The nursing profession has since gained more significant improvement since after emphasis has shifted to patient-centered care. The therapeutic care has been one of the major tools towards these achievements. According to (Sherko., Sotiri&Lika) therapeutic and communication are two complex words that portrays different meanings. Therapeutic-refers to science and art of healing while communication is a medium through which information is exchanged. The combination of these words formed the concept of therapeutic communication that established the platform of which the nursing care is xxxxx during health promotion, illness, healing and recovery. This paper explores the definition and the goals, the key components, the actions that promote and block, the difference between a general and therapeutic communication and finally delves on the necessity and the impacts of good therapeutic communication on the patient’s safety. Definition and Goals of Therapeutic Communication.Therapeutic communication utilizes strategic techniques that allow the clients to voluntarily express their thoughts and feelings. It also projects the culture of respect and acceptability of the client during communication. (Sherko., Sotiri&Lika} JaHR vol. 4 no. 7 2013,pg 457&8). It is a face-to-face method of interaction which emphasis is geared towards the holistic well-being of clients. Kimmel (2020). Therapeutic communication occurs when there is an exchange of information which can either be a verbal or non-verbal communication. The verbal communication takes cognizance of the conversation that occurred, the location, time, physical, social, emotional and the cultural environment while the non-verbal communication is a gesture expressed during the verbal communication through body languages, eye contacts and facial expressions to communicate the client’s thoughts, feeling, needs, and concerns to the registered nurse(RN) (Sherko., Sotiri&Lika).The central goals of therapeutic communication is the client’s need satisfaction. This is often achieved when a close relationship is established to promote healing, support and to enhance functionality. However, it is health focused with set boundaries. (Sheldon, 2005). It also aims at skillfully collecting both subjective and objective information that forms cues to a proper diagnosis. When effectively utilized during assessment, tangible information is gathered to draw conclusion if interventions were to be carried out or modified for a favorable outcome. Sometimes, it helps determine if it was necessary to provide health education (Kimmel, 2020). Key Components of Therapeutic Communication.The strength of a therapeutic relationship between the registered nurse and the client will determine if clients would be willing to have confidence in revealing intimate issues. In that regard, there are some key components essential of an effective therapeutic communication that can provide astounding results that clients were not aware could be achieved. Power: The registered nurse has an advantage over client on the premise of a service provider who has authority associated to her position and to her specialized knowledge. She is privileged to access the client’s information and this makes the client vulnerable due to care needs from the RN. When this imbalanced power occurs in this relationship, it subjects the client to the RN’S dictates and demands respect to be given by both parties (Nurses’ Association of New Brunswick, 2015).Trust: Clients view RN’s as professionals who is knowledgeable, skilled, competent, dependable and ethical in behavior. This gives the client the courage to entrusts their care needs to the RN. When there occur a breach in trust, care and confidentiality on this premise, the therapeutic aim will be forfeited ((Nurses’ Association of New Brunswick, 2015).Respect: RN’s show respect when they avoid interventions that are contrary to the patient’s beliefs, view, ideas and culture. Therefore this calls for careful exploration of the client’s emotions when assessing burdens and psychological feelings during the interview. These assessment clue will aid in the right diagnosis that can help the RN prioritize client’s care needs (Hashim, M. 2017, vol 95,pg 31).Empathy: The RN must have the capacity to comprehend and relate to the client’s emotions and experience. This can be expressed through gestures of touch that is culturally appropriate, observing silence, and offering a box of tissue in a teary situation. These acts conveys a message to the client of having someone to lean upon and who can as well resolve every of their pains (Hashim, M. 2017, vol 95,pg 32).Professional Intimacy: This form of intimacy is formed when the RN and the client together explore the genesis of the illness, dialog on treatment options, and document the time a compromise is reached based on the client’s interests. This is also a period when the RN assists clients to make more informed choices, explore risk factors and if necessary, health promoting education are offered during this time (Hashim, M. 2017, vol 95,pg 32). Actions That Promote or Block Therapeutic CommunicationA slack during therapeutic communication may deter results. A RN who is more cognitive inclined than in the interpersonal skills may end up losing the patient. The following are the major promoters/blocks to effective therapeutic communication.A good listening skill: A RN patiently listening indicates all attention is focused on the client. When all attention is not gained during communication, it implies a break in trust in the therapeutic relationship. It usually sends a negative message to the client such as, ‘’I am busy’’, ‘’Your problem is not a big deal or could be interpreted to mean ‘’ a less valued client’’. This usually causes the client to withdraw from sharing tangible information that could help during care planning (Mikanowicz,C. & Gmeiner,A 2015). Therefore, a RN must constantly give value and importance to any communication held with the client to solidify the trust established during the relationship and towards achieving the best outcome.Advice Giving: RN’s takes the role of an advocator. It is unhealthy to impose advice on the clients because it withdraws their right to making decisions regarding their health status and make them less of human, and it usually results into loneliness and powerlessness (Mikanowicz,C. & Gmeiner,A 2015). The client’s right is autonomous, and to establish an effective therapeutic communication, this right must not be withdrawn from them.Belittling Expressed Feelings: Every form of gesture displayed by the client must be considered important. If the RN ignores the emotions and feelings of the client, it sends a wrong signal that they are not important or being ignored because their problems are of no significance. (Mikanowicz,C. & Gmeiner,A 2015). this act further implies that the RN-client relationship would be lost. It is always encouraged that further enquiries should be made if there’s an unclear gesture displayed for proper clarification of the information.Probing/Prying: Often times, RN’s needs to set a boundary within client’s space. When this is done, client’s decision, feelings and thoughts are respected. Further attempt to meddle into matters not relating to the client’s clinical problem, and which the client is not ready to discuss may lead to communication breakdown. According to (Mikanowicz,C. & Gmeiner,A 2015). ‘’Prying can be destructive to the therapeutic relationship as the client feels he cannot trust the nurse and the only real purpose prying has is to satisfy the need for control and power and most probably, gratification of their own needs.’’ Therefore keeping a manageable space around the client is a major skill to be learnt in order to foster a successful therapeutic communication.How Therapeutic Communication Differs from General Communication.Communication is only established if at least two persons are involved. Therapeutic communication is a cordial process that its intent is on improving the emotional and physical state of patients (National Commission on Correctional Health Care [NCCHC], 2019). A nurse uses the uniqueness of therapeutic communication verbally and non-verbally to create an enabling environment comfortable for clients to express their feelings, concerns, and ideas (Sherko, Sotiri and Lika, 2013). A situational nontherapeutic communication impedes relationship by interfering in the way of open, trusting and respectful dialogue. It often encourage sharing personal opinions or disapprovals that can make clients become defensive or withdrawn (Evesham,2017).Therefore in the health care system, it is not encouraged because it is not the best method to elicit necessary information useful for the planning of the client’s care. Why Good General Communication Is Essential in Health Care.Building positive communication between healthcare providers and the clients distinguish a successful healthcare facility from the rest. Positive communication promotes teamwork that further transcend into the delivery of quality healthcare services to clients in various ways, such as;Diagnostic Accuracy: The nursing process is dynamic as it directs each steps in an ordered manner. Most client’s diagnosis is formed from the nurses’ history during the client’s assessment. During this sensitive period, if not interrupted, accurate and complete data are often generated for the most accurate diagnosis. This action directs the prioritizing of the client’s needs and making plans to achieve the best outcome. However, when there is a break in communication, client’s tend to be withdrawn and possibly hold back important information that would help during the diagnosis process.Improved patients’ satisfaction: Good communication in the health system gives the opportunity for patient to express their feelings and problems. Clients’ are happy when they understand they are giving some degree of control to participate in their care planning, decision making, and having a great deal of time with the caregiver gives a high expectation. These are the benefits a good communication offers the patients.Team satisfaction: A good communication among health care workers affects the work relationship and also gives satisfaction. It consequently leads to offering quality care to patients and a drastic reduction in health care errors and nurse turnover. How Good General Communication Relates to Patient SafetyWhen there is an ineffective communication, the margin of medical errors are significantly increased. According to xxxxxx ‘’ an estimated one-third of adverse events were attributed to human and system errors’’. In a research conducted byxxxxx during the 10 years period between 1995-2005, revealed that ineffective communication accounted for 66 percent of all medical errors at the period. The study further revealed that an RN’s display of skills in listening, empathizing and explaining have a direct impact on the biological and functional improvements of the clients as well as their satisfaction and their experiences during their period of care. ConclusionTherapeutic communication is a purposeful form of communication that allows health care providers and the patient to achieve a health-related goals by their contributions into achieving a focused relationship. However, barriers to communication may hurt the patient, in various ways as; bringing down the patient’s self-esteem and it may alter communication process , consequently, lead to poor health care delivery and standards. When all the members of the healthcare team get involved in the care of the patients, it is generally considered the key to successful therapeutic communication.
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