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Communicating with Patients - International Nurses Association

Most people have no idea just how much of an impact non-verbal communication has on someone. If a person was walking toward you, saying “Hello, how very nice to meet you!”, it sounds quite pleasant. However, if that person came toward you with hands in the air and an aggressive stance with wide eyes and looking as though they are ready to attack, how would you feel?  Which would you base your reaction on: the kind words, or the intimidating gesture? Obviously, the physical communication prevails in this case. It goes to show that when you communicate with others, especially patients, you should learn to combine body language with what you are saying.

Providing the Patient Information

The attending physician often leaves orders with the nurses, who then must convey the information to the patient. Depending on the information to be delivered, basing your delivery method on the news itself is often the best way to advise the patient. If the patient is facing a test or procedure and you assume they will not be pleased to hear about, try to deliver it in a way that will put the patient at ease.  Greeting the patient when you enter their room, asking how they are doing and exchanging pleasantries’. Move on into explaining that the physician has requested a certain test or procedure, and if possible explain the reason that the test or procedure is beneficial to the patient. If you have extensive knowledge regarding the procedure, explain it to the patient.  Many times, patients have unnecessary fear of a painless and quick procedure that if explained to them, can diminish their concerns. Also, being aware of your body language is important. A body stance with confidence can relay to the patient that you are confident in what you are talking about, and that you can comfortably discuss any questions they may have. 

Discussing Medications

When explaining medications to the patient, be sure to take time to explain them in terms that the patient will understand. Keeping in mind, body stance conveys a strong method of communication, and while the patient hears your words, they also base much of what is being said, by the way you present the information. Some patients are fine with any and all medications being prescribed to them, however some are apprehensive, and it falls to the nurse to work with the patient to take the medication. A positive expression and a description of the medication and what it is being prescribed for is often all it takes to assure the patient it is in their best interest to comply with physician’s orders.
Communication is vital between patients and their nurses, the method of communication is also very important. 

Patient Surveys

Patient’s surveys indicate the following regarding communication between patients and their nurses:
100 patients surveyed at 3 major medical centers. Survey results are averaged between the 3.
-          On a scale of 1-10, with 10 being the best, how well did your nurse do with providing you all necessary information regarding your care?  8
-          On a scale of 1-10, did your nurse explain everything to you, in a manner that you understood? 8
-          On a scale of 1-10, did you feel comfortable asking your nurse questions, and would they take time to answer in a way your understood?  9
-          In regard to nurse preference, would you rather have a positive nurse with a cheerful attitude? 98 out of 100 patients said yes.

Surveys can provide us information, and this survey indicates that nurses that are open with patients, and provide complete communication with them, and are willing to take the time to explain things make for a much more satisfied patient. Also, the delivery method of any information has an impact on the patient; a smile, a congenial pat on the leg or shoulder can put the patient at ease, and make them more comfortable in their care while hospitalized. 
The next time you enter a patient’s room, smile, put those shoulders back and show your confidence. It will make for excellent communication with your patient. 

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