The Importance of Therapeutic Communication in Caring for Patients
Communication is an approach which we usually use to convey a message and interpret its meaning. Typically, communication involves the exchange of information amid two or more individuals and through that we create relationships with one another. The kind of relationship which is built amid a client and a healthcare professional is known as a therapeutic relationship (Stevenson, 2014). The degree of therapeutic relationship is based on the ability of the healthcare specialist to communicate effectively. The phrase “therapeutic communication” is mainly used in the nursing field, but not limited to nursing only. Therapeutic communication is a brave sort of communication applied in the assisting relationship (Ruesch et al. 2017). It’s a relational contact amid a nurse and a client during which the healthcare officer centers on the precise requirements of the patient to cultivate a productive sharing of information. Healthcare officers use healing communication tactics to offer fresh information, correct misinformation, motivate comprehending of responses of the client to health challenges, investigate care options, aid in decision making as well as facilitating in the wellbeing of the client. The primary aim of the therapeutic communication if to offer a peaceful environment for the patient to see the implication of the sickness understanding as well as giving the information and psychological support which every patient requires to achieve total fitness and wellbeing (Amoah et al.2019). This paper aims to explore the importance of therapeutic communication in caring for patients in a healthcare setting using evidence from most recent sources in healthcare.
Importance of Therapeutic Communication
Therapeutic communication tactics are vital tools for healthcare professionals when conversing with their clients, and these techniques include paraphrasing, touch, active listening and reflection. Active listening is essential for effective communication; it’s not only the act of hearing (Stevenson, 2014). The professional keenly listens while serving the client, grasping what is being shared and respond to the patient that he or she has understood the message of the patient. Active listening includes all the senses of the healthcare specialist. Also, it uses self-discipline, far-fetched quantities of energy focus, seeing and filtering out external and internal features as well as blockades which might incumber communication (Little et al. 2015). Paraphrasing is a reaction plan to active listening structured to assist the client intricate more on what is contained within the verbal message. Through paraphrasing, the healthcare provider sends a reply which allows the patient to understand whether the message was comprehended. Paraphrasing may be ineffective if the actual meaning of the message changes. Reflection is a criterion employed during attentive listening to turn around questions to get responses from the patient. Training patient to react to the question best answered by the client aid them to agree with their feelings and ideas about an essential event (Begum, 2014). Another useful tool for communication is touch. The tool can be applied to sooth comfort as well as develop rapport and a therapeutic bond amid a client and nurse. When a client is admitted in the emergency section, healthcare specialist may lack enough time to converse on the bed; however, hand-holding can communicate a lot more compared to the words to the client in such instances (McCarron, Eade & Delmage, 2018). Implying that therapeutic communication can act as an indirect cure by itself.
Healing communication can help the nurse to attain many goals such as assessing awareness of the patient about their problem since it provides details of the feelings and thoughts of the client concerning the situation and identifies the significant concerns of the patient at that instance (Josephson et al. 2015).
To attain effective healing communication, the healthcare specialist must consider rapport, respect, empathy and also trust. Rapport means that different feelings and attitudes during a conversation on the part of the healthcare specialist and the client grounded on acceptance, warmth friendliness, a sense of trust as well as a nonjudgmental attitude. Trust is very vital to carry on the discussion if the client lacks faith on the healthcare provider that she or he may not disclose all the necessary information which can be very significant as well as supportive to treat that client and arrange nursing care for her or him (Brownie, Scott & Rossiter, 2016). There are cases where a client may not be willing to be attended to by a nurse of the opposite gender but cannot openly share that. The patient may seem to possess some abnormal conducts when required to undergo some unique medication processes. For instance, a patient having urine retention and lower abdominal may not be willing to be attended to by a female nurse if the client is male; vice versa may also be true. Under such circumstances, therapeutic communication is essential. Carefully, the healthcare provider can take time to interrogate the client to understand the unusual characteristics being shown by the patient and grasp the client’s trust. If therapeutic communication is wisely applied during communication, the client will expose the feelings and attitude towards his or her behavior and the appropriate nursing care planned for him or her. For example, arrangements can be made for the client to be attended to by a male nurse or a female depending on the desire of the patient. Respect is all about showing concern to the client’s opinions and values and responding in a friendly manner. According to Amoah et al. (2019), conveying real respect for the patient as well as effective communication assist in developing an ethical and professional association with the patient. Having excellent therapeutic communication skills and a provision of caring association which influences health and healing are trusted to be a vital characteristic of contemporary nursing practice (Schwind et al. 2016). Using techniques of effective communication together with therapeutic interpersonal growth helps in motivating the client to expose his feelings and anxiety as well as making the patient feel comfortable while within the clinical environment. Listening more attentively to the needs of the patient, a nurse can speedily and efficiently trap the faith of the patient as well as create an excellent relationship with the client. Sometimes a healthcare provider may be forced to use the touch technique. Touch is mainly tantamount with caring, comprehending, and reassurance. Depending with the suffering a client is undergoing, may be feeling that even people are avoiding him or her. If a nurse can go ahead and offer full accompaniment to the client to the extent of even touching him or her during medication, the client may feel at peace and thoroughly cared for since has a very close friend, the nurse. Touching by itself cures.
Therapeutic communication is significant in a healthcare setting. The central role of therapeutic communication if to offer a peaceful environment for the client to see the implication of the sickness understanding as well as giving the information and psychological aid which every patient requires to achieve full fitness and wellbeing. Healing communication tactics are essential instruments used by nurses and other professionals when talking with clients. These tactics include paraphrasing, touch, active listening and reflection. To attain effective healing communication, the healthcare specialist must consider rapport, respect, empathy and also trust. Healing communication alone can help cure the patient out of anxiety and create good interpersonal therapeutic relationship amid client and a healthcare professional.
Amoah, V. M. K., Anokye, R., Boakye, D. S., Acheampong, E., Budu-Ainooson, A., Okyere, E., … & Afriyie, J. O. (2019). A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nursing, 18(1), 4.DOI: https://doi.org/10.1186/s12912-019-0328-0
Begum, T. (2014). Doctor-patient communication: a review. Journal of Bangladesh College of Physicians and Surgeons, 32(2), 84-88. DOI: https://doi.org/10.3329/jbcps.v32i2.26036
Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships in chronic and complex care. Nursing Standard, 31(6), 54. DOI: https://doi.org/10.7748/ns. 2016.e9847
Josephson, I., Woodward-Kron, R., Delany, C., & Hiller, A. (2015). Evaluative language in physiotherapy practice: How does it contribute to the therapeutic relationship? Social Science & Medicine, 143, 128-136.DOI: https://doi.org/10.1016/j.socscimed.2015.08.038
Little, P., White, P., Kelly, J., Everitt, H., Gashi, S., Bikker, A., & Mercer, S. (2015). Verbal and non-verbal behavior and patient perception of communication in primary care: an observational study. Br J Gen Pract, 65(635), e357-e365. DOI: https://doi.org/10.3399/bjgp15X685249
McCarron, R. H., Eade, J., & Delmage, E. (2018). The experience of clinical supervision for nurses and healthcare assistants in a secure adolescent service: Affecting service improvement. Journal of psychiatric and mental health nursing, 25(3), 145-156.DOI: https://doi.org/10.1111/jpm.12447
Ruesch, J., Bateson, G., Pinsker, E. C., & Combs, G. (2017). Communication: The social matrix of psychiatry. Routledge. DOI: https://doi.org/10.4324/9781315080932
Schwind, J. K., McCay, E., Metersky, K., & Martin, J. (2016). Development and implementation of an advanced therapeutic communication course: An interprofessional collaboration. Journal of Nursing Education, 55(10), 592-597.DOI: https://doi.org/10.3928/01484834-20160914-11
Stevenson, F. (2014). Achieving visibility? Use of non‐verbal communication in interactions between patients and pharmacists who do not share a common language. Sociology of health & illness, 36(5), 756-771.DOI: https://doi.org/10.1111/1467-9566.12102