Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 28

The therapeutic relationship is an essential prerequisite to effective communication between health professionals and patients in order to not only transmit information but also effectively address mental processes that become activated by it. The communication between the nursing associate and the patient includes the ability to express genuine concern for the care of the patient, with the patient becoming a participant.

The transactional model also considers the context in which the communication occurs, which shapes the way you communicate; consideration is given not only to the content of the message (the what) but also to the relational dynamics (the how it is said). Like the interactional model of communication, the transactional model acknowledges the participants’ field of experience but includes a more complex understanding of communication across physical, psychological, social, cultural and relational contexts. Figure 1.3 outlines the transactional model.

The transactional model agrees that physical and psychological contexts are important but in isolation are too simplistic. The transactional model argues that communication is more complex, as it shapes a person’s reality before and after specific interactions occur, and, therefore, emphasis is placed on the importance of contextual influences outside of the single interaction, namely social, cultural and relational contexts.

Social context focuses on the stated rules and unstated norms that guide communication. There are many examples we can draw on from healthcare here. For example, a trainee nursing associate observes that the ward round is monopolised by the consultant and the nurse in charge and the trainee nursing associate may only realise they break this norm from the reaction of others, for example, being told not to talk again during ward round. These types of norms are traditional and have no place in the future of healthcare; the role of the nursing associate is to be resilient and advocate for best patient care.