Humor Health Promotion/ Sensitivity to Each Patient’s Goals + Values

 





Humor Health Promotion/ Sensitivity to Each Patient’s Goals + Values

 	
Goals to have patient adopt health-promoting behaviors

 	
Information not enough



Therapeutic Effectiveness

 	
Self-awareness + self-reflection
 	
Openness
 	
Self-confidence + strength
 	
Genuineness
 	
Concern for individual
 	
Respect for individual
 	
Knowledge
 	
Ability to empathize
 	
Sensitivity
 	
Acceptance
 	
Creativity
 	
Ability to focus + confront

Emotional/ Spiritual/ Physical Care

 	
Listening

 	
Shows patient you care
 	
Get information


 	
Silence

 	
Nonverbal response


 	
Open-ended questions
 	
Listen/ silence/ touch/ convey acceptance

Healthy People 2020

 	
Improve health literacy

 	
Health promotion requires effective communication
 	
Read, comprehend, + follow through on health information.



Values Clarification

 	
Method discovering one’s values + importance of these values
 	
Own values + biases
 	
Helps people recognize what values they hold + evaluate how those values influence their actions
 	
Patient values lead to behaviors that conflict with RN value of promoting health

 	
Ethical dilemmas
 	
RN examines conflicting values
 	
Possible outcomes to promote health interventions



Steps in Self-Awareness

 	
Listening to oneself

 	
Self-concept

 	
Mental picture of self


 	
Self-esteem

 	
How people feel about the way they see themselves


 	
Judgement + attitudes about self


 	
Listening to + learning from others

 	
Feedback


 	
Self-disclosure

 	
Share aspects of self
 	
Disclosure in one triggers disclosure in another


 	
Practical reflection

 	
Understand one’s own thoughts + actions to take action in future


 	
Need self-awareness + clarification of values

 	
Therapeutic use of self-impaired



Relationship Stages

 	
Orientation/ introductory phase/ RN + patient meet

 	
RN structures interaction
 	
Establishing a connection

 	
Consistency
 	
Sensitive pacing of communication
 	
Active listening
 	
Conveying concern + warmth
 	
Pay attention to comfort + control




 	
Working phase

 	
RN + patient work together to promote patient’s health


 	
Termination phase

 	
Ending relationship
 	
For therapeutic relationships



Ethical Communication

 	
How receiver is getting the message
 	
Treat people with respect
 	
Barriers

 	
Sender
 	
Message
 	
Receiver
 	
Anxiety/ attitudes/ noise/ activity/ distance/ language/ beliefs