Essentials of Nursing Communication

Joy V. Goldsmith (Ph.D., University of Oklahoma, 2004) is a Professor of Health Communication at the University of Memphis. Her research engages nurse communication training, health literacy, and family caregiver communication. CommunicateComfort.com, a long-time initiative of Dr. Goldsmith, serves to house and disseminate a range of research interventions and curriculum for healthcare providers. COMFORT training has occurred through nationally funded training courses as well as in healthcare systems, in addition to provider training programs at the undergraduate and graduate levels. Goldsmith is the co-author of seven books, with the last four published with Oxford University Press. She is a thought leader in nurse communication training and has developed training content for the 2021 AACN Essentials. Along with Dr. Wittenberg (co-author), she has developed Goals of Care in Oncology training program delivered through the Comfort Communication Project to large cancer hospitals. Elaine Wittenberg (Ph.D., University of Oklahoma, 2004) worked with Dr. Goldsmith on the AACN workgroup for the Essentials and has authored more than 150 peer-reviewed articles on palliative care communication. She is co-author of six books pertaining to palliative care, family communication, and nursing, three of which have been awarded Book of the Year by the National Communication Association. Her research and teaching awards include the 2017 Applied Research Award from the International Communication Association, 2020 Lynn Payer Award for Outstanding Contribution to Theory, Practice, and Teaching of Health Communication from the Academy of communication in Healthcare, and the 2020 Bernard J. Brommel Award for Outstanding Scholarship in Family Communication from the National Communication Association. Chiahui (Kate) Chen, PhD, MS, RN, FNP-BC has six years of critical care nursing experience as a registered nurse and has been working as a nurse practitioner in medical and neurological intensive care unit (ICU) for the past ten years. She served as a frontline clinician caring for COVID-19 patients in the ICU and completed her doctoral dissertation on COMFORT training for ICU nurses. Dr. Chen has worked with Wittenberg, Goldsmith, and Prince-Paul for five years on funded projects related to the COMFORT model.Maryjo Prince-Paul, PhD, MSN, RN, FPCN, is an experienced hospice and palliative care nurse. Throughout her 30-year career as a nurse and nurse educator, she has researched and promoted the importance of patient-centered communication and end-of-life care, serving as training faculty for End of-Life Nursing Education Consortium and COMFORT communication training programs. She regularly consults with law firms, non-profits, and agencies overseeing palliative care efforts, and currently serves on Ohio End of Life Options Health Care Coalition where she coordinates education initiatives for Ohio nurses. She regularly publishes articles and chapters addressing end-of-life dynamics, ethics, and communication between nurse and patient.

• SECTION I Communication and Person-Centered Care1 Defining and Understanding Communication in NursingCommunication as Essential in NursingThree Communication Axioms and How They Impact YouNursing Student Well-BeingChapter Summary2 Science Versus AnecdoteWhy “Good” Communication Leaves Us Wanting to Know MoreA Communication Model for Nursing: COMFORTConnecting Your Communication to the Spheres of CareChapter Summary3 Relationship With the PatientDefining Relationship in Nursing CareInterpersonal Communication and NursingCommunication Competence: What Is Included?Chapter Summary4 A Patient’s StoryEmpathy, Compassion, and the DifferencePerson-Centered MessagesThe Essential Importance of a Patient’s StoryChapter SummaryResourcesSECTION II Diversity, Equity, and Inclusion5 Ethical CommunicationThe Essentialness of Ethics in Nurse CommunicationEthical Humility in NursingEthical Dilemmas and Dialectical TensionsMoving From Moral Distress to Moral ResilienceChapter SummaryResources6 Cultural HumilityA Culture-Centered Approach to Communication in NursingThe Nurse’s Agency/The Patient’s AgencyCultural Humility Versus Cultural CompetencyChapter SummaryResources7 Health LiteracyUnderstanding Health LiteracySelf-Discovery in Action: You and Health LiteracyCultural Knowledge and Health Literacy ResponsesNurse Communication That Optimizes Health LiteracyChapter SummaryResources8 Bearing WitnessA Sense of Humanity in IllnessBearing WitnessNonverbal CommunicationListeningMindful CommunicationYour Own SufferingChapter SummaryResources9 Communication and a Culture of SafetyHow Does an Organization Create Its Own Culture?A Culture of SafetyGroupthink, Teams, and SafetyHow Groupthink ManifestsChapter SummaryResourcesSECTION III Family and Nurse Communication10 Communication and the Patient’s FamilySituating Family in HealthcareFamily Caregiver Communication TypologyAssessing Family Caregiver CommunicationCollaborating With the Family CaregiverChapter SummaryResources11 Communicating With the Family Caregiver in Complex DiseaseFamily-Centered CareVulnerable Family CaregiversCare CoordinationLong-Distance CaregivingCollaborating With the CaregiverEssentials for Collaborating and Connecting With the Family CaregiverChapter SummaryResources12 Communicating About Patient PrognosisDiagnosis and PrognosisImportance of Prognosis Communication: Three Illness JourneysTwo Approaches to Prognosis Communication: What You May EncounterPrognosis Communication ToolkitChapter SummaryResourcesSECTION IV Professionalism and Collaboration13 Communicating About Transitions in CareCommunicating Care Transitions: OpeningsBoundaries and OpeningsCommunication Strategies for OpeningsChapter SummaryResources14 Communication and Goal-Concordant CareCommunicating Goals of CareCommunication Pathways for NursesAcknowledging Uncertainty in IllnessTrudy’s Goals of CareChapter SummaryResources15 Working on a TeamTeam-Based Care: It’s Complicated!Civility as a Professional ResponsibilityBecoming a Nurse LeaderChapter SummaryResources16 Evolving Channels of Communication in NursingNursing and Changing TechnologiesCommunication Accommodation TheoryInequities and Patient Technology UseBridging the DivideChapter SummaryResourcesIndex