Teaching and Coaching 284
BASIC CONCEPTS 284
DEFINITIONS 284
THEORETICAL FRAMEWORKS 285
DOMAINS OF LEARNING 286
CORE DIMENSIONS OF CLIENT EDUCATION 289
APPLICATIONS 291
DEVELOPING INDIVIDUALIZED TEACHING PLANS 291
SUMMARY 306
DISCUSSION QUESTIONS 306
REFERENCES 307
Chapter 16 - Empowerment Oriented Communication Strategies to Reduce Stress 309
BASIC CONCEPTS 309
DEFINITION 309
STRESS FRAMEWORKS 311
COPING 313
APPLICATIONS 316
APPLYING THE NURSING PROCESS 316
SUMMARY 329
DISCUSSION QUESTIONS 331
REFERENCES 331
Part-05 Accommodating Clients with Special Communication Needs 333
Chapter 17 - Communicating with Clients Experiencing Communication Deficits 333
BASIC CONCEPTS 334
LEGAL MANDATES 334
HOME-BASED HEALTH CARE 334
TYPES OF DEFICITS 334
APPLICATIONS 336
EARLY RECOGNITION OF COMMUNICATION DEFICITS 337
ASSESSMENT OF CURRENT COMMUNICATION ABILITIES 337
COMMUNICATION STRATEGIES 337
CLIENT ADVOCACY 343
SUMMARY 343
DISCUSSION QUESTIONS 344
REFERENCES 344
Chapter 18 - Communicating with Children 345
BASIC CONCEPTS 345
LOCATION 345
ATTITUDE 345
COGNITION 346
INTERPERSONAL 346
APPLICATIONS 348
ASSESSMENT 348
COMMUNICATING WITH CHILDREN WITH PSYCHOLOGICAL BEHAVIORAL PROBLEMS 349
COMMUNICATING WITH PHYSICALLY ILL CHILDREN IN THE HOSPITAL AND AMBULATORY CLINIC 350
COMMUNICATION WITH INFANTS FROM BIRTH TO 12 MONTHS 350
COMMUNICATION WITH CHILDREN 1 TO 3 YEARS OF AGE (TODDLERS) 353
COMMUNICATION WITH CHILDREN 3 TO 5 YEARS (PRESCHOOLERS) 353
COMMUNICATION WITH CHILDREN 6 TO 11 YEARS (SCHOOL AGE) 355
COMMUNICATION WITH CHILDREN OLDER THAN 11 YEARS OF AGE (ADOLESCENTS) 356
FORMING HEALTH CARE PARTNERSHIPS WITH PARENTS 360
SUMMARY 362
DISCUSSION QUESTIONS 362
REFERENCES 362
Chapter 19 - Communicating with Older Adults 364
BASIC CONCEPTS 364
CONCEPTS OF AGING 364
THEORETICAL FRAMEWORKS 366
APPLICATIONS 368
ASSESSMENT STRATEGIES WITH OLDER ADULT CLIENTS 368
EMPOWERMENT: BUILDING ON CLIENT STRENGTHS 372
RELATIONSHIPS WITH COGNITIVELY IMPAIRED OLDER ADULTS 377
SUMMARY 384
DISCUSSION QUESTIONS 384
REFERENCES 384
Chapter 20 - Communicating with Clients in Crisis 387
BASIC CONCEPTS 387
DEFINITIONS 387
THEORETICAL FRAMEWORKS 388
APPLICATIONS 390
STRUCTURING CRISIS INTERVENTION STRATEGIES 390
MENTAL HEALTH EMERGENCIES 394
DISASTER MANAGEMENT 400
HELPING CHILDREN COPE WITH TRAUMA 403
HELPING OLDER ADULTS COPE WITH TRAUMA 403
SUMMARY 404
DISCUSSION QUESTIONS 404
REFERENCES 404
Chapter 21 - Communicating with Clientsand Families at End of Life 407
BASIC CONCEPTS 407
LOSS 407
THEORETICAL FRAMEWORKS 408
THE NATURE OF GRIEF AND GRIEVING 409
PATTERNS OF GRIEVING 410
APPLICATIONS 412
PALLIATIVE CARE 412
PAIN MANAGEMENT 415
COMMUNICATION IN END-OF-LIFE CARE 416
ADDRESSING CULTURAL AND SPIRITUAL NEEDS 419
PALLIATIVE CARE FOR CHILDREN 420
HELPING CLIENTS ACHIEVE A GOOD DEATH 422
CARING OF THE CLIENT AFTER DEATH 424
STRESS ISSUES FOR NURSES IN PALLIATIVE CARE SETTINGS 424
SUMMARY 425
DISCUSSION QUESTIONS 425
REFERENCES 426
Part-06 Collaborative and Professional Communication 428
Chapter 22 - Role Relationships and Interprofessional Communication 428
BASIC CONCEPTS 428
ROLE 428
NURSING EDUCATION AND PROFESSIONAL ROLE DEVELOPMENT 432
APPLICATIONS 435
PROFESSIONAL ROLE SOCIALIZATION AND IDENTITY FORMATION 435
CREATING SUPPORTIVE WORK ENVIRONMENTS 441
DEVELOPING LEADERSHIP SKILL SETS 444
CLIENT ADVOCACY ROLES 445
SUMMARY 447
DISCUSSION QUESTIONS 447
REFERENCES 447
Chapter 23 - Communicating with Other Health Professionals 450
BASIC CONCEPTS 450
STANDARDS FOR A HEALTHY WORK ENVIRONMENT 450
CREATING A COLLABORATIVE CULTURE OF REGARD TO ELIMINATE DISRUPTIVE BEHAVIOR 452
APPLICATIONS 454
CONFLICT RESOLUTION 454
CONFLICT RESOLUTION 455
DELEGATION OR SUPERVISION OF UNLICENSED PERSONNEL 459
STRATEGIES A NURSE CAN USE TO COMMUNICATE AND HELP CREATE A BETTER WORK ENVIRONMENT 459
ADVOCACY 459
STRATEGIES TO REMOVE BARRIERS TO COMMUNICATION WITH OTHER PROFESSIONALS 460
DEVELOP A SUPPORT SYSTEM 465
SUMMARY 466
DISCUSSION QUESTIONS 467
REFERENCES 467
Chapter 24 - Communicating for Continuity of Care 469
BASIC CONCEPTS 469
CURRENT CHALLENGES IN HEALTH CARE DELIVERY 469
CONTINUITY OF CARE CONCEPTS 470
APPLICATIONS 472
RELATIONAL CONTINUITY 472
ESSENTIAL ELEMENTS OF RELATIONAL CONTINUITY 474
INFORMATIONAL CONTINUITY 479
TRANSITION AND DISCHARGE PLANNING IN CONTINUITY OF CARE 480
MANAGEMENT CONTINUITY 484
SUMMARY 488
DISCUSSION QUESTIONS 489
REFERENCES 489
Chapter 25 - Documentation in an Electronic Era 492
BASIC CONCEPTS 492
COMPUTERIZED HEALTH INFORMATION TECHNOLOGY SYSTEMS 492
DOCUMENTING CLIENT INFORMATION 496
PLAN OF CARE 499
STANDARDS: ETHICAL, REGULATORY, AND PROFESSIONAL 500
APPLICATIONS 501
COMPUTER LITERACY 501
COMMUNICATING MEDICAL ORDERS 501
WORKLOAD AND WORK-AROUNDS 502
DOCUMENTING ON A CLIENT’S HEALTH RECORD 503
CONFIDENTIALITY 503
CODING 504
CLASSIFICATION OF CARE: USE OF STANDARDIZED TERMINOLOGIES AND TAXONOMIES 504
REFERENCE TERMINOLOGY SYSTEMS THAT EXCHANGE DATA BETWEEN CLASSIFICATION SYSTEMS 507
SUMMARY 507
DISCUSSION QUESTIONS 507
REFERENCES 507
Chapter 26 - Communication at the Point of Care: Application of e-Health Technologies 509
BASIC CONCEPTS 510
DECENTRALIZED ACCESS: TECHNOLOGY FOR COMMUNICATING AT THE POINT OF CARE 511
ENHANCED WORK FLOW: REMOTE SITE MONITORING, DIAGNOSIS, TREATMENT, AND COMMUNICATION 513
COMPUTERIZED CLINICAL DECISION SUPPORT SYSTEMS 515
CLIENT ENGAGEMENT 517
TECHNOLOGY FOR CLIENT HEALTH SELF-MANAGEMENT 517
OUTCOMES OF TECHNOLOGY USE 518
APPLICATIONS 519
TECHNOLOGY USE 519
CLINICAL DECISION SUPPORT SYSTEMS 522
APPLICATION OF CLINICAL GUIDELINES TO PRACTICE 522
MHEALTH: TECHNOLOGY FOR CLIENT ENGAGEMENT 522
ISSUES 524
PROFESSIONAL ONLINE NURSING EDUCATION 524
SUMMARY 525
DISCUSSION QUESTIONS 525
REFERENCES 525
Glossary 528
Photograph Credits 538
Index 539