According to Bob Price, a nurse academic writing for the Nursing Standard in
2006, ‘the term person-centred care is used…to indicate a strong interest in the
patient’s own experience of health, illness, injury or need. It infers that the nurse
works with the person’s definition of the situation, as well as that presented through a
medical or other diagnosis’. (pg. 49 – 56)
The notion of person-centeredness has become well recognized within healthcare
and especially within Nursing (Binnie & Tichen 1999, McCormack 2001,2003).
Person Centeredness is also ingrained in many policy initiatives within the UK (eg.
The National Service Framework for Older People, ...view middle of the document...
However it is suggested that
nurse-patient communication is slightly different; nurse-patient communication also
involves the transfer of feelings, recognizing these feelings and letting the patient
know that their feelings have be recognized (Sheppard 1993).
Communication- both verbal and non-verbal- can have an effect on clients and the
relationship which they form with their nurse. Communication can either facilitate
the development of a relationship or create barriers (Stuart and Laraia, 2001). There
are many different forms of communication which nurses can use to help implement
person centred care such as verbal communication, non-verbal communication,
attending behaviour and empathetic behaviour; Within this essay I will explore some
of these methods of communication, the effect they will have on a patient and person
centred care and ways in which a nurse could implement these methods in a clinical
Verbal communication is essential when dealing with a patient; studies revealed
that many patients feel reassured when nurses use a personal approach whilst
communicating and also feel that it is important for nurses to talk to patients as
individuals. In order to promote care which is person centred nurses must also
refrain from making any assumptions about the patients care or needs (McCabe
2004). Nurses need to verbally communicate with their patients in order to develop
a clear and concise picture of what the patients value about their life and how
they are making sense of what is happening, communicating and discussing this
information is one of the fundamental principles of person centred nursing (McCance
& McCormack, 2006). This is also closely linked to shared decision making which
is also fundamental in person centred care, nurses should always aim where
possible to involve and invite clients to participate in decisions regarding treatment
and medication (Langewitz et al, 1998). In order to promote person centred care
in the clinical setting nurses should try to implement open and honest verbal
communication with their patients; this type of communication is valued by patients
and helps them deal positively with their illness (McCann & Baker, 2001).
Non- verbal communication is all type of communication between two people
which doesn’t involve any speech (Kaspereck, 1997) and it is suggested that
this non-verbal communication is up to 5 times more influential that its verbal
counterpart (Argyle, 1988). A lot of the communication between a client and a
mental health nurse will be non-verbal and being able to read these non-verbal
signs is an important factor in establishing a relationship ( Carton et al. 1999).
Non-verbal communication is also an indicator of genuineness as it demonstrates
emotional support, understanding and respect for the patients as individuals
(Bottorff et al,...