Find the attched file of essay details for NUR 113 “Effective communication is the key to providing quality nursing care to our patients”
Define therapeutic communication
Identify key features of therapeutic communication

Understand verbal communication principles
Explore forms of non-verbal communication
Understand the importance of active listening skills in nursing
Identify the barriers to listening
It is the purposeful use of communication to build and maintain helping relationships with patients, families and significant others.
Its techniques encourage the patient to express feelings and thoughts in a safe, nonjudgmental manner.
Assessment, diagnosis, planning, implementation and evaluation of a patient’s care depend on therapeutic communication between the nurse, patient, family, significant others and the multidisciplinary team (MDT).
(O’Toole, 2012)
To establish effective therapeutic communication trust, rapport, empathy, respect, privacy, confidentiality and boundaries should pre vail.
therapeutic communication occurs within the nursing context.
Provides exchange of health related information.
Requires knowledge and attitudes pertinent to nursing.
It is patient centred and goal directed.
It is responsive without being overly accommodating.
It is assertive without being domineering.
Trust
Rapport
Empathy
Respect
Privacy
Confidentiality
Boundaries

Trust – confidence in and reliance upon the health professional to provide quality service that is always in the best interests of the person seeking assistance. Trust is critical in the nurse-client relationship because the client is in a vulnerable position. Initially, trust in a relationship is fragile, so it’s especially important that a nurse keep promises to a client. If trust is breached, it becomes
difficult to re-establish
Rapport – A connection between two people based on trust and awareness that they have a common goal.
Empathy – the direct, clear and accurate understanding and expression of the emotions of an individual.
Respect – Unconditional positive regard for self and others regardless of weaknesses or failure, position or status, beliefs and values, and marital possessions or socioeconomic level. It assumes all human beings have innate worth and value. Respect is the recognition of the inherent dignity, worth and uniqueness of every individual, regardless of socio-economic status, personal
attributes and the nature of the health problem.
Privacy – someone’s right to keep their personal matters and relationships secret.
Confidentiality – Keeping information within a particular context; involves keeping information private.
Boundaries – A boundary is a limit, or a behavioral line which cannot be crossed.
Warning signs of unhealthy boundaries could be:
You share personal problems or aspects of your intimate life with patients.
You keep secrets with patients.
You become defensive when someone questions your interaction with.
You have received gifts from a patient.
You speak to the patient about your own professional needs or inability.
You speak poorly of co-workers or the hospital to patients.
You talk to patients/families about things that are out of your scope of practice.
You give certain patients extra time or attention.
You give patients personal contact information or money.
You fail to set limits with a patient.
You spend duty time with patients.
You feel that you understand the patient’s problems better than other members of the healthcare team.

Case study

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