Interview Techniques A complete health history requires the utilization of interviewing techniques that can be beneficial to elicit a patient response. First, the practitioner needs adequate preparation. Ideally, a review of the patient’s medical record for pertinent information prior to entering the room is acceptable. The information gleaned from the medical record can include but not limited to the patient’s primary language, clinical record and overall goals for the interview. An appropriate introduction, after which environmental comfort for the patient assessed. The need to provide culturally relevant and spiritual care is also important. Depending on the level of expertise and comfort of the advanced practice nurse, taking notes during …show more content…
Echoing encourages the patient to provide more details, which is helpful for the practitioner to discern if the patient has perceived barriers and a support system. Clarification of what the patient states allows the practitioner to not only reassure the patient but builds a therapeutic relationship. The relationship is a partnership between the practitioner and the patient but the patient needs empowerment. Through sharing power techniques, the patient becomes empowered. Sharing power “ evokes the patient’s perspective, conveys interest, flows the patient’s lead, elicit and validate emotional content, shares with the patient, makes the clinical reasoning of the practitioner transparent to the patient and shows the limits of the practitioner’s knowledge”, (Bickley, 2017, pg. 73). This interviewing technique gives the practitioner an opportunity for insight into any social, emotional, physical or economic barriers to health for the patient. This technique shows the patient’s responsibility to follow any recommended advice that the practitioner may give. Throughout the interview, the advance practice nurse should be aware of his or her own body language. This non-verbal communication is apparent in both the practitioner and the patient. The practitioner pays close attention to the patient’s “eye contact, facial expression, posture, arms and leg placement, …show more content…
A closer examination of the patient’s perspective happens when the practitioner addresses the following concerns:
• “patient feelings, fears or concerns”
• “patient ideas about the nature of the problem”
• “the effect of the problem on the patient’s function”
• “patient expectation of the disease”
(Bickley, 2017, pg. 78). This critique assures that the practitioner has addressed any emotional clues. The practitioner when clarifying the patient’s perspective can do another critique of effectiveness. When the patient present with a symptom there characteristic words the practitioner can use for clarification. These characteristics are “onset, location, duration, character, aggravating/alleviating, radiation and timing” (Bickley, 2017, pg. 79). This critique addresses the accuracy of the history. Through motivational interviewing, the effectiveness of the health history is able to account for adherence. The advanced practiced nurse “engages the patient to express the pros and cons of given behaviors” (Bickely, 2017, pg. 81). The ability to analyze the health history consistently provides the practitioner the opportunity to examine the findings and its relevance to the patient’s care. A critique is a clear evaluation of the health history assessment. As the interviewing process closes, assurance for final questions by the patient answered.
Therapeutic communication can help promote a relationship between the nurse and the client, by focusing on the client’s needs. The nurse can do this by using various types of communication skills, such as giving recognition, giving information, and offering self. Giving recognition is acknowledging the client’s needs in a non-judgmental way.An example of giving recognition in Bed Number Ten is “After you’re a little better, we’ll be taking you to the physical therapy department for regular work to rebuild your strength” (54). Sue enjoyed the conversation with Charles because he was the first to spoke to her about getting better. Giving information is providing specific factual information the client may or may not request. “All the way through,
This author met with a patient named JB to assess her current health status as well as her needs to ensure her health and well being or as she put it to “make sure she is her in the future for her children”. JB was an engaging and honest patient that had the eagerness and desire to improve her curren...
Culver, APRN, who specializes in adult health and has been a practicing APRN for over 10 years at a busy private family practice in Louisville, KY. She described her role as working within a team of medical staff consisting of two other advanced practice nurses, two registered nurses, one licensed practical nurse, four support and office staff, and a working collaboration with two internal medicine physicians. Her scope of practice includes telephone triage and seeing, treating and discharging patients with minor illness who need a same-day appointment as well as patients with long-term health conditions such as diabetes and heart disease. She serves a diverse (White, Black, Hispanic, and Asian) middle age to older adult population living in the community in the city of Louisville and surrounding areas. My basis for choosing J.M.C. for this interview is my professional goal of practicing in the primary care setting after I obtain my graduate degree and successfully pass the state licensure board and receive certification to practice as an advanced practice nurse in the state of Kentucky. I believe the opportunity to speak with her allowed me to gain insight into this area of practice as well as see how the core competencies are understood and applied in advanced practice
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
This week’s readings of, “Asking Questions and Listening in Healthcare” written by Gwen Van Servellen discusses the therapeutic use of asking questions and silence. Silence and asking questions are a therapeutic skill. It takes talent to tailor the right question, and interject the right amount of silence for each individual patient in any given situation.
Just like any novice APN I would tend to be more focused on the clinical domain. Coaching and educating patients and family will be important to effect change in their lifestyle to be more compliant with the treatment plan. As we all know a patient’s care is not confined to nursing care but involves the other disciplines; doctors, therapist, social worker, nursing assistant, dietician, pharmacist, etc. and thus the importance of collaboration. Advocating for patient also requires expert communications skills and collaboration. As I continue with my journey to become an Advanced Practice Nurse, I hope to develop all attributes starting with the expert communication to the level where I can advocate for my patient’s needs in the health policy arena. I would also like to work on self-confidence. I know self-confidence comes in time with knowledge and experience. I believe that patients develop trust and confidence when they see confidence of their healthcare
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
There are many aspects that make up a successful interview or interrogation. An investigator does not become a skilled interviewer or interrogator over night. Training and experience are vital to becoming skilled at interviewing and interrogation. Experience is the best teacher, conducting interviews and interrogations is the only way to become more skilled. In this paper I will explain all the aspects that make up a successful interview. I will also explain the difference between an interview and an interrogation.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
"A Guide to Taking a Patient's History” is an article published in an August 24th, 2007 issue of Nursing Standard. Written by H. Lloyd and S. Craig, the process of taking a history from a patient is outlined. Many aspects pertinent to obtaining a sufficient health history are discussed. In addition to providing a framework for completing a thorough health history, guidelines and interview techniques are explored.
This narrative will be analyzed using relevant concepts from the literature. Narrative My experience happened when I was in my second year of nursing. We are just starting our clinical rotations at KGH. At that time, our instructors assigned us one patient to do our nursing care. The goals for the day are to do our head to toe assessments and be able to chart our findings.
This is when the physician can learn the most about the patient’s personality and environmental influences. It is important for the doctor to be attentive and take good notes. The doctor explores in great detail the time of the ailments and the severity. The physician inquires about the patient’s past health and any family history that is of relevance. The physician then checks the accuracy of all the data and details collected to date and informs the patient of the next step in the process, the diagnosis.
I quickly saw what I had been missing as the physician began to interact with her. He bent down by her chair and introduced himself as loudly as he could. He spoke slowly and calmly. Afterwards we had a discussion of what I could have done to improve and why my methods were not effective. I learned each patient is different, depending on his or her age, disabilities, background, and experiences. These differences require the physician to adapt and recognize how to more effectively communication to ultimately help the patient. It was frustrating to accept that a simple conversation was difficult, but this only
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in