NURSING COMMUNICATION - VERBAL AND NON-VERBAL Page1
- THE NEW NURSE
Nursing process (ADPIE), non-verbal communication of the
ventilated patient, tachycardia, suctioning, compassion, empathy,
simple explanations, distrust of staff and Maslow's Hierarchy
It is an established fact that most communication is verbal.
However, it should be underscored that verbal communication
skills can be lacking. An example of this is outlined below:
The nurse who did not explain to the postoperative patient
the importance of deep breathing exercises to prevent
pneumonia, instead she medicated her for pain and let her
go to sleep for many hours. The patient was later assessed
by the nurse on the next shift. A decrease in breath sounds
was noted on assessment. The second nurse took the
trouble to explain the need for aggressive deep breathing
exercises, to prevent postoperative pneumonia.
Please watch the video above for more examples of verbal
and non-verbal communication.
THE STROKE PATIENT
The stroke patient may not be able
to communicate due to expressive
aphasia. Here is a sample of a
nursing diagnosis/problem of a
- At risk for impaired gas exchange
- at risk for falls
- at risk for difficulty
- impaired mobility
Dear nurses how good are
your communication skills?
Enjoy learning more.
MASLOW'S HIERARCHY OF NEEDS
Sessions 39 addresses Maslow's
Hierarchy of Needs in the Clinical
Setting and the Care Plan
THE NURSING PROCESS
From the time a patient is admitted to
the hospital, the nursing process
begins. It is identified in 5 steps:
A - Assessment
D - Diagnosis
P - Planning
I - Implementation
E - Evaluation
Poor Communication Skills
The video above describes when the
communication skills of a nurse has
been lacking. Instead of a new birth
leaving good memories, the scars of
poor communication are left
COMMUNICATION SKILLS VERBAL AND NON-VERBAL
Like it or not, every nurse engages in communication. Having
effective skills in the nursing profession, is of paramount importance.
A nurse communicates on an average shift with:
- the doctor, coworkers, patients and their families, designates
responsibilities when in charge, pharmacy, therapist and more
The patient who is unable to communicate verbally, is at a loss.
The patient who is intubated and on a ventilator is unable to speak
and tell the nurse what his needs are.
Discomfort, like pain, may be identified by signs such as
agitation, a rise in heart rate and blood pressure on the monitor.
The patient may even try to reach for his ET tube.
A mucous plug may also obstruct the airway or tubing, resulting in
the ventilator alarms going off and patient agitation.
Disconnection from the ventilator may cause agitation in the
The stroke patient with expressive aphasia, the patient with a
tracheostomy, who has not learned to speak are all examples of
patients who have difficulty with verbal communication.
The nurse is able to demonstrate skills that allow for effective
communication like using a chart and pointing, to identify the needs
of the patient.
Another example of non-verbal communication is a nurse entering
a patient's room, with an unwelcoming expression on the nurse's face
and goes about work like the patient is not included as part of the
care. All the while not saying anything to the patient.