Waiting
登录处理中...

Trial ends in Request Full Access Tell Your Colleague About Jove

4.6: Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
目录

JoVE Core
Nursing

需要订阅 JoVE 才能查看此 内容.

Education
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
 
文字本

4.6: Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.

This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The nurse can shift the conversation to focus on the pertinent information that the patient provides. Consider a scenario in which a patient casually mentions they are suffering from knee pain. Then, the nurse might find it helpful to concentrate on this question: "How intense is the pain you are experiencing? Rate it from 1 to 10.

Paraphrasing is briefly restating another's message using one's own words. Through paraphrasing, nurses provide feedback informing patients they are actively involved in the search for understanding. Accurate paraphrasing requires practice. If the meaning of a message is changed or distorted through paraphrasing, communication becomes ineffective. For example, a patient says, "I've been overweight all my life and never had any problems. I can't understand why I need to be on a diet." An effective paraphrase of this statement would be: "You're not convinced that you need to make different food choices because you seem to have stayed healthy."

Summarizing is a highly effective therapeutic communication technique that draws attention to the main issues discussed, and the consensus reached at the end of the conversation. A nurse manager working with a disgruntled employee might summarize their interaction: "You've told me why you do not like this job and how unhappy you've been. You agreed to try a few of the solutions we've come up with, and you will let me know if these ideas improve your job satisfaction. We've also thought of some other potential solutions you can consider.”

Tags

Therapeutic Communication Focusing Paraphrasing Summarizing Critical Elements Concepts Patients Vague Talk Repeating Themselves Off-topic Bringing Conversation Back Into Focus Pertinent Information Health-related Conversation Knee Pain Pain Intensity Rating Restating Message Own Words Feedback Active Involvement Understanding Accurate Paraphrasing Communication Effectiveness

Get cutting-edge science videos from JoVE sent straight to your inbox every month.

Waiting X
Simple Hit Counter