Nurse-patient communication skills: good at guiding patients to speak.
Clinical investigation has proved that whether nurses sympathize with patients is the key to whether patients are willing to talk to nurses. For the patient, he thinks his illness is outstanding; It is normal for nurses that patients are in pain. What if the nurse doesn't feel it? Move in? Patients will lack sympathy for patients.
If the patient feels that the nurse lacks compassion, he can't take the initiative to talk to the nurse. Even if we talk about it, it is limited to the technical content of patient care, and we don't reveal any feelings, and we don't put forward any opinions on nursing work, which often include our views on medical care, our understanding of our illness, our worries and our description of our psychological state. In this way, the basic information of psychological nursing is lost. Therefore, nurses can only guide patients to talk if they get the goodwill of patients; When the patient speaks, there will be a basis for psychological care, and then psychological care can be carried out according to the symptoms.
In addition, being interested in the content of the conversation is also a prerequisite for making the conversation possible. Especially when guiding those taciturn patients to talk, on the one hand, we should try to find out the events that patients are interested in, on the other hand, we should show considerable interest in any topic at the beginning of the conversation. However, it should also be noted that chatting with patients and chatting with overheated patients will also have the opposite effect.
Foreign hospitals will build a suggestion card for patients when they are admitted to hospital, and set some topics on it, such as? What's your favorite thing? What's your occupation? Your hobby? How is your family? Are you single? ; Are you alone? Do you have any kids？ The topic you are most interested in and so on. Through the patient's filling, the nurse will have a basic understanding of the patient's situation, and can find a topic according to the patient's hobbies or family situation, which is more conducive to the nurse's good impression on the patient and lays the foundation for further effective communication.
I once saw a nurse in charge who was very popular in the ward introduce her experience of communicating with patients. Did she? Mystery book? It records the characteristics, hobbies, family situation, medication, treatment and so on. Of all the patients she is in charge of, it is equivalent to establishing a simple file for each patient. Go to each patient's bed, look at the notebook, choose the appropriate topic according to his personal situation, naturally run out of the topic in the process of nursing patients, communicate with patients, let patients feel cared for and understood, patients naturally trust nurses more, and form a good and harmonious nurse-patient relationship.
Nurse-patient communication skills: open dialogue
If a patient tells a nurse: I have a headache. ? The nurse replied:? Have a slice? Painkillers? All right. ? In this way, the conversation about headache can't continue. What is this conversation? Closed? Dialogue. If the nurse says: Oh, how can it hurt? When did it start? Does it hurt badly? Patients can't have this conversation. what's up Or? No? The answer to the question is over, and the nurse can continue to ask questions from the patient's room. What is this conversation? Open? Dialogue. If the patient who is going to have a gastrectomy the next day says to the nurse, I am a little scared. ? The nurse replied:? You don't have to be afraid. ? So the conversation stopped. The nurse may want to comfort the patient, but he lacks language communication skills and adopts it? Closed? As a result, the patient's psychology can't be further revealed, and the nurse didn't do a good job in psychological care, which made the patient fall into the abyss of pain.
Nurse-patient communication skills: paying attention to feedback information
In addition, the so-called feedback means that the information sent by the speaker reaches the listener, and the listener feeds back the information to the speaker in some way, so that the original intention of the speaker can be clarified, expanded or changed. When the patient talks with the nurse, the nurse gives timely feedback to the patient on what he understands, for example, timely answer:? Yeah, right? The nurse listened carefully and understood the patient's feelings. Similarly, when talking with patients, nurses can check whether patients are interested in listening and understanding through eye contact and simple questions, so as to decide whether to continue talking and how to continue talking. This will keep the two sides in harmony and avoid deadlock.
Nurse-patient communication skills: serious conversation
When talking with a patient, it is impolite for the listener to listen absently, or to interrupt the patient's conversation or interrupt at will. Pay attention when you are obedient, listen to what the other party is saying, and even hear the implication of the conversation. When you talk, let the other person see you. Especially the elderly patients, whose vision is narrow, it is best to talk to them face to face. Some nurses lean forward and put their hands in their pockets when introducing their illness to patients' families, which is very arrogant. The family immediately expressed distrust and went to the leader, saying that they would accompany them in person.
Besides, you should use mutually understandable words in conversation. Like telling some patients? This medicine is very sensitive to. ? Because the patient is right? Sensitive? The concept of "two words" is unclear, and this information actually increases patients' doubts. Clinically, it often happens that nurses complain that patients don't listen carefully, so that they can't remember what the nurses said and repeatedly ask what they explained. This is because for the patient, he may be in an uneasy psychological state such as anxiety and fear, and it is easy to forget the information given; For the nurse, it may be because she speaks fast and gives complicated or vague information, which the patient can't remember.
Because of the different knowledge structures between the two sides, it sometimes brings difficulties to communication. But only by getting to know each other gradually from serious conversation can the communication proceed smoothly.
Nurse-patient communication skills: coping with silence in conversation
There are four possibilities for silence in a patient's conversation. The first one is intentional, and the patient is seeking feedback from the nurse. At this time, it is necessary for the nurse to make a general interruption to encourage him to tell further. Second, thinking is suddenly interrupted, or out of excitement, or suddenly flashed new ideas. Is it best for nurses to use it at this time? How to deal with questions? To lead to the initial speech. For example, a newly admitted patient said: I had a meal or two tonight. ? There was a sudden pause. The nurse should say:? If you eat a meal or two, you will guide the patient to follow the original idea. Otherwise, the nurse asked: Is the food in the canteen bad? This question will prevent the patient from saying what he originally wanted to say. The third is that there are skeletons in the closet. In order to be responsible for patients, we should inspire patients to reveal their privacy in various ways to cure their pain. The fourth is that the concept enters the artistic conception of natural continuation. Sometimes the conversation seems to pause temporarily, but it is actually an emotional extension of the conversation. Silence itself is also a kind of information exchange, so-called? Silence is better than sound here? . Nurses can also exchange information by silent means when talking with patients. But a long silence will split the feelings of both sides and should be avoided. The easiest way to break the silence is to ask questions at the right time.
Nurse-patient communication skills: timely use of humorous language
In addition, timely humor is also a good way to avoid embarrassing communication or further disputes between nurses and patients. For example, a nurse once introduced that during the shift change, an elderly male patient with stubborn temper was unwilling to cooperate with turning over to check his skin. The nurse explained that checking the skin is for the patient's good and avoiding pressure sores, but the patient roared at the nurse: You should turn over and finish the task quickly and get off work early! The nurse was wronged and embarrassed. At this time, the nurse who took over had a brainwave and said, Grandpa, then you won't let us turn over. Are you reluctant to let her go to work or me go to work? Grandpa couldn't help being happy, and the nurse coaxed us again, and finally calmed the patient's mood and got cooperation. It can be seen how important timely humor is.