The purpose of the communication analysis is

The purpose of the communication analysis is to examine the effectiveness of one’s personal communication techniques and further develop competency and confidence in these skills (Potter et al., 2021). This analysis enhances the nurse’s ability to increase awareness of feelings, values, and assumptions. All process recordings must record 7 client/nurse sequential interactions within ONE conversation during the long-term care clinical experience to be satisfactory. Do not use an entire section of Gordon’s Functional Health pattern questions for this assignment.Process recordings that do not meet these criteria may be returned to the student with a grade of zero. Performance Criteria Points Possible Explains the objective(s) for the interaction. /5 Describes the client and the environment. /5 Evaluates environment for conduciveness to effective communication. /5 Describes nonverbal communication of self and client. /10 Accurately identifies the verbal/nonverbal communication techniques used (clarifying, summarizing, using silence, using touch, etc.). /15 Incorporates communication theory for each technique used (verbal and nonverbal). /15 Evaluates effectiveness of each communication technique and provides objective evidence. /15 When own response is not optimal, suggests an example of an alternative response and provides rationale. /10 Identifies own feelings and their impact on the interaction. /10 Uses correct grammar, punctuation, spelling, APA formatting. /10 Total points possible /100 ****Communication Analysis example Communication Analysis Clear and thoughtful communication is essential for safe and effective client care. Outcomes are improved when nurses understand their clients and clients understand their care. The purpose of this paper is to evaluate my personal communication and identify areas of strengths and areas needing improvement. Objectives of the Interaction The client I cared for was scheduled for hip replacement surgery due to a fall that contributed to a left intertrochanteric hip fracture. The client had difficulty sleeping during the previous night related to muscle spasms throughout the left leg. The client’s husband was disabled, and the client was his primary caregiver. The objective of this interaction was to assess the client’s pain and current coping skills. Description of Client and Environment The client was an older adult woman with straight, medium-length grey streaked hair that was somewhat disheveled. Brown age spots freckled her forehead and soft lines framed her eyes and mouth. She was dressed in a hospital gown, reclining in bed, and covered with a sheet and light blanket. Her left foot was in Buck’s traction while waiting for hip replacement surgery. I conducted the conversation with the client in her private room. The head of her bed was elevated only slightly due to the traction. There were pillows supporting both of her legs. Her upper two side rails were raised, and I sat in a chair at her right side. We were approximately 3 ft from each other. We were alone in the room, but the door remained open. The room was warm and quiet. The window shades were open. The over-bed light was off, and sunlight brightened the room. Evaluation of the Environment for Conduciveness to Effective Communication The client was in a private room. The room was free of clutter and the television was off. There were no disruptions by staff or phone calls during the conversation. Though the door was open, her room was down the hall from the main nurse’s station, so we were not interrupted by extraneous noise. My position by her side was close enough to be seen and heard but not too close to be uncomfortable. Based on these factors, I was confident the environment effectively supported therapeutic communication. Communication Analysis Verbal and Nonverbal communication: Student Verbal and Nonverbal communication: Client Student’s thoughts and feelings concerning the interaction Analysis of the interaction Identify technique used (verbal and/or nonverbal) Incorporate theory (summarized) Evaluate effectiveness (provide the evidence) Provide alternate response when appropriate with supporting rationale (at least once) Identify impact of your feelings “Well, I thought maybe we could talk for a bit. So, how have you been today?” (Direct eye contact, sat in chair by her bed, arms uncrossed) “About the same as yesterday when I came in.” (Wringed her hands, small frown. Looked out the window) I wasn’t quite sure what to say to initiate the conversation. I wanted her to know that I was willing to listen to what she had to say to me. I was feeling hesitant and lacked confidence. Her frown and wringing of hands made me think she was upset about something. I was thinking she may be in pain. I tried to use an open-ended . I also used an open posture. The purpose of the open-ended was to encourage her to talk and provide information. An open posture demonstrates active listening which helps build a trusting relationship (Potter et al., 2021). The statement and did not produce the information I was searching for. The client looked away and did not engage with me. She did not provide much detail in her verbal response, so I the effectiveness. A statement that may have been more therapeutic and focused would be: “I’d like to know how you’re doing today. How are you coping with being here?” Using a relevant statement and asking one focused and open-ended at a time helps discover important information (Potter et al., 2021). My lack of confidence contributed to the not being a therapeutic opening to our conversation. “Are you in pain?” (Low vocal volume, direct eye contact) “It’s just so hard! I just wish I didn’t have to go through this.” (Raised tone of voice, head down, covered face, started to cry quietly) Her raised tone of voice and verbal response surprised me. Her reply was different than I expected. I felt uncomfortable and helpless when she started crying. I used a closed-ended to determine if her wringing of hands and frown were demonstrations of pain. I used direct eye contact to demonstrate active listening. Even though closed-ended questions can limit conversation, I used this to obtain specific information about pain from her. Active listening demonstrates care and attentiveness (Potter et al., 2021). The client did not answer my . However, the elicited different information than I expected. I believe I made an assumption regarding her non-verbal communication (wringing of hands, etc.). Using an alternate response such as “I see you are wringing your hands” may have been more effective. This states an observation without making an assumption (Potter et al., 2021). I felt surprised when she didn’t answer my then I felt helpless when she started crying. My feelings greatly affected my ability to clearly think. I didn’t know what to say next. Silent (Maintained eye contact, leaned forward towards her) “My husband is being so helpful and supportive. He called me today and told me he will be in as soon as he can. I am so worried about him.” (Looked up at me but continued to cry) I was feeling awkward and uncomfortable because I didn’t know what to say and she was still crying. I was thinking she must be quite concerned to be separated from her husband who was disabled. I wanted her to feel that I was willing to listen to what she had to say to me. I was feeling uncomfortable and not sure what to say so I was silent. I used nonverbal cues such as leaning forward and eye contact. Using silence prompts people to talk while leaning forward and maintaining contact helps convey interest (Potter et al., 2021). Though I felt awkward and uncomfortable, my silence ended up being a therapeutic response in this situation. Together with active listening, the client was prompted to tell me more. The use of silence and active listening was effective, so no alternate response was necessary. My discomfort with her crying led to me wanting to provide an empathetic response. “Tell me about the concerns you have for your husband.” (Leaned forward, maintain eye contact) “I’m such a bad wife.” (Covered face with hands, quiet tone) I felt surprised and confused by her response. I could not understand how breaking a hip could be associated with being a bad wife. She looked and sounded like she was ashamed of something. I used an open-ended statement to determine her concerns. I continued to demonstrate active listening through leaning forward and eye contact. Open-ended questions or statements allow the client to take the conversational lead. Active listening demonstrates care and respect (Potter et al., 2021). I believe the use of an open-ended statement was appropriate as it addressed her expressed worry. Active listening helped keep her talking. Her verbal and non-verbal responses were not as expected, however. Though the response was not as anticipated, the use of an open-ended statement and active listening was appropriate. No alternative response was necessary. I tried to hide my surprise and confusion. My attempt to hide my feelings could have negatively influenced a trusting relationship (Potter et al., 2021). “What do you mean by ‘I’m such a bad wife?” (Raised eyebrows, leaning forward) “My husband is disabled and I am not there to take care of him. If I had been more careful on the stairs, I wouldn’t be here and he wouldn’t be without care.” (Intermittent eye contact and rubbing the IV site) I was interested in the connection between being a bad wife and breaking a hip. I was feeling curious if she really was ashamed to be in the hospital. I used clarification to check if I understood her correctly. I leaned forward to show I was actively listening. Clarification ensures the listener has grasped the true meaning of what was said. Leaning forward helps convey interest (Potter et al., 2021). I didn’t want my curiosity to contribute to making an assumption or a misunderstanding. I believe the use of clarification and leaning forward were therapeutic as she elaborated on her previous statement and provided eye contact. The use of clarification and active listening were effective, so no alternative response was needed. My interest and curiosity contributed to me asking for more information. “If I were you, I would call your daughter and ask her to take care of your husband.” (Sitting back in chair, arms crossed) No verbal response. (Looked away with tears visibly running down her cheeks) I was feeling sad and concerned for her. I was thinking the client shouldn’t have to be worrying about taking care of her husband at this time. I wanted to help her. I gave the client my personal opinion and used a closed posture. Sharing personal opinion is a non-therapeutic communication technique. It takes decision making away from clients. The closed posture may communicate lack of interest or a hidden motive (Potter et al., 2021). This was a nontherapeutic response, and my closed body posture may have contributed to her silence and tears. I was telling her what to do and negating her feelings. A therapeutic response would be “Tell me if I understand your concerns regarding your hospitalization and its effect on your ability to care for your husband. You’re worried he won’t receive adequate care while you are here. Let’s talk about options that may be available for your husband’s care.” This response validates the client’s thoughts and feelings which lets her be in control and contribute to the decision being made. It also includes paraphrasing. Paraphrasing helps the client understand that I am trying to understand what is being expressed (Potter et al., 2021). I felt sad for her, so I said this to help her problem solve. My sad feeling contributed to me using a nontherapeutic statement that gave my personal opinion and closed off further communication. “Don’t worry, everything will be okay.” (Smiled, leaned forward and gently touched her hand) No verbal response. (Looked away and shrugged her shoulders) I was feeling helpless. I wanted to help but didn’t know how. I wanted her to feel better. I used false reassurance when she didn’t respond previously and continued to cry. I also used touch. False reassurance is a non-therapeutic communication technique that is not based in fact. The use of touch is a therapeutic technique that can relay emotions such as care and concern (Potter et al., 2021). The client did not respond. This was not a therapeutic statement and may have contributed to her not responding, looking away, and shrugging. Though touch is considered therapeutic, I was not sure by her response if it worked. A better response would be “It must be difficult being separated from your husband at this time.” This provides empathy and opportunity for her to respond. Empathy helps build trust and reflects understanding of thoughts and feelings (Potter et al., 2021). My feelings of helplessness contributed to me using the nontherapeutic communication technique of false reassurance and blocking communication by the client. SCIENCE HEALTH SCIENCE NURSING NURSING NUR 100

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."