Mata Kuliah

BAHASA INGGRIS 3

Koordinator: Ns. Syeptri Agiani Putri, M. Kep

KJFD MATER-ANAK
Tim Dosen:
1. Ns. Syeptri Agiani Putri, M. Kep
2. Ns. Ririn Muthia Zuhra, M. Kep
3. Ns. Nurhannifah Rizky Tampunolon, M. Kep
4. Ns. Ari Rahmad Aziz, M. Kep
5. Ns. Stephanie Dwi Guna, M. Nurse
 RPS
JADWAL PERKULIAHAN DAN SKILL
LAB
 THERAPEUTIC
COMMUNICATION TO
PATIENTS IN THE CARE UNIT

By: Ns. Syeptri Agiani Putri, M. Kep

Communication refers to the reciprocal exchange of information, ideas,
beliefs, attitudes between person or among group of persons. It is goal
directed process In nursing it used in nursing process.

“Communication is process by which information is exchange between

individual through common system of sign, symbol or behavior”
COMMUNICATION PROCESS

MESSAGE

SENDER ENCODER RECEIVER DECODER

FEEDBACK

TWO-WAY PROCESS
Types Communication:
 Verbal or Nonverbal?

• Use a strong, confident speaking voice

• Use active listening
• Notice how your emotions fell physically
• Be intentional about your nonverbal communications
• Avoid filler words
• Avoid industry jargon when appropriate
• Mimic nonverbal communications you find effective
 Verbal or Nonverbal?

• Use a strong, confident speaking voice V

• Use active listening V
• Notice how your emotions fell physically NV
NV
• Be intentional about your nonverbal communications
NV
• Avoid filler words
V
• Avoid industry jargon when appropriate
NV
• Mimic nonverbal communications you find effective
Tell me about this picture!
What is your opinion about this ..?
DEFINITION OF THERAPEUTIC
COMMUNICATION
In therapeutic communication the nurse directs the communications
towards the patient to identify his current health problem, plan,
Implement & evaluation the action taken
Goal of therapeutic communication
• Enstablish a therapeutic nurse-patient relationship
• Identify the most important patients needs
• Assess the patients perception of the problem
• Facilitate the patients expression of emotions
• Implement interventions designed to address the patients needs
Principles or Characteristics of Therapeutic
Communication

• The patient should be the primary focus of interaction

• A professional attitude sets the tone of the therapeutic relationship
• Use self-disclosure cautiously & only when it has a therapeutic
purpose
• Avoid social relationship with patients
• Maintain patient confidentiality
• Assess the patients intellectual competence to determine the level of
understanding
• Implement interventions from a theoretic base
• Maintain a non-judgmental about patients behavior
• Avoid giving advice
• Guide the patient to interpret his or her experiences rationally
Therapeutic Communication Techniques

1. Listening
2. Restating
3. Focusing
4. Clarification
5. Open – ended Question

Group task 1 (5 group)

Outline task…
1. Ilustrasi Kasus (identitas pasien, diagnose penyakit, rencana perawatan pasien,
gambaran kondisi pasien saat ini, dsb)

2. ROLE PLAY:
Tahapan
a. Tahap Pre-Interaksi
b. Tahap Orientasi/ Perkenalan
c. Tahap Kerja
d. Tahap Terminasi
3. Identifikasi kasus berdasarkan therapeutic communication techniques
1. Listening
2. Restating
OUTPUT:
3. Focusing
VIDEO
4. Clarification
(ENGLISH)
5. Open – ended Question
Listening

• It is an active process of receiving information

• Responses on the part of the nurse such as maintaining
eye to eye contact, nodding, gesturing and other forms
of receptive non-verbal communication convey to the
patient that he is being listened to and understood.

Therapeutic value:
• Non-verbally communicates to the patient the nurses
interest and acceptance
Restating

• Repeating the main thought expressed by the patient

• For example,
“you say that you threw up twice this morning”

Therapeutic value:
• Indicates that the nurse is listening and validates, reinforces or
calls attention to something important that has been said
Patient: "I have no appetite, I haven't eaten all day."

Nurse: "Are you having trouble eating?” --- Restating

For example:
• Client: “I told the doctor that I am having pain in my stomach, but he
didn’t listen to me”
• Nurse: “it seems you are angry at him”
• Client: “I am having a bad pain there in stomach”
• Nurse: “oo you are having pain in stomach” -------- Restating
 Focusing
• Questions or statements that help the patient expand on a
topic importance.

• For example:
“I think that we should talk more about your eating for the
past two days”.

Therapeutic value:
• Allows the patient to discuss central issues and keeps the
communication process goal-directed
 Clarification

• Attempting to put vague ideas or unclear thoughts of the patient into

words to enhance the nurse’s understanding or asking the patient to
explain what he means

For example:
“I am not sure what you mean. Could you tell me about that again”.

Therapeutic value:
• It helps to clarify feelings, ideas and perceptions of the patient and
provides and explicit correlation between them and the patients
actions.
 Open – ended Question

• An incomplete sentence encourages the client to talk about that.

Questions require description in answer.

• For example:
“Can you tell me about your situation right now?” instead of “are you
feeling low”
“tell me about your eating habits”
Let’s see your video …..