Building Rapport.

Throughout nursing school the biggest problem so far that I have seen is the lack of understanding in fellow students regarding the proper way to enter a patients room and build the trust needed in the preparatory/introductory/working phase of a nursing interview.

I have seen students barge into a room, forget to introduce themselves (especially the fact that they should be saying that they are a student just in case the patient is not interested in having a student nurse). I have seen students place a blood pressure cuff on a patient without explaining what they are doing, and I have seen students ask a patient to roll over without explaining to the patient first that they will be listening to their lungs (oh, and its probably a good idea to apologize because stethoscopes aren’t the warmest objects on the earth).

First off, not saying that I am perfect with the way that I meet and greet patients, but this is just what I think is appropriate (and in different situations, different methods could be utilized with a better outcomes).

When entering a patients room, the first thing you should do is to knock at their door. Now, to a patient, their room is like their home. You wouldn’t barge into someone you didn’t knows home, would you? Also, if they are undressed or “not appropriate” (as I’ve heard), this gives them time to let you know to come back when they are “appropriate”.  This may seem like common sense, but alas, I have found that it is a forgotten step by many.

Secondly, one must introduce themselves (helping build trust) and inform the patient that they are a (nurse/nursing student). Plenty of times I have seen that a student introduces themselves only to find out that the patient does not want to have a student nurse on that day (for what ever reason).

As stated before, one must also explain everything that they are doing. Now, I am quite sure th

at most people have gotten their blood pressure taken at some point, and understand that when someone grabs a blood pressure cuff it probably means that they are going to be taking your blood pressure; still one must explain everything that they do. Personally (maybe its the curiosity in me), I would like to know what your doing and when, because when someone comes at you with a stethoscope or anything else, I’d like to have an explanation of what is going to happen (and its also a great time for the patient to ask any questions regarding the procedure your doing, and by answering their questions, trust is built).

These all may be simple things, but often overlooked by people who interact with patients on a daily basis.

Trust and rapport are key tools in the preparatory/introductory/working phases of a nursing interview.

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