NUR 600 Discussion 2.1: Creating a Positive Interview Experience

Sample Answer for NUR 600 Discussion 2.1: Creating a Positive Interview Experience

The clinician can create a positive, non-biased approach in a patient interview by practicing active listening to create a mutual understanding with the patient. Active listening demonstrates that the clinician has interest in the patient without judgment. Besides, active listening makes the patient feel important. The interviewer can practice active listening by giving the patient full attention, whereby one looks the patient in the eye and turns the body towards them (Howick et al., 2018). While the patient is talking, the clinician should show them they are listening by using appropriate gestures, nodding, or shaking the head. In addition, the clinician should avoid interrupting the patient.

The interviewer can also demonstrate empathy, which is an emotional state of communication and understanding to create a positive experience for the patient. The interviewer can show empathy by making a simple comment, like “that sounds like a very difficult time” when a patient shares a painful experience (Howick et al., 2018). Besides, the clinician can give a reassuring touch when appropriate or have a moment of silence, strengthening the relationship with the patient and creating a positive experience.

A non-biased approach can further be achieved by allowing the patient to talk freely. The interviewer should avoid asking questions that begin with “why?” since they can make the patient feel they are being judged and questioned about the truthfulness of their feelings. This can negatively affect the clinician-patient relationship and be detrimental to the treatment process. Furthermore, during the interview, the clinicians should inquire meaningful questions positively to minimize defensiveness from the patient (Tengiz et al., 2022). This can be achieved by suggesting or sharing a common behavior related to the patient’s actions.

References

Howick, J., Moscrop, A., Mebius, A., Fanshawe, T. R., Lewith, G., Bishop, F. L., … & Roberts, N. W. Dieninyt e, E., Hu, X.-Y., Aveyard, P., & Onakpoya, IJ (2018). Effects of empathic and positive communication in healthcare consultations: A systematic review and meta-analysis. Journal of the Royal Society of Medicine, 111(7), 240-252. https://doi.org/10.1177/0141076818769477

Tengiz, F. İ., Sezer, H., Başer, A., & Şahin, H. (2022). Can patient-physician interview skills be implemented with peer simulated patients?. Medical Education Online, 27(1), 2045670. https://doi.org/10.1080/10872981.2022.2045670

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General: He reports mild fever and increased fatigue. Negative for chills or weight changes.  

 Skin: Negative for skin-color changes, itchiness, rashes, or bruises 

 HEENT: Head: Negative for headaches or head injury. Eyes: Reports itchy eyes. No visual loss, blurred vision, double vision, or yellow sclera. Ears: Reports itchy ears. No ear discharge or hearing loss. Nose: Positive for itchy nose, sneezing, nasal congestion, rhinorrhea, and postnasal drainage. No nasal bleeding.  

Throat: Positive for itchy palate. No sore throat or swallowing difficulties. 

 Neck: No neck pain or stiffness. 

 Respiratory: No cough, sputum production, shortness of breath, or chest pain. 

 Cardiovascular: Negative for edema, palpitations, chest pain, chest pressure/discomfort, SOB on exertion, or fatigue. 

 Gastrointestinal: No nausea, vomiting, epigastric pain, bloating, abdominal pain, diarrhea, constipation, tarry stools, or rectal bleeding. 

Urinary: No dysuria, urinary frequency, urgency, blood in the urine, or abnormal urine color. 

 Genital: Negative for penile discharge, testicular pain, or scrotal swelling. He denies a history of STIs. 

Peripheral vascular: Denies having leg cramps, swelling/tenderness in calves, or a history of varicose veins. 

Musculoskeletal: No joint pain, joint stiffness, muscle pain, low back pain, or history of fractures. 

Psychiatric: He denies having anxiety, depressive, or psychotic symptoms. He denies having an addiction to alcohol or drug substances. No history of psychiatric admission.  

Neurologic: Negative for headache, dizziness, fainting, muscle weakness, constant mood changes, loss of sensation, or tingling sensations. 

Hematologic: Negative for bruising or bleeding. No history of anemia or blood transfusion.  

Endocrine: Negative for heat/cold intolerance, excessive sweating, thinning hair, polydipsia, polyuria, or polyphagia.