Therapeutic Communication Research Articles

Efektivitas Video dalam Meningkatkan Komunikasi Terapeutik Mahasiswa

This study aims to analyze the effectiveness of video in improving students' therapeutic communication. The method used is a literature review study utilizing several databases such as PubMed, Proquest and Google Scholar. The results showed that students' therapeutic communication increased after using video. In conclusion, therapeutic communication can effectively improve students' knowledge, attitudes, skills after education and skills about therapeutic communication.
 Keywords: Therapeutic Communication, Students, Video

Biorepository – A key component of research studies

The last two decades have shown impressive advances in high-throughput assays for gene expression (genomics), proteins (proteomics), and metabolites (metabolomics). As a result, the quest for an equivalent need for human biological samples has increased exponentially. Translational investigations require good quality specimens to guarantee research results' integrity, probity, and reproducibility. A biorepository is a bank of specimens or specimens-derived neosamples (e.g., organoids, nucleic acids) linked to a database containing information related to these specimens. Two requirements must be met to safeguard the authenticity and stability of such a repository. First, the information provided should comprise relevant clinical and therapeutic communication, and second, the chain of custody is assured, guarded, versatile, and accessible. Completing these requirements is crucial for consistency, accuracy, verifiability, and disclosability of scientific and clinical outcomes. This commentary emphasizes that advocacy for standardization of operational workflows is a sine qua non for good science. Safe procedures for clinical trials are crucial to maintaining biorepositories' validity for all researchers.

A correlational study to identify therapeutic communication on patient satisfaction among patients admitted in hospitals at Kolhapur

A Descriptive correlational study was conducted to identify the therapeutic communication and patient satisfaction among patients admitted in Medical, surgical and orthopedic wards. The study was conducted at Dr.D.Y.Patil Hospital, Kolhapur among 100 admitted patients who were selected by Simple random sampling technique. The study concluded that correlation was calculated by Karl Pearson’s Coefficient correlation which was r=0.76 value was greater than 0 & lesser than 1(0>1)which indicated that the there was moderate positive correlation between therapeutic communication and patient satisfaction. Therefore the findings revealed that if there is good therapeutic communication there would be increase in patient satisfaction.

Keterampilan Komunikasi Terapeutik Penyuluh Agama di Kota Padang

Religious instructors are people who play a role in providing education, guidance, and information to the community. For this reason, the therapeutic skills of extension workers need to be improved continuously, considering that the success of counseling lies in getting the message to the community. The purpose of this study was to measure the level of therapeutic communication based on aspects of the communicator's ability, acceptance of the communicant, the message conveyed, the use of media, and the effect of the interpretation of a message. The type of research conducted is descriptive quantitative. The research subjects of this research were 32 religious instructors in the city of Padang. The data collection tool uses instrument development in the form of a valid and reliable therapeutic communication questionnaire. The data collection technique used quantitative descriptive analysis with the percentage formula. The results of this study indicate that communicators must have the ability to master problems, speak effectively, motivate, look attractive and use appropriate language. Then from the communicant aspect, the extension worker must understand the background and cultural characteristics and the level of need for the communicant for the material presented. The material aspect of the instructor should use structured, monitored, and evaluated material. The use of media in counseling is very supportive of achieving the goals of counseling. Taking into account all these qualifications, the extension worker can avoid misinterpretation of the material presented, so that the target of the extension can be achieved.

The Impact of Medical Therapeutic Communication Effectiveness on the Quality of the Medical Service Process in Hospitals at Medan City, Indonesia

BACKGROUND: Many individuals from Medan City, Indonesia, seek treatment abroad. This is because they are dissatisfied with the medical services provided at hospitals in their city, especially those for internal medicine, heart disease, and obstetrics-gynecology (Ob-Gyn). The attitude to seek treatment outside of the city may be because of ineffective medical therapeutic communication. However, a questionnaire to assess medical therapeutic communication from the patient’s perspective is lacking. AIM: Here, we sought to determine the effectiveness of medical therapeutic communication on the quality of the medical service process in hospitals. We also aimed to obtain statement items that can be used in a questionnaire to assess the effectiveness of medical therapeutic communication in hospitals at Medan City. METHODS: This cross-sectional quantitative research was conducted in three Medan City hospitals. Accidental sampling was used to select patients. Overall, 121 patients from internal medicine polyclinic, 88 from cardiac polyclinic, and 121 from obstetrician polyclinic were selected. All data were analyzed using partial least squares structural equation modeling (PLS-SEM) with the second-order model two-stage approach. RESULTS: The outer and inner model tests indicated that 6 statement items from Ob-Gyn specialists could be used as measurements with robustness and accuracy. The hypothesis test also proved that the effectiveness of medical therapeutic communication impacts the quality of the medical service process in Ob-Gyn polyclinics. The PLS-SEM analysis revealed that the effectiveness of medical therapeutic communication affected the quality of the medical service process only in the Ob-Gyn polyclinic. CONCLUSION: Therefore, medical staff at the Ob-Gyn polyclinics must focus more on listening to patient complaints with empathy and sympathy so that the patients feel better. Medical staff must also be forthright about the patient’s condition and explain the disease, examination, and treatment steps in an interesting way and in a soft tone such that patients can re-explain. Hospital management can use these six statement items to assess the medical therapeutic communication effectiveness in Ob-Gyn polyclinics from patients’ perspective.

Effect of Therapeutic Communication on Radial Artery Puncture Nursing in Children

Effect of Therapeutic Communication on Radial Artery Puncture Nursing in Children

Factors Affecting Nurses for Doing Therapeutic Communication Therapy to Clients at Mon Geudong Puskesmas Lhokseumawe

Therapeutic communication is a verbal exchange that is consciously planned, purposeful, and that activities are centered on the healing of the client. The objective of this study is to describe the factors that influence nurses to communicate therapeutically to clients at the Mon Geudong Public Health Center, Lhokseumawe City. This is analytic research with a cross-sectional design. The Respondents in this study amounted to 43 civil servant nurses (total sample). The results obtained between the factors that influence therapeutic communication from 43 respondents, 29 respondents (67.4%) are in the "Good" category and 14 respondents (32.6%) are in the "Not Good" category. According to the knowledge variable, which is from 43 respondents and 27 respondents (62.8%) were answered "yes", and 16 respondents (37.2%) were answered "No", while the environmental variables of 43 respondents were 24 people rrespondents (55.8%) are answered “Yes” and 19 respondents (44.2%) are answered “No”. The perception variable of 43 respondents and 27 respondents (62.8%) is in the “Yes” category and 16 respondents (37.2%) are in the “No” category. The relationship between knowledge, environment, and perception with therapeutic communication obtained p-value = 0.005 <: 0.05, there is indicated a significant relationship between knowledge, environment, and perception with therapeutic communication. Finally, the results concluded that three variables are very influential on nurses in conducting therapeutic communication.

The Effect of Therapeutic Communication on Social Isolation Clients in Sidikalang Regional General Hospital in 2019

This study aims to identify the effect of therapeutic communication on social isolation clients at the Sidikalang Regional General Hospital in 2019. The research methodology used in this study is a case study that uses a quasi-experimental research design with a one group pre post test design approach. This study only tested one group of subjects where the group was observed before the intervention was then observed again after the intervention. The results of the study were based on the characteristics of the research subjects, 2 men (100%), 1 person (50%) 21 years old, 1 23 year old subject (50%), 2 unmarried subjects (100%), Subjects with a junior high school education of 1 person (50%), 1 person with a high school education (50%), and a subject whose occupation is self-employed 2 people (100%). The level of social isolation before therapeutic communication was carried out in the first subject there was a moderate level of social isolation (score 6), in the second subject there was a moderate level of social isolation (score 6) and on average from both subjects there was a moderate level of social isolation (score 6). The level of social isolation after therapeutic communication was carried out in the first subject there was a mild level of social isolation (score 4), in the second subject there was a mild level of social isolation (score 2) and on average from both subjects there was a mild level of social isolation (score 3).

Being survivors: therapeutic communication for people living with HIV/AIDS (plwha)

The number of People Living With HIV/AIDS (PLWHA) is steadily increasing. HIV/AIDS is caused by a virus that infects the body and weakens the immune system, making it difficult to fight germs, viruses, fungi, and other pathogens. HIV and AIDS are still considered taboo diseases that should not be openly discussed. People living with HIV/AIDS (PLWHA) are discouraged from seeking treatment due to stigma and discrimination. Eliminating stigma and discrimination against people living with HIV/AIDS will improve the process of preventing and overcoming HIV/AIDS cases. In addition, therapeutic communication also affects interpersonal relationships. This research aims to figure out how the therapeutic communication efforts of People living with HIV/AIDS (PLWHA) become survivors. The method used in this research is phenomenology, where the informants in this study are people with HIV/AIDS who live in Surabaya. This study concludes that therapeutic communication efforts to People living with HIV/AIDS (PLWHA) are by presenting volunteers who help people living with HIV/AIDS (PLWHA) based on the same fate as People living with HIV/AIDS (PLWHA). The presence of volunteers (PLWHA) assists and bridges the gap between patients and therapy, fostering a sense of comfort for PLWHA. They also make other patients feel more at ease while they are receiving treatment in the hospital.

Abstract 12580: An Interprofessional Approach to Standardizing Family Care During Code Blue Events

Introduction: The development of a standardized practice for family care during resuscitation (FPDR) events was identified as an area for quality improvement at a large academic hospital. Healthcare Chaplains were identified as ideal Family Facilitators for FPDR due to their professional training in therapeutic communication and existential crisis management as well as their current practice of responding to all Code Blue events. An interprofessional workgroup developed guidelines to delineate the role of Chaplain as Family Facilitator in Code Blue events and created an interprofessional education simulation (IPE-sim) training curriculum for their dissemination. Methods: The workgroup, which included an acute care nurse practitioner in the nursing faculty, a palliative care physician, and the director of Chaplain Services, conducted a thorough review of FPDR literature, analyzed data on Chaplain care provided at Code Blue events over the past 9 years, and entered into dialogue with stakeholders regarding FPDR. The group authored guidelines which were adopted as an addendum to the institution’s existing Code Blue policy. The workgroup collaborated with the Code Blue team to develop simulation training events to ensure proper application of the new guidelines. Results: This work resulted in the addition of FPDR guidelines to the Code Blue policy and the creation of a FPDR flowchart that standardized the Chaplain role in Code Blue events by delineating a communication process as well as FPDR inclusion and exclusion criteria. The implementation of this work was facilitated through three 4-hour IPE-sim training sessions. Conclusions: Standardized FPDR guidelines pertaining to the role of Chaplain as Family Facilitator improve patient- and family-centered care. Institutional FPDR guidelines should be created by an interprofessional team and vetted by multidisciplinary stakeholders. Simulation-enhanced IPE prepares Chaplains and teams for FPDR and can improve interprofessional collaboration during Code Blue events.

The Effect of Application of Nurse Therapeutic Communication on Cooperative Behavior of Patients with Mental Disorders

Therapeutic communication is one of the tools in carrying out the nursing process, where through communication carried out by nurses consciously, directed, and has a goal, namely to heal patients. Mental disorders are clinically significant syndromes or behavioral patterns associated with distress or suffering and may interfere with one or more functions of human life. The purpose of this study was to determine the effect of the application of nurse therapeutic communication on cooperative behavior of mental patients in the mental room of RSUD Tgk. Chik at Tiro Sigli. The research design was a pre-experimental design, with a one group pre and post test design, to obtain cooperative behavior before and after the application of therapeutic communication. This type of research is a quasi-experimental design with a one-group pre-test and post-test design with a sample of 52 respondents. Statistical test using Wilcoxon Signed Range Test. The results showed that there was an effect of therapeutic communication on patient cooperative behavior such as self-care abilities (eating, bathing and elimination) with a p value of 0.000. It is expected that nurses can pay more attention to the therapeutic communication process in patients, especially those who experience self-care deficits according to the nursing action plan and on an ongoing basis.

The Role of Midwife Therapeutic Communication With Anxiety Levels in Maternity at The Limboro Health Center in 2020

Anxiety has an impact on the duration of the first and second stages of labor. Generally, anxiety during labor is caused by fear of giving birth. To reduce the level of anxiety, it is necessary to communicate with therapeutic midwives in creating good relationships with maternity mothers so that there is an exchange of information, feelings, and thoughts. This research aims to find the relationship between the therapeutic communication of midwives with the level of anxiety in maternity mothers. The research method uses a cross-sectional study with a sample of 30 maternity mothers who were selected based on the purposive sampling technique. The results of the study from 30 respondents, the percentage of mothers who received therapeutic communication was not good with mild anxiety levels as many as 4 respondents (66.7%), while at moderate and severe levels of anxiety each 1 respondent (16.7%). Bivariate analysis with chi-square test showed p-value = 0.014 with a significance level ofa = 0.05, where p < a (0.05)so it can be concluded that there is a relationship between the midwife's therapeutic communication with the level of maternal anxiety. It is recommended to manage the psychological condition of the mother during pregnancy monitoring so that the anxiety and worries of the mother before delivery can be resolved properly.

HUBUNGAN PELAYANAN PRIMA TERHADAP KEPUASAAN PASIEN RAWAT JALAN DI PUSKESMAS DOLOK MASIHUL TAHUN 2021

Excellent service at public health Dolok Masihul is not as expected due to the partent family’s dissatisfaction about the doctor’s attitude in responding to the patient’s complaint, the attention of the doctor and the nurse when the patient complains about the illness staffered is still lacking, the action is less rapid in doing the treatment to the patient, The accountability for completing tasks is not timely and no good communication exists between doctor, nurse and patient. Excellent service in review of six dimensions that are Attitude, appearance, attention, action, accountability, and abilitity. This study aimedto determine the relationship between excellent service with outpatient satisfaction in publich health center dolok masihul. The research type was quantitative, with cross sectional method, 96 samples were taken with purposive sampling technique, The statistical test used clu-squera (a=0,05) with the following test result : attitude (P=0,003) < a ( 0.05), appearance (P=0.000< a (0.05), attention (P=0.012) < a (0.05), action (P=0.026) < a (0.05), accountability (P=0.009) < a (0.05), ability (P=0.0037) < a ( 0.05), on outpatient unit of public health Dolok masihul. The conclusion of this research is the satisfaction of outpatient patient at Dolok masihul Puskesmas will increase if attitude, appearance, attention, actin, responsibility and ability are improved. Efforts should be made to improve the attitude of friendliness, mastery of therapeutic communication, customer service, improve the discipline of all employees including doctors.

Learning to Establish a Therapeutic Doctor-Patient Communication: German and Israeli Medical Students Experiencing Integrative Medicine’s Skills

The doctors’ clinical time collides with the increasing of the use of telecare technologies in our digital era, reducing the actual doctor-patient interaction and the potential to engage with therapeutic doctor-patient communication. In our qualitative study, we followed a collaborative German-Israeli project that trained medical students to use complementary and integrative medicine (CIM) methods in order to improve doctor-patient communication. Interviews with the participants and participatory observation revealed the ways the mentors taught CIM methods, the meaning of therapuitic doctor-patient communication and how the students learned and implemented these skills in different ways. Our findings show that students expand their communication channels and skills, notice their own somatic-sensory states, and engage with somatic knowledge in different interactions. Our findings correspond with, and signify the intercorporeal space of doctor-patient interaction in the way in which doctors’ and patients’ soma-sensual aspects are interact, influence each another, and enable therapeutic communication.

Therapeutic Communication Theraphy to Improving Social Interaction of Autism Children (Case Study in SLB Negeri Autis Medan)

The purpose of this study was to analyze the application of therapeutic communication therapists in increasing social interaction of children with autism in SLB Negeri Autis Medan. The research method used is a case study method with a qualitative approach. The research subjects were 3 (three) therapists at SLB Negeri Autis Medan and 2 (two) triangulation informants, they are parents of autistic children who school in SLB Negeri Autis Medan and one as psychologist. Data collection techniques using in-depth interviews and the theory used as a reference in this research is the theory of relationship building in therapeutic communication which is derived from interpersonal communication theories. The research findings after the data is saturated and fulfiiled show that the application of therapeutic communication therapy in increasing social interaction of children with autism is by using the ABA method and through the stages of assessment, observation, self-introduction and environment and classical class. The findings also indicate that there are supporting factors as well as inhibiting factors for the application of therapeutic communication therapy, namely acceptance and parental participation, therapeutic methods, therapeutic media, the ability of therapists, the severity of children with autism and dietary food. The researcher concluded that the application of therapeutic communication therapy in increasing the social interaction of children with autism in SLB Negeri Autis Medan using the ABA method and through four (4) stages was appropriate in increasing social interaction and communication of children with autism in the school environment.

Effectiveness of Limit Setting Technique Program for Psychiatric Nurses' on their Knowledge, Opinions and Practices

Background: Effective and therapeutic limit setting techniques should be endeavors to patients' safety and nurses' professionalism; it should be utilized in a collaborative, cooperative and supportive context of a therapeutic relationship. The limit setting has its salutary and profitable uses that nurses should avail and exploit. Aim: The study aimed to assessing the impact of a training program regarding limit-setting techniques on psychiatric nurses’ knowledge and attitudes as well as patients’ perceived practices. Method: All nurses working in the mental health hospital enrolled in the study (N= 80), as well as convenient patients that were willing to participate in the study (N=86). To collect data for the present study, three open- ended structured questionnaires. Results: Statistical significant differences were noticed between nurses’ knowledge, opinions and practices scores regarding the use of the limit setting techniques with psychiatric patients before and after the program. Conclusion: Significant differences were found between pretest and posttest scores about nurses’ information as well as their considerations in applying limit setting. Recommendations: Further training programs regarding therapeutic communication skills are also recommended for the better implication of this training program.

57.3 TRANSCENDING CULTURAL AND RELIGIOUS BARRIERS: WORKING WITH GENDER-DIVERSE YOUTH AND THEIR FAMILIES IN THE PANDEMIC AND BEYOND

Objectives: Like all families, the families of gender-diverse youth present with beliefs, values, and patterns of interacting stemming from their lived experience of community, culture, and ethnicity. Appreciation of a family’s values can help family members find common ground and enable them to provide crucial affirmation for gender-diverse youth. However, child and adolescent psychiatrists often receive little training in incorporating cultural differences in family therapy and may struggle to address culturally based beliefs about gender identity and sexuality that differ from their own. Changes necessitated by the COVID-19 pandemic have presented additional, unforeseen treatment challenges but have also provided unexpected opportunities, including some relevant for gender-diverse youth, especially transitional-aged youth impacted by devastating losses in employment and education. Attendees will leave with an increased awareness of cultural factors that can affect family acceptance and new ideas for utilizing telehealth and other unusual approaches. Methods: The presenter will provide a review of available evidence about applicable cultural factors and telehealth modalities, with a focus on gender-diverse transitional-aged youth. The presenter will use clinical case vignettes and video clips to highlight challenges and opportunities under pandemic conditions and beyond. Results: Understanding a family’s underlying cultural values can play an important role in establishing a solid therapeutic alliance and allow for more meaningful communication, which is especially important in family therapy with gender-diverse, transitional-aged youth, and their families, who may be struggling with additional pandemic-related stressors. Awareness of the unique benefits of telehealth may improve clinicians’ effectiveness. Together, these can help promote positive outcomes for gender-diverse youth. Conclusions: It is important to consider and address culturally influenced beliefs and values when working with gender-diverse youth and their families, and it is important to incorporate available resources, such as telehealth modalities. This can lead to improvements in therapeutic relationships and communication, which can have a significant impact on family acceptance and lead to more positive mental health outcomes for youth. FT, CUL, SEX

FENOMENOLOGI KOMUNIKASI TERAPEUTIK FAMILY CAREGIVER KOMUNITAS PEDULI SKIZOFRENIA INDONESIA (KPSI)

Therapeutic communication has an important role to help the recovery process of People With Schizophrenia (ODS) who have symptoms of hallucinations and delusions that can lead to a tendency to have difficulty communicating to withdraw from the social environment. Therapeutic communication is a form of communication aimed at the therapeutic process and patient healing. Phenomenology is used as a method and therapeutic communication as a theory in this study. The data collection method was carried out through online interviews using WhatsApp voice calls to 6 ODS family caregiver informants. The results of this study indicate that the experience of therapeutic communication carried out by family caregivers in the form of interpersonal communication can help the ODS awareness process regarding schizophrenia as indicated by ODS' willingness to take medication regularly, as well as communication in the form of showing acceptance, listening carefully, and emotional regulation when communicating with ODS can provide appropriate treatment when ODS has relapse symptoms so that it can help the process of developing ODS.

Exploring the meaning of value-based occupational therapy services from the perspectives of managers, therapists and clients

Introduction There is a worldwide trend towards value-based health care, which strives to control healthcare costs while maximising value for clients. The main concept of value has been defined as health outcomes achieved per US dollar spent. This research explored how clients of occupational therapy services, managers and occupational therapists perceived value in occupational therapy services. Method A qualitative design was used to explore the perspectives of clients ( n = 11), occupational therapists ( n = 7) and occupational therapy managers ( n = 7). Appreciative inquiry guided the two phases of semi-structured interviews ( n = 5) and focus groups ( n = 6). Inductive and deductive coding were used to establish themes. Findings Three themes encompassed the participants’ perceived value of occupational therapy services: (1) outcomes which are meaningful to daily life, (2) a constructive client–therapist relationship and (3) affordable, coordinated and understandable therapy. Conclusion Participants attributed value to occupational therapy services when they encountered personalised goal setting, focused on meaningful outcomes, managed personal costs and experienced positive therapeutic relationships. Enhancing services could focus on (1) developing skills in collaborative goal setting, (2) determining suitable outcome measures which are meaningful at personal- and service-level reporting, (3) encouraging self-management strategies, and (4) emphasising therapeutic relationships and supporting therapeutic communication skill development.

Barriers to Utilization of Postnatal Care Services: Mothers and Health Providers Perspective.

Access to and utilization of post-natal care services is a major challenge as the majority of maternal deaths occur during post-natal period. Although geographical factors and access to health facilities in urban area are feasible as compared to rural area the utilization of all three postnatal visits remains low. Hence, this study aims to explore the barriers in utilization of postnatal care services by mothers from the perspective of mother's and health service providers as well. A qualitative study was done using community- based exploratory design in urban area of Kathmandu district. In-depth interview with mothers with infants above 45 days to 1 year of age and key informant interviews with health care providers were done using interview guidelines. Thematic analysis was done. Seven themes emerged through thematic analysis, which were further classified into category and sub categories. Poor recording and reporting system, poor health communication, postnatal care visits less prioritized among maternal health services, prerequisites to construction, and postnatal care services/information dependent on female community health volunteer, less utilization of mass media, and perception of people were identified as barrier for utilization of postnatal services. The common reason for non-utilization of postnatal care service is identified as poor health communication that resulted in lack of knowledge on the benefit and timing of postnatal care. Lack of awareness among women on postnatal care services shows lack of effort in making postnatal care related information easily available and accessible. Hence, education and awareness on postnatal care services along with proper therapeutic communication is seen essential to complete the continuum of care in maternal health services.