Therapeutic communication in nursing

1. RESTATING AS A KEY TECHNIQUE TO ACHIEVE BETTER
OUTCOMES IN PROBLEM SOLVING
Elaborated by: Badr Chenifekh, Jaber Hihiden, Hamid
Lemrhari, Abdelatif Rkik, Abdelatif Elhayani.
BsN in nursing sciences FCHS Morocco campus

2. What does that mean anyways?

3. The aim of problem restatement is to
broaden our perspective of a problem,
helping us to identify the central issue and
alternative solutions and increase the
chance that the outcome our analysis
produces will fully not partially, resolve
the problem.
MORGAN D .
JONES

4. “In simple terms
restate or redefine
the problem in as
many different ways
we can think of. This
allows us to shift our
mental gear without
evaluating them”.

5. HOW ?

6. Einstein as quoted as saying “If
I had an hour to solve a
problem and my life depended
on the solution, I would spend
the first 55 minutes
determining the proper
question
to ask... for once I know the
proper question, I could solve
the problem in less than
five minutes.”

7. 1- paraphrasing

8. Initial statement
How can we reduce the risk of
falling in older inpatient ?
Restate the problem using
different words without
losing the original meaning
Paraphrase
How can we prevent the risk
of falling in older inpatient
from increasing ?

9. 2-180 degrees

10. 2-180 degrees (cont)
Turn the problem on its
head
Initial statement
How can we reduce
nosocomial
infections in
hospitals ?
180 degrees
How can we
increase
nosocomial
infections in
hospitals?
Taking the opposite view of a
problem is a surprisingly effective
technique.

11. Restate the problem in a large
context.
Broaden the focus: How can we
achieve patients’ satisfaction?
3-Broaden the focus
Initial statement : Should we change
the hospital’s policies?

12. 4-Redirect the focus
Boldly, consciously change the focus.

13. Initial
statement:
How can we
boost the health
outcomes?
Redirect focus:
how can we
eliminate
barriers to
health care .
It is often the most difficult but also the most
productive.

14. 5-ASK WHY?

15. Ask “why” of the initial
problem statement then
formulate a new problem
statement base on the answer.
Then Ask” why” again, and
again. Repeat this process a
number of times until the
essence of the “real” problem
emerges

16. Why?:
Because many clients are not satisfied by the
care we provide.
Initial statement :
How can we improve the quality care in our
unit ?
Restatement: how can change the care
provided to the client in order to satisfy
their needs ?
Why?:Because the main role of nursing care
is to satisfy the client needs.

17. Restatement: How can we readapt
the nursing care plan with the
client needs?
Why: Because the nursing care
plan must be focused on the
satisfaction of client needs
Restatement: How can we change
our nursing care plan?
Why?: Because we need a new
nursing approach that fits our
clients need

18. Restatement: How can we
assess the patient needs in
order to choose the more
adapted nursing care ?
Why: Because each patient
shall be treated as a whole,
irreplaceable and unique person.
Principle problem has emerged:
How to improve the quality of care in our department by
changing the nursing care plan provided to our client in
purposive manner.

19. CONCLUSION
Restating the problem in the health care settings is
a key technique to show our clients, colleagues and
managers that the nurse has listened and
understands what they have articulated. It also
gives the nurses as health professionals a new
perspective on the situation to get better outcomes.

20. REFERENCES
 British Medical Association (2004) Safe
Handover: Safe Patients. Guidance on
Clinical Handover for Clinicians and
Managers. BMA, London.
 Christie P, Robimnson H (2009) Using a
communication framework at handover to
boost patient outcomes. Nursing Times. 105,
47, 13-15.
 Morgan,D.(1998).The thinker’s toolkit:14
powerful techniques for problem solving,59-71

21. THANK YOU