Nurse Practioner and communication

3.  Identify a suitable Nurse Practioner
 Core dimensions of Nurse practioner
 Application of communication dimension in NP role
 List elements of effective nurse practioner communication
 Explain skills required for Nurse practioner
 Enumerate principles to be followed while communicating
 List out the principles to be followed
 Explain the communication as a way to prevent
malpractice
 Describe Nurse practioner communication styles
 Communication competencies and domains of nursing
 Communication check list

5.  Communication is a skill acquired by an
individual to exchange messages, facts,
ideas, opinions and even express emotions.
 One can easily offend a person or damage a
situation by a slip of tongue or a wrong
gesture
Thiruvalluvar
 75% of effective hours of man is being spent
on communication. i.e.. Speaking, listening,
reading etc..

8.  Master level qualification
 Completed therapeutic medicine
management module
 3 – 5 years post specialization experience
 Active involvement in research, publication,
teaching, quality improvement and best
practice activities

9. Cotn:
 Clinical leadership, collaboration and
professional role modeling skills
 Focus on best patient outcome with in a
multidisciplinary team
 High level interpersonal and communication
skills across a broad range of health care
professionals.
 Conceptualization of NP model with in
nursing model of practice
 Capacity to be critically reflective
 Understanding of political dimension

10.  Communication
 Personal and people development
 Health, Safety and security
 Service improvement
 Quality
 Equality and diversity

12.  In consultation
› Initiating consultation / Time management
› Data collection
› Identifying Nursing problems and referring if
exceeds scope of practice
› Clinical decision making and problem solving
› Planning, exploring and safety netting
› Closing consultation and planning follow up
› Being aware of potential barriers
› Assist patient and others in decision making

13.  Managing challenging consultations
› Disability
› Distressed or angry people
› Third party consultation
 Adopting appropriate style with challenging
clients
› Communicating the diagnosis
› Provides assistance and support to patient and
family
› Referral service
› Evaluate impact of illness on the family

14.  Contributes to positive health outcome
 In order to meet range of patient needs

15.  50% patients complain that their concerns
are not elicited
 50% patients said that the nature of the
problem not agreed
 On an average there is an interruption once
in every 18 seconds
 Most malpractice are due to communication
errors not competency
 Lack of information from the practioner

16.  NP require high level of communication
 It can be achieved and improved by feed
back and self assessment technique

17.  Active Listening

18.  Body language
 Clarifying or checking when needed
 Handling emotions
 Others

19.  Oral communication
 Reading
 Writing
 Others
› Interviewing skills
› Reading nonverbal cues
› Body language
 Posture, Head motion, Facial expressions, Eye
contact, Gestures

20. › Humor
› Skill in managing difficult situations like anger,
anxiety, depression, crisis situation
› Dealing with life threatening illness and death
› Dealing patient with pain
› Communicating with physically impaired
› Communicating with different age group
› Communication with other health care
professionals
› Conflict resolution and negotiation skills
› Constructive critisism

21. Correctness
Completeness
Conciseness
Clearness
Courtesy
Cheerfulness

22.  Be respectful and genuine
 Listen to what the patient says
 Be available and accessible to the patient
 Avoid rote phrases
 Be clear about the reasoning
 Involve the patient in informed consent process
 Keep your promises
 Be honest about what you know and what you
don’t know

23.  Cognitive domain (Learning Skills)
› Knowledge appropriate communication behavior
 Affective domain (Building confidence)
› Belief in the value and impact of positive
communication
 Psychomotor domain (Meeting the
challenges)
› Ability to perform appropriate communication

24. NP communication is different from Nurse patient
communication
 Provider centered
 Patient centered

25.  Study to analyze communication variables
among NPs
› Analyzed according to
 Information giving
 Information seeking
 Social conversation
 Positive talk
 Negative talk
 Partnership building
30.2% used patient centered approach in information giving
and seeking
69.8% used provider centered approach in the above aspects
69.8% used partnership building
Least negative talk

26. Non verbal
• Vocal intonation
• Proximity
• Body language
Verbal
• Data collection
• Relationship devpt
• Decision making
IPR Building
Information
exchange
Decision
Making
Active responses
Out come
Short term: Patient recall, Satisfaction, Intention to comply, trust
Intermediate : Compliance
Long term : Symptom resolution, Health status, Quality of life, Mortality

27.  I feel good about my communication
 I smile at clients, family and staff
 I make eye contact
 I introduce myself
 I learn names and correct pronunciation
 I not understood seek clarification
 Calm myself before interaction
 I take responsibility for finding answers
 Answer the telephone promptly
 Explain procedures clearly

28.  Encourage questions
 Encourage feedback about my work
 Receive positive feed back about my work
 Thank a colleague who helps
 I offer to help my colleagues
 I listen
 Respect clients confidentiality
 Apologize for delays
 Gentle touch
 Professional look
 Try to do something extra for the patient

29.  Learning to deal with multiple demands
 Give compliments to client, family and
colleagues
 Understand I am still learning
 Try to be myself

30.  The power of creative and effective nursing
care is strengthened by good communication
skills.
 An efficient Nurse Practioner is the one who
is communicating
Assertive
Direct
Clear and
Concise