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Updated: Jun 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
The consultative process used in outreach: a narrative account
1School of Health and Social Care, Bournemouth University, Bournemouth BH1 3LT, UK. mchristensen@bournemouth.ac.uk
Effective communication and consultation skills are crucial for nurses in advanced roles. Utilizing Neighbour's model enhances patient care, participation, and empowerment in outreach settings.
Area of Science:
- Nursing
- Healthcare Communication
- Advanced Practice
Background:
- The nursing profession is evolving with increased autonomy in community and acute care.
- Consultancy is becoming integral to advanced nurse practitioner roles.
- Enhanced consultation skills are necessary for positive patient outcomes.
Purpose of the Study:
- To provide a narrative account of communication skills in effective outreach consultations.
- To explore the application of Neighbour's consultative model.
- To identify essential skills for therapeutic relationships in advanced nursing care.
Main Methods:
- Narrative account of communication skills.
- Application of Neighbour's consultative model.
- Analysis of systematic history taking and assessment strategies.
Main Results:
- Identified salient communication skills for outreach consultations.
- Demonstrated how a recognized model elucidates underpinning knowledge.
- Highlighted strategies to increase patient participation and empowerment.
Conclusions:
- Effective communication skills within a consultative model are vital for patient well-being in advanced care.
- Prejudging information can negatively impact patient safety and treatment.
- Utilizing appropriate models enhances therapeutic relationships and patient outcomes.
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