The community protects and suffers from and communicates to make the emotion a key point to support

The community protects and suffers from and communicates to make the emotion a key point to support
The community protects and suffers from and communicates to make the emotion a key point to support
Zhao QiuLi is in routine duties, community's nurse should communicate with a lot of people, such as serivce object, colleague and personnel,etc. relating with community's hygiene work. It is not smooth to communicate, not merely will influence the community going to a doctor rate, will even cause the medical dispute when being serious. In this issue, Harbin medical university attends to Zhao QiuLi, Vice President of institute, and combines the instance analysis at present the community protects and suffers from current situation and community that communicates to attend to the existing problem, and provide the positive and feasible suggestion. Do you communicate like this? Case 1: 75 -year-old uncle Li suffers from the essential hypertension, he comes to the community health Center to take blood pressure this day. Uncle Li: "Nurse, I want to take blood pressure. " Nurse: "Blood pressure 110/60mmHg, or take a slice of depressor? " Uncle Li: "I only eat one every day, high blood pressure that I am afraid, the result is low. " Nurse: "Then please stop medicine for two days early. " Uncle Li: "What does it have to do with this and have a rest at ordinary times? " Nurse: "You have a rest pretty well. Your family has good condition, anything is not interfered with. " Hear here, uncle Li shakes the head helplessly, has left. Can be found out from this section of exchanges, the nurse has not understood uncle Li's real demand, rely on one's own feeling to answer, thus has influenced the effective communication. Case 2: One of Lao Zhao of residents wants to come to the community health Center to have tooth pulled out, but the result finds blood pressure high, the doctor lets him look for nurse's inspection carefully. Lao Zhao: "Nurse, please take my blood pressure. I originally came to have tooth pulled out today, but the doctor said I had high blood pressure. " Nurse: "How is your sleep? " Lao Zhao: "Over 4 o'clock this morning ones that woke up. " Nurse: "Hypertension has something to do with sleep. " Lao Zhao: "Mean, can pull out tooth today, stud with before being annual. " Nurse: "Blood pressure 160/88mmHg, it is a little high. Lower blood pressure, come to have tooth pulled out. " Can be found out from this section of dialogues, the focal point that the nurse pays close attention to is " blood pressure " ,And Lao Zhao's concerned focal point is " How to handle the tooth well before being annual " . Both sides lack common understanding. Communicate smooth to cause the intersection of resident and one of the reasons on the low side of going to a doctor etc. at present, the going to a doctor rate of resident of the community health Center is generally on the low side. Result in person who go to a doctor low reason there are a lot of, for instance medical the intersection of engineering level and high medical the intersection of instrument and equipment and congruence, but an important reason is the smooth communication. The direct consequence that it produces is unable to establish good trusting relationship with residents, community residents are difficult to carry out the doctor's order or health guidance correctly. One investigation of U.S.A. reveal the intersection of community and resident willing to go, can satisfy the intersection of emotion and in need of rather than the medical care need mechanism, go to a doctor. It is a chronic disease patient that majority that the community health Center goes to a doctor comes, the characteristic is to need support and pointed guidance of emotion that they seek medical advice. If we can meet resident's demands, the residents that come to the community to go to a doctor will increase. Community's nurse visits looking at with the nursing at home, enters one and sets up the health file, plans to immunize etc. and serve the form through health education, family, communicate with the women of the community children, the elderly, chronic disease patients and his relatives. Outwardly, this kind of communication seems very simple, but a kind of simple one protects and suffers from a language to exchange, but it is that one kind is partial to suffering from the information transmission that both sides carry on for solving health problem in fact. If can not communicate smoothly, it is difficult to establish good relation to protect and suffer from both sides, lead to the fact that the number of people is reduced to go to a doctor, can also cause the medical dispute when being serious. So, communicating effectively with resident of community's nurse is particularly important. Not the nursing of the care can't call that perfect nursing at work, the following 4 behavior easy influence of community's nurse's communicates effectively, reduce the service quality. 1.Careless to listen attentively to and probe into the real demand of the serivce object. Protect some behavioral obstructions that communication receive the nurse while suffering from, for example the nurse behaves in the exchange irritable, do not take care of the real demand for probing into residents. While exchanged, community's nurse has not often clarified which kind of health problems residents have on earth, interrupt the talks of both sides, rely on one's own subjective idea and experience to judge, thus influence and communicate. At this moment, community's nurse should put residents' demand and concern in the first place, avoid rashness, take some more real demands for understanding residents for time, avoid subjective judgement. 2.Lack knowledge and exist and mislead. When residents consult some health problems, community's nurse may not be so unable to answer because of lacking in the relevant knowledge, heart as bottom. Some community nurses often reply like this: "This question must be asked to a doctor. This gets the large hospital to have a look. " Know how some community nurse and pretend to know according to feeling deal with. The former will cause resident's distrust of community's nurse, thus stop exchanging; The more terrible one is the latter, have no the instructing of scientific basis to probably mislead to residents. 3.Use medical terminology and abstract content. In the community health Center, we often hear medical worker use the specialized term, explain very abstractly and guidance. For example the patient asks a doctor: "Is it good how often antiinflammatory agent take once? " The doctor answers: "Depend on size in half-life. " And for example the patient of the intravenous infusion is saying to the nurse: "The speed of this bit is a little slow. " The nurse answers: "The speed should not be too fast, it is not good to the health to be too fast. " The similar answer will let residents feel very puzzled. If we often use this kind of general one, not explain the explanation of the reason, and how could persuade the patient to carry out the doctor's order? 4.Lack and show loving care for sense and the same feeling heart. The same feeling heart means the persons who communicate can experience the patient's inner world truly, one's own personal experience. Community's nurse, while working, if without caring about paying exchanging, even your technology is perfect, can't be called perfect nursing either. We often see some nurses rely on one's own professional experience, think experience the psychology of understanding the patient, and the psychology to the patient reacts and surmises or judges, think how the patient should think or how to think. Such communication is very apt to make the serivce object think that has not been understood oneself, and stop communicating. Understand it is two-way that the characteristic of community residents could communicate and communicate pointedly, community's nurse not only should pay attention to one's own exchange way also find out about residents' characteristic of the community, communicate preparatively with pointedly. What characteristics apt receiving and understanding of influencing the message of serivce object as community's nurse, understand to have. At ordinary times, it was the anxious disease patient that we seemed most With the elderly. Anxious the intersection of disease and patient process, come from external information while being difficult, obtain behind the message, is it difficult for them? 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Residents' knowledge level, having ill experiences, it is the important factor of influencing the information transmission too. Relevant research reveals, some residents of low education are even unable to understand some knowledge regarding it is extremely simple to guide etc. in disease or health care. The ill one of some first time, the information that they obtain that the often aptest to twist. And there are the residents that has gone through in hospital, or the chronic disease patient,etc., they have already clearly found out about relevant knowledge and influence factor of disease, can often understand the information obtained, but when the people's inherent idea and disease values are inconsistent with medical worker, easy to influence communicating. It is here that resident's concern about disease stay more " Influence pain or symptom of daily life " ,But the medical worker pays close attention to " The severity and treating of disease is attended to " . But the same law appears in symptom that the progress of disease does not feel with the patient subjectively, so is apt to make the patient not think by mistake the medical worker has noticed their question, when both sides lack common understanding, it is apt to link up the obstacle. Community's nurse should explain its health status to the serivce object in detail at this moment, and treatment and nursing measure that take, so as to raise its ability to carry out doctor's order. Today when the contradictions of doctors and patients are conspicuous, a mutual complaint of doctors and patients can not solve any problem. Only learn to communicate with residents, set up mutual trust and could let residents settle down, rest assure of seeking medical advice in the community.


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