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Eliciting assessment data from the patient who is difficult to interview
1Medical College of Pennsylvania.
The Nursing Clinics of North America
|December 1, 1990
Summary
Effective patient interviews require nurses to manage the environment and their communication. Addressing challenging patient behaviors and sensitive topics calmly and knowledgeably improves the nursing assessment process.
Area of Science:
- Nursing Process
- Patient Assessment
- Clinical Communication
Background:
- The patient interview is a critical component of the nursing assessment.
- Effective communication strategies are vital for a productive patient interview.
- Challenging patient dynamics can complicate the interview process.
Framework:
- Controlling the interview environment is essential.
- Managing nurse's verbal and nonverbal communication is key.
- Addressing specific patient behaviors (cognitive impairment, anger, anxiety, depression, manipulation, seduction) requires tailored approaches.
Implementation:
- Nurses must approach challenging patient dynamics calmly, with control and knowledge.
- Facilitating the interview process helps prevent future complications.
- Developing comfort in discussing sensitive topics (terminal illness, suicide, sexuality) is crucial.
Implications:
- Improved patient interviews lead to better nursing assessments.
- Skilled handling of difficult dynamics enhances patient rapport and care.
- Professional development through reading, workshops, and self-assessment is vital for nurses.