4.4
Comunicação terapêutica
A comunicação é um processo de aprendizagem ao longo da vida. Através da comunicação terapêutica, os enfermeiros podem coletar dados relevantes de ava…
A comunicação terapêutica é uma técnica na qual o enfermeiro influencia conscientemente um paciente ou o ajuda a entender melhor, expressando seus sentimentos por meio da comunicação verbal e não verbal.
Os enfermeiros usam essa técnica principalmente para desenvolver uma relação terapêutica enfermeiro-paciente e determinar as necessidades essenciais do paciente.
A comunicação terapêutica ocorre de duas formas - verbal e não verbal.
A comunicação verbal visa trocar informações precisas, concisas e completas usando palavras faladas ou escritas em uma linguagem comum mutuamente compreendida.
Na conversa verbal, o falante deve estar atento ao seu vocabulário, tom, ritmo, clareza, concisão, atualidade e relevância.
No ambiente de saúde, a comunicação verbal ocorre de duas maneiras. Pode ser na forma oral, como duas enfermeiras compartilhando informações do paciente, ou na forma escrita, como e-mails.
Em contraste, a comunicação não verbal é a troca de informações por meio da linguagem corporal ou expressões, em vez de palavras.
Várias formas de comunicação não verbal incluem contato visual, expressão facial, gestos, som e postura.
Por exemplo, uma enfermeira pode dar um tapinha no ombro do paciente para tranquilizá-lo. Nessa situação, o enfermeiro se comunica não verbalmente por meio do toque.
Q1: What is the main purpose of therapeutic communication in nursing?
Therapeutic communication helps nurses consciously influence patients and promote understanding by expressing feelings through verbal and nonverbal communication. Nurses use this technique primarily to develop a therapeutic nurse-patient relationship and determine the patient's essential needs. It enables nurses to collect relevant assessment data, provide education and counseling, and interact effectively during nursing interventions.
Q2: What are the key elements nurses should focus on during verbal communication?
Effective verbal communication requires attention to vocabulary, tone, pace, clarity, conciseness, timeliness, and relevancy. Nurses must use language appropriate to the patient's understanding, speak at a moderate pace, and deliver messages clearly and directly. Timing is crucial—a clear message is only compelling when delivered at the right moment, such as explaining pre-surgical procedures before emergency surgery rather than discussing smoking risks.
Q3: How does nonverbal communication complement verbal messages in patient care?
Nonverbal cues such as body posture, eye contact, and voice intonation are as important as verbal messages. Maintaining eye contact shows respect and a desire to listen, while gestures emphasize and clarify spoken words. Facial expressions convey emotions like surprise, fear, or sadness. A nurse may also communicate nonverbally through touch, such as patting a patient's shoulder to reassure them.
Q4: What does intonation convey in therapeutic communication?
Intonation is a variation in the tone of voice that conveys the speaker's attitudes and feelings. The style of voice greatly influences the meaning of a message—even a straightforward question or statement can elicit various emotions depending on intonation. This makes vocal tone a critical aspect of therapeutic communication that can significantly impact how patients perceive and respond to information.
Q5: Why is personal appearance and posture important in nonverbal communication?
Personal appearance, including physical characteristics, facial expressions, manner of dress, and grooming, communicates messages to patients. Posture and walking patterns reflect attitudes, emotions, self-concept, and health status. How people sit, stand, and walk serves as a form of self-expression that patients unconsciously interpret, making these nonverbal elements essential components of therapeutic communication.
Q6: How do sounds and gestures function in nonverbal communication?
Sounds such as sighs, moans, groans, or sobs communicate feelings and thoughts when combined with other nonverbal communication. Gestures emphasize, punctuate, and clarify the spoken word, conveying specific messages when combined with other communication cues. Together, these nonverbal elements help send clear, comprehensive messages that reinforce or enhance verbal communication.
Q7: What specific verbal communication techniques help improve patient understanding?
Nurses should use clarity and brevity by keeping communication simple, direct, and concise. Avoiding filler phrases like 'you know' or 'OK?' at the end of sentences improves clarity, especially for elderly patients. Direct questions such as 'Where is your pain?' are more effective than vague statements. These techniques of therapeutic communication ensure patients receive information they can easily understand and act upon.