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Arellano University
College of Nursing

UTILIZATION OF THERAPEUTIC COMMUNICATION OF STAFF NURSES AMONG

CLIENTS OSPITAL NG SAMPALOC

S.Y. 2010-2011

A Research Paper

Presented to

The Faculty of the College of Nursing

ARELLANO UNIVERSITY

Legarda, Manila

In Partial Fulfillment

Of the Requirements for the Degree

BACHELOR OF SCIENCE IN NURSING

RICHARD ABRENILLA

GENERA BARTOLOME

AB QUEEN ABEGAIL 2 IBARRA

AARON MALANA

ANGELIQUE MORE

ANGINETTE SALIBIO

NCM 104-105A

Submitted to:

Shiela Buxani-Callao RN

Adviser

February 2011
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TABLE OF CONTENTS

CHAPTER I

THE PROBLEM AND ITS BACKGROUND…………………………………..3

BACKGROUND OF THE STUDY……………………………………………..4

THEORETICAL AND CONCEPTUAL FAMEWORK………………………..4

STATEMENT OF THE PROBLEM…………………………………………….7

HYPOTHESIS………………………………………………………………..….8

SIGNIFICANCE OF THE STUDY…………………………………………...…8

DEFINITION OF TERMS…………………………………………………….…9

SCOPE AND LIMITATION…………………………………………………....11

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CHAPTER 1

THE PROBLEM AND IT’S BACKGROUND

Introduction:

According to the researcher communication is the act or reciprocal process of

imparting or interchanging thoughts, attitudes, emotions, opinions, or information by

speech, writing, or signs. Communication is so greatly rooted in human behaviors and the

contexts of society that is it difficult to imagine social or behavioral transactions without

it. For these reasons communication is fundamental to all nursing and interpersonal

relationship.

Communication is important because without it we cannot know the condition

of our patient. It will help the nurses know if the patient has a problem or if the patient is

in good condition. The best thing to have a good communication is to established rapport

or the patient established trust to the nurse. Because if the patient trusted the nurse the

patient will become open to the nurse he/she will not hesitate to give information and it

will helps the nurse to know the level of care that the patient need.

Nurses have to be skilled communicators in order to identify patient’s needs,

assist in the expression of needs, aid the understanding of preventive activity, treatment

or care and facilitate the acquisition of self care skills. To be effective communicators,

nurses have to be skilled receivers as well as senders of messages because if the nurses

have these things the nurses can give a proper care to the patient. The nurse will do all

his/her best to fulfill the needs of the patient.

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There are barriers that can affect good communication of the nurses to the

patient. Example of this is when the nurse is busy; sometimes he/she will not give the

appropriate care to the patient. And the other example is, if the nurse has a problem

sometimes he/she brings his problem in the hospital so he/she cannot concentrate to his

work that’s why the appropriate care to the patient is not given.

Indeed nurses need to know the proper establishment of rapport to the patient

so that he/she can give the appropriate care to the patient. Nurses must have the skills,

knowledge and proper attitude to attain therapeutic communication to the patient.

Background of the study:

The research was conducted bercause researchers wants to prove the discrepancy

that is happening among the clients being admitted in Ospital ng Sampaloc, if the staff

nurses is properly utilizing therapeutic communication due to some concerns that nurses

are not properly seeing staff nurses utilizing therapeutic communication. Researchers

seen scenario like shouting in front of the patients and researchers thought that it did not

help in the providing the highest form of treatment that the client should receive.

Theoretical Framework

Joyce Travelbee was a psychiatric Nurse practitioner educator, a writer. Born in

1926,she completed her basic nursing preparation in 1946 at charity Hospital School of

Nursing in New Orleans. She earned a B.S degree in nursing education from Louisiana

State University in 1956 and an M.S degree in Nursing from Yale in 1959. In the summer

of 1973, Travelbee began a doctoral program in Florida, however she was unable to
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complete the program because she died later that year. She died at the age of 47 after a

brief illness, leaving no survivor.

Travelbee’s experience in her basis nursing education and initial practice in

catholic charity institution greatly influenced the development of her theory. Travelbee

believed that the nursing care given to patients in these institutions lacked compassion.

She felt that nursing needed “a humanistic revolution – a return to focus on the caring’

function of the nurse –in the caring for (and ) the caring about ill persons and predicted if

this services of a new and different kind of health worker.

The researchers used the theory of Joyce Travelbee as their basis in the research;

the relationship of the theory to the study is that human relationship should be address by

the staff nurses among their clients to attain the highest possible care that they must

render. On the other hand, therapeutic communication must be rendered to the patients as

part of the nursing care and the human-to-human relationship to be able to attain good

prognosis of the treatment

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CONCEPTUAL PARADIGM

Rapport

Patient

& Nurse

NUR PATIE
SE Sympathy NT

PATIENT
NURSE
EM

Empathy

PATIENT
Emerging Identities
NURSE

NURSE Original Encounter

PATIENT
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Human
Human

HUMAN-TO-HUMAN RELATIONSHIP

Conceptual Framework:

The Human-to human relationship model, shown in figure 23-2, represents the

interaction between the nurse and patient. The half circle at the point of the original

encounter indicates the possibility of and need for developing the encounter into a

therapeutic relationship. As the interaction process progresses toward rapport, the circle

joins into one full circle, representing that the potential for a therapeutic relationship has

been attained.

Statement of the Problem:

This study aims to determine the factors that affect the utilization of therapeutic

communication services provided to patients admitted in Ospital ng Sampaloc.

Specifically, this study attempted to answer the following questions:

1. What is the profile of the respondents with respect to:

1.1 Age

1.2 Educational attainment

1.3 Monthly family income

1.4 Region/ provinces and

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1.5 Religion

2. What is the therapeutic communication that the staff nurses of Ospital of

Sampaloc utilized among their clients?

Hypothesis:

The following hypotheses were tested in this study:

1. The staff nurses are utilizing therapeutic communication to those who are

financially gifted.

2. The staff nurses are not utilizing therapeutic communication to patients who are

vagrant and when they handle lots of patients.

Significance of the Study:

This study will be use to the following persons and entities:

Patients in Medical-Surgical ward in Ospital ng Sampaloc: The primary

beneficiaries of this study will be patients admitted in Ospital ng Sampaloc. Through this

study they will become knowledgeable and informed about the nurses attitudes and

behaviors toward them during their treatment. They can also observe nurses if they

provide efficacy in the utilization of therapeutic communication.

Student Nurse: Through this study the student nurses will be more aware in

utilizing therapeutic communication, they can also be inform in the utilization of

therapeutic communication and they can also utilize the importance of providing

therapeutic communication among their patients in their related learning experience.

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Staff Nurses: this would necessities them to the focus on the primary aspect of

nursing intervention in the utilization of therapeutic communication in dealing with

patients in Ospital ng Sampaloc. The needs of clients would be known and anticipated so

that therapeutic communication should be rendered inside and outside health care

institution. This study likewise inspires nurses to utilize therapeutic communication

among their clients.

Nursing Educators: this study would motivate nurse-instructors to emphasize the

discussion on therapeutic communication would be given adequate focus. This will

further create an awareness to include in providing health teaching when students go on

with their related learning experience. Moreover this would make nurse instructors

realize that the utilization of therapeutic communication must be given emphasis during

their lectures with their students.

Nursing service: nurse in hospitals and other related institutions would realize the

importance of therapeutic communication in dealing with patients about proper approach

with their clients and will create good nurse-patient relationship in which they will

minimize the anxiety/disturbances associated with patients in Ospital ng Sampaloc.

Definition of terms:

The following terms are defined operationally as used in the study:

Therapeutic communication: It is the way wherein health care personnel gives comfort to

a patient and providing nursing intervention in such a way that they give respect and

recognition to their patient.

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Clients: It was the people who were admitted to Ospital Ng Sampaloc.

Nurse: It is the person who renders care to a sick or wounded person. It refers to the

person a male or a female who utilizes therapeutic communication.

Behavior: It is the manner or action of a patient in which the nurse can assess. The way

the patient react or respond to a stimuli or situation.

Utilization: The way of nurses in providing therapeutic communication to their clients.

Anxiety: It is a disturbance of mind in a patient regarding certain events or experiences.

Rapport: Characterized by nursing actions that alleviates a patient’s distress. The nurse

and ill person are relating as human distress. The nurse and ill person exhibit both trust

and confidence in the nurse.

Emerging identities: It is characterized by the nurse and patient perceiving each other as a

individual having differences with each other. The bond of a relationship is beginning to

form within each other

Sympathy: It occurs when the nurse desires to alleviate the cause of the patient’s illness

or suffering. The nurse is to create a helpful nursing action as a result of reaching the

phase of sympathy. This helpful nursing action requires a combination of the disciplined

intellectual approach combines with a therapeutic use of self.

Empathy: It is characterized by the ability to share in the other person’s experience. The

result of it is the ability to predict the behavior of the individual with whom she or he

empathized.
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Original encounter: It is characterized by first impression by the nurse of the ill person

and by the ill person of the nurse. The nurse e and patient perceived each other in

stereotyped roles.

Scope and Limitation:

The scope of the study is to determine the utilization of therapeutic

communication in medical surgical ward of Ospital ng sampaloc.

The subject in this study were 100 patient admitted in Ospital ng Sampaloc, Sampaloc

Manila during the year 2011.