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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

Role of Communication in the Nursing Process II: Planning and Implementation

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...

Levels of Communication I: Intrapersonal, Interpersonal, and Small Group

Levels of Communication I: Intrapersonal, Interpersonal, and Small Group

Interpersonal communication focuses on the exchange of messages between two people.
We can participate in these relationships through verbal, nonverbal, and mediated communication. We engage in verbal communication when we use words during our interaction to convey specific meanings. On the other hand, nonverbal communication refers to various factors that can impact how we understand each other—for example, facial expressions.
We interact with others using mediated technologies like the...

Communication

Communication

Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
Within...

Therapeutic Communication

Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Trusting in the New NHS: instrumental versus communicative action.

Patrick R Brown¹

¹Centre for Health Services Studies, University of Kent, UK. P.R.Brown@kent.ac.uk

Sociology of Health & Illness

|January 16, 2008

Summary

UK National Health Service reforms aim to rebuild patient trust through clinical governance. However, this instrumental approach overlooks crucial patient-professional communication, hindering genuine trust development.

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Area of Science:

Healthcare Policy
Sociology of Health
Medical Ethics

Background:

UK National Health Service (NHS) reforms, including clinical governance, were introduced to restore patient trust.
Current policy approaches to trust are largely based on an instrumental conception of trust.

Purpose of the Study:

To analyze the instrumental approach to trust in UK healthcare policy.
To propose a communicative understanding of trust as an alternative model.
To explore the implications of instrumental trust for patient-professional interactions.

Main Methods:

Critical analysis of policy documents and theoretical frameworks related to trust in healthcare.
Examination of the assumptions and limitations of instrumental trust models.
Development of a communicative theory of trust.

Main Results:

The instrumental conception of trust, with its focus on rationality and institutions, neglects the vital role of communication and affective dimensions in patient trust.
Communicative trust emphasizes the quality of patient-professional interaction, where patients perceive their best interests are understood and acted upon.
The current instrumental approach in the NHS may inadvertently reduce the likelihood of effective communication and foster a divergence in rationalities.

Conclusions:

A shift towards a communicative understanding of trust is necessary for rebuilding patient confidence in the NHS.
Effective healthcare provision requires integrating instrumental and communicative rationalities, prioritizing patient-professional dialogue.
Addressing recent challenges to patient confidence necessitates fostering an environment conducive to open and empathetic communication.