NRSG139 Interviewing Skills and Maintaining a Rapport Assessment Task 1 Answer
NRSG139 Assessment Task 1
The purpose of the assignment is to focus on the interviewing skills and how to establish and maintain a rapport along with questioning effectively an adult client. The main aim is to have a better rapport and secondly how to have an effective and engaging question with the adult client (Campbell, 2017). In the given case, the situation is on the adult men who smoke and the approach is how to build rapport and trust during the interview process to fulfill the meeting purpose. While interviewing, it is important to follow the Clinical reasoning Cycle (CRC) framework to evaluate the patient condition.
Considerations for establishing and maintaining rapport
To build rapport with the patient, it is important to work on internal and external parameters and the environment. O’Toole (2016, Chapter 1) has defined in his literature, how to have effective communication and interaction with the patient. It can be factors attributed to effective communication through closely following the-:
Physical appearance: One should be professionally dressed and needs to check the body odor to avoid any uncomfortable situation
Rooms: It should be well lit and needs to have the perfect furniture placement along with comfortable physical comfort. There should be minimum distractions along with any unprecedented interruptions (O'Toole, 2016). The room temperature should be timely monitored and while interviewing it is important to focus on the cultural differences.
Jarvis (2019, Chapter 5) has defined an in-depth about the health assessment interview. Particularly, the Section on p 61 internal factors focuses on the personal qualities and the abilities that can help to interview the person and derive information. The external factors which can be affecting the situation would be the distractions or the lack of room temperature or control.
The examples to support are while conducting the interview, it is important to have set criteria and a rightful frame of mind. Such as, the setup should be rightful and involve a pre-planned interview set up along with having a good environment, in which the interview would be scheduled. Next action was to call the interviewer, explain and take consent for the personal meet. During the personal meeting, while questioning and interviewing, to understand interview lifestyle and health issues (Rizzo, 2016). To prepare internally, it is important to focus on planned questions, have a sense of confidence and overcome the feeling of anxiety.
Techniques used to establish and maintain
The communication techniques used to approach and interview the individual was to focus on the listening, rightfully asking the question, having clarity and concision and then relating it with the open-mindedness.
Toole (2016, Chapter 3) has identified how the specific goals related to the communication for health professionals should begin with the introduction of the information and how to begin introducing oneself, approaching the matter and to define the associated role and cause of the meeting.
As per the Potter and Perry (2015, Chapter 12), the classification of communication techniques has to be in accordance to the therapeutic intention that can be effective in separating the facilitative communication interventions which is required to establish and build rapport (criteria 2) which would be different from the authoritative communication techniques as required to approach the effective questioning (criteria3).
To approach the interview, the focus was on the facilitative type of communication rather than to have an authoritative communication skill (Campbell, 2017). As per the facilitative skills it is associated with clients become to become self-reliant and responsible while identifying the care. In comparison, authoritative communication has preconceived notions, forms a confirmation bias and self-deception.
The evidence while interviewing was to have the rightful frame of mind, preparing with the planned questions and empathically listening to the interview viewpoints. At no point, personal opinion or biasedness was shown (Bakker‐van Gijssel, 2019). The communication had an easy, concise flow, where both interviewer and the interview can transparently share their thoughts and opinion. There was no biasedness.
Effective questioning techniques
The therapeutic communication techniques were used such as active listening, open and closed questions, and building rapport through the consistent questions, asked with confidence and clarity. For example, while questioning the individual, the focus was on the level of engagement, body behavior and leading the questions in a planned direction. Some of the authoritarian approaches such as cutting the interview talks, imposing own personal opinions and asking direct questions were avoided.
As per the Potter and Perry (2015 Chapter 12), which emphasis in the classification of communication should be based on the techniques, that can work in accordance to the therapeutic intention and it needs to be separate from the therapeutic is to support the facilitative communication interventions to have a healthy built rapport (criteria 2). It should not follow the authoritative communication techniques which would be ineffective, biased and have a low engaging question (criteria3).
Further, O’Toole (2016, Chapter 4), has identified how the goals of communication-related to health professionals should follow the approach of questioning, comforting and confronting. The technique of the SOLAR health assessment tool was used, such as the
S- Sit square
O – To have an open posture
L -: Lean forward while asking next question or showing a keenness to hear
E- Looking into the eyes and avoiding any sort of distractions
R-: Relaxed and well planned.
The questions were asked in a confident and planned manner to avoid any complexities or disengagement from the main topic (Campbell, 2015).
To conclude, while interviewing it is important to have the CRC framework while interviewing and understanding the patient's condition. While interviewing, it is important to focus on building rapport, through consistent external and internal factors. As an interviewer the techniques should be attentive listening, having clarity of thoughts and having personal engagements.The techniques and the approaches should be well planned and aligned with the purpose of the interview. To have a good rapport, the interview should be systematic and the interviewer should be approachable.