Confidence in Communication

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Study Tools For Confidence in Communication

Communication Tips & Tricks (Cheatsheet)
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Outline

Overview

  1. Communication involves speaking and listening
  2. Confidence comes from practice and experience
  3. Feeling comfortable = feeling confident

Nursing Points

General

  1. Reasons you might not feel confident
    1. English is not your first language
      1. Practice key phrases that you will be saying a lot so you will feel confident
      2. Write down everything you want to say so you can prepare
      3. Speak slowly and enunciate
        1. E-nun-ci-ate
          1. Break the word down
    2. New unit /new nurse
      1. Everyone was new at one time so  keep that in mind and take a deep breath
      2. Observe how the nurses interact and communicate to find what works for you
      3. Ask questions
      4. Remember you are a professional too and feel good about that
  2. Listen to the person you are trying to communicate with to best respond
    1. Listen and state back what you think are hearing the patient convey for verification
      1. Makes them feel confidence in you

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Transcript

I am going to help you understand what it means to have confidence in communication and how to be successful in achieving this.

Communication is huge in healthcare and so important. Being confident in communication is a big piece to being successful in this. So first a few basic items. Communication is not just talking to someone but also listening to whoever it is a patient, nurse, provider, or anyone else. You must listen so you can communicate back effectively and be confident in doing this. If someone has just told her a whole story but you weren’t really listening and then they ask your opinion you aren’t going to be very confident in whatever you say. So it is important to listen. Confidence is going to come from a lot of practice and getting experience in communication. Getting practice will help you feel comfortable which will help you feel confident. Now let’s look at some reasons why someone might not have this confidence.

Some reasons you might not feel confident are that english is not your first language or you are a new nurse and or on a new unit. So if English is a second language it will be really beneficial to practice key phrases that you will be saying a lot so you will feel confident. The more you practice saying these phrases the better. You must also speak slowly and enunciate. So e-nun-ci-ate say it slowly and clearly. Speaking slowly and really breaking the word down. If English is not your first language it can help the patient to be able to understand better. Nothing is worse than when you explain a whole lot of items and then the person asks you to repeat it. So write everything down so you can be prepared. Now let’s look at those that are new to the unit or a new nurse.

For those that are new to the unit or a new nurse remember that at some point everyone was new so keep that in mind and take a deep breath. Feel confident that you are a professional too. Observe how the nurses interact to find what works for you and ask questions. If you are needing to feel confident in talking to a doctor ask the nurses that have been there what their experience has been. Get their advice or opinion. When I was a new nurse and had to call the doctors the first few times I would ask other nurses all the time what they like to know or be told. You know how much detail do they need? I would literally practice in my head or in the bathroom before I would call. It was always so much more stressful in my head and then totally fine after I made the call. Utilize the other nurses that have worked there, they know what to expect because they have built that relationship. Now when I have new nurses precepting with me I have them practice what they are going to say to me before they make the phone call. Just to make it less stressful.

So as I said before listening is a big piece of communicating and being confident in communicating. So just listen to the person you are trying to communicate with to best respond. It can be helpful to state back what you think you are hearing the patient convey for verification. This will help you be confident that you are aware and make them feel confidence in you. I have done several Noah’s children cases at my facility, which is a pediatric hospice and palliative care organization. We sometimes meet with the families prior to communicate with them about their needs and their wishes. I will listen and then repeat what they are saying. For example I say, “I am hearing you say you want the baby immediately placed on you with only oxygen if needed so you can have more time with your child”. I’ve had parents say after our meetings that they feel confident that I understand what they truly want so doing this allows them to be confident in me. I am then comfortable in the situation because of this communication.

Alright so just some key points to review how to be confident in communication. Practice! So those key phrases that you will say a lot, practice saying them. Write down what you need to convey and practice saying it and most importantly practice it by speaking slowly and enunciate. Remember enunciated is saying the word slowly and broken down. So e-nun-ci-ate. Remember the more you practice the more comfortable you will be which means more confident.

Make sure you work on practicing key phrases, be an active listener, and when you practice speak slowly and enunciate. Now, go out and be your best selves today. And, as always, happy nursing.

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My Study Plan

Concepts Covered:

  • Concepts of Pharmacology
  • Test Taking Strategies
  • Prefixes
  • Suffixes
  • Bipolar Disorders
  • Immunological Disorders
  • Medication Administration
  • Learning Pharmacology
  • Dosage Calculations
  • Noninfectious Respiratory Disorder
  • Anxiety Disorders
  • Substance Abuse Disorders
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Vascular Disorders
  • Acute & Chronic Renal Disorders
  • Neurologic and Cognitive Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Female Reproductive Disorders
  • Liver & Gallbladder Disorders
  • Integumentary Disorders
  • Pregnancy Risks
  • Upper GI Disorders
  • Urinary System
  • Central Nervous System Disorders – Brain
  • Cardiovascular Disorders
  • Microbiology
  • Infectious Respiratory Disorder
  • Shock
  • Male Reproductive Disorders
  • Labor Complications
  • Sexually Transmitted Infections
  • Respiratory Disorders
  • EENT Disorders
  • Urinary Disorders
  • Personality Disorders
  • Psychotic Disorders
  • Nervous System
  • Peripheral Nervous System Disorders
  • Gastrointestinal Disorders
  • Neurological
  • Lower GI Disorders
  • Hematologic Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Postpartum Complications
  • Prenatal Concepts
  • Newborn Care
  • Intraoperative Nursing
  • Postoperative Nursing
  • Disorders of the Adrenal Gland
  • Disorders of the Posterior Pituitary Gland
  • Terminology
  • Psychological Disorders
  • Prioritization
  • Communication
  • Documentation and Communication
  • Legal and Ethical Issues

Study Plan Lessons

Pharmacology Course Introduction
12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Essential NCLEX Meds by Class
6 Rights of Medication Administration
Pharmacodynamics
Pharmacokinetics
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Disease Specific Medications
Antianxiety Meds
Benzodiazepines
Alprazolam (Xanax) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Clopidogrel (Plavix) Nursing Considerations
Warfarin (Coumadin) Nursing Considerations
Enoxaparin (Lovenox) Nursing Considerations
Heparin (Hep-Lock) Nursing Considerations
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Divalproex (Depakote) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Phenytoin (Dilantin) Nursing Considerations
Antidepressants
Bupropion (Wellbutrin) Nursing Considerations
MAOIs
Selegiline (Eldepyrl) Nursing Considerations
SSRIs
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
TCAs
Glipizide (Glucotrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Insulin
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Histamine 1 Receptor Blockers
Diphenhydramine (Benadryl) Nursing Considerations
Promethazine (Phenergan) Nursing Considerations
Histamine 2 Receptor Blockers
Cimetidine (Tagamet) Nursing Considerations
Famotidine (Pepcid) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Renin Angiotensin Aldosterone System
Atenolol (Tenormin) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
ACE (angiotensin-converting enzyme) Inhibitors
Captopril (Capoten) Nursing Considerations
Enalapril (Vasotec) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Angiotensin Receptor Blockers
Losartan (Cozaar) Nursing Considerations
Calcium Channel Blockers
Amlodipine (Norvasc) Nursing Considerations
Diltiazem (Cardizem) Nursing Considerations
Nifedipine (Procardia) Nursing Considerations
Verapamil (Calan) Nursing Considerations
Cardiac Glycosides
Digoxin (Lanoxin) Nursing Considerations
Gentamicin (Garamycin) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
Nystatin (Mycostatin) Nursing Considerations
Isoniazid (Niazid) Nursing Considerations
Rifampin (Rifadin) Nursing Considerations
Acyclovir (Zovirax) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Levofloxacin (Levaquin) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Clindamycin (Cleocin) Nursing Considerations
Erythromycin (Erythrocin) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Amoxicillin (Amoxil) Nursing Considerations
Ampicillin (Omnipen) Nursing Considerations
Cefaclor (Ceclor) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Cephalexin (Keflex) Nursing Considerations
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Tetracycline (Panmycin) Nursing Considerations
Atypical Antipsychotics
Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Olanzapine (Zyprexa) Nursing Considerations
Autonomic Nervous System (ANS)
Methylphenidate (Concerta) Nursing Considerations
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Albuterol (Ventolin) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Salmeterol (Serevent) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Furosemide (Lasix) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Lactulose (Generlac) Nursing Considerations
Loperamide (Imodium) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Ondansetron (Zofran) Nursing Considerations
Pancrelipase (Pancreaze) Nursing Considerations
Sucralfate (Carafate) Nursing Considerations
Proton Pump Inhibitors
Omeprazole (Prilosec) Nursing Considerations
Pantoprazole (Protonix) Nursing Considerations
Epoetin Alfa
Epoetin (Epogen) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Propylthiouracil (PTU) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
HMG-CoA Reductase Inhibitors (Statins)
Atorvastatin (Lipitor) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Magnesium Sulfate (MgSO4) Nursing Considerations
Calcium Acetate (PhosLo) Nursing Considerations
Calcium Carbonate (Tums) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Alendronate (Fosamax) Nursing Considerations
Mood Stabilizers
Lithium (Lithonate) Nursing Considerations
Acetaminophen (Tylenol) Nursing Considerations
Phenazopyridine (Pyridium) Nursing Considerations
NSAIDs
ASA (Aspirin) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Ibuprofen (Motrin) Nursing Considerations
Indomethacin (Indocin) Nursing Considerations
Ketorolac (Toradol) Nursing Considerations
Naproxen (Aleve) Nursing Considerations
Tocolytics
Terbutaline (Brethine) Nursing Considerations
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Meds for Postpartum Hemorrhage (PPH)
Methylergonovine (Methergine) Nursing Considerations
Oxytocin (Pitocin) Nursing Considerations
Prostaglandins in Pregnancy
Rh Immune Globulin in Pregnancy
Lung Surfactant for Newborns
Eye Prophylaxis for Newborn
Phytonadione (Vitamin K) for Newborn
Hepatitis B Vaccine for Newborns
Opioid Analgesics in Pregnancy
Butorphanol (Stadol) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Sedatives-Hypnotics
Phenobarbital (Luminal) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Corticosteroids
Betamethasone and Dexamethasone in Pregnancy
Cortisone (Cortone) Nursing Considerations
Dexamethasone (Decadron) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Hydralazine
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Pharmacology Terminology
Psychiatry Terminology
Psychological Disorders
Prioritizing Assessments
How to Take Nursing Report
Introduction to the Electronic Medical Record (EMR)
Confidence in Communication
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
X-Ray (Xray)