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1 Definition
Receiving new patients is established by means of or guidance in receiving new patients. Acceptance
of new patients is a procedure performed by nurses containing new patients coming to an inpatient

2.2 Objectives
1. Knowing the condition of the patient and family
2. Patients can immediately perform treatment in the room
3. Knowing the conditions and conditions of general clients
4. Lowering the patient's level at MRS

2.3 Procedure
1. The bed is clean and ready for use
2. Facilities that receive are in good condition
3. Patients' tables and chairs are clean
4. Care / souvenir package
5. Access sheets for new patients and families
6. Medical record files
7. Equipment for internal inspection consisting of a thermometer, tensimeter, BB scale if necessary.

2.4 Stages of New Patient Acceptance

2.4.1 Phase Pre Acceptance of New Patients
1. Arrange administrative requirements
2. order room selection according to order
3. maintenance of the format for receiving new patients
4. Rent a book on patient status and assess nursing care
5. Prepare informed consent for drug centralization
6. Prepare breastfeeding children
7. Presentation of patients, family and outside visitors

2.4.2 Implementation phase of New Patients

1. Patients who come in the room by the chief nurse or primary nurse or nurse who is delegated
2. Nurse yourself to clients and families
3. Nurse together with other people in a way or wheelchair) and provide a comfortable position
4. Introduction of new patients with roommates
5. After the patient is calm and moves to convey information to clients and families about the
orientation of the room. Treatment (including responsible nurses and centralization of drugs),
medical (responsible physician and schedule visits) and room rules.
6. Nurse Opinion Returns about the clarity and information that has been submitted
7. Nurses conduct an assessment of patients in accordance with the format
8. Care for the client's room or bed and deliver to the designated place.
9. If the patient or family is clear, then the notification to sign the Inform Consent centralization of

the drug.

2.5 Things - Things to Look For

A. Recovery is effective and efficient
b. Issued by an external head or primary nurse and / or associate nurse who has been given
authority or has been delegated
c. It's time to maintain client privacy.
d. Invite patients with good communication and give a therapeutic touch

2.6 The Role of Perwat in Receiving New Patients

2.6.1 Head of Room
1. Receive new patients
2. Check the completeness needed for the preparation of new patients
2.6.2 Primary Nurse
1. Preparation of new patient admission sheets
2. Men sign new patient accounts
3. Orient the patient to the room
4. Give an explanation about the nurse and the doctor in charge
5. Delegate assessment and physical examination of new patients to the associate nurse
6. Document acceptance of new patients
2.6.3 Associate Nurses
Assist PP in the implementation of new patient admissions, assessment and physical examination of
new patients.

Nurses are health workers who play a major role as care providers in hospitals, because they are the
health workers who spend the most time with patients. It is important for patients to find out if their
patients can understand and feel what they feel, especially when they share their experiences with
nurses. Here are 5 tips that can help nurses show empathy for their patients.

1. Trying to get to know patients

Trying to get to know a patient does not mean that the nurse only checks the medical condition, but
also gives a positive effect on the care and communication with the patient. By doing this, the nurse
can be more aware of the patient's health problems. This is actually the basis for patient care - When
nurses initiate talks to get to know their habits, preferences, what they like and dislike, patients will
feel more comfortable and appreciated. The nurse can also show sincere feelings to get to know the
patient and make mental notes to help them remember the details the patient has told.

2. Demonstrate enthusiasm and empathy

Enthusiasm and empathy must always be applied in patient care. In order for nurses to understand
their patients, it is important for nurses to show interest in patients' lives through eye contact, body
language, intonation and facial expressions. The nurse can also approve the patient's problems and
emotions to show that they understand the patient, it can also show empathy in their words, for
example using "I understand, and I'm sure this condition makes you frustrated. Let's see what we
can do for overcome it. " Patients often describe certain situations differently when they know there
is enthusiasm and empathy that nurses show from their needs and problems.

3. Sincere when talking to patients

The patient will feel more grateful when the nurse sincerely shows compassion. For this reason,
nurses should not exaggerate emotions when interacting, because of course the patient can find out
that the nurse is not truly sincere in handling it, and then can cause the patient to feel
uncomfortable. In addition, it is also important for nurses to know the needs of their patients, and
sincerely want to examine and help patients.

4. Sharing knowledge and experience related to the patient's condition

Nurses must always find topics when talking to patients; this topic can be based on their professional
and personal experience. When patients feel they cannot understand the nurse and vice versa, they
tend to lose interest in continuing the conversation. From experience, nurses must understand the
experience they have faced. Talking is a good opportunity for nurses to educate them.

5. Restrain yourself before judging a patient

Nurses need to avoid judging or discriminating statements about patients. Because this condition
can make them feel guilty and uncomfortable so that the patient will refuse to communicate with
the nurse. It is also important for nurses to choose their words carefully and avoid awkward
comments. The main key is to prioritize compassion and understand the patient's problems and
offer advice when it is reached.

Nurses can successfully approach when they find the main topics for discussion and sharing
information about this. For patients, knowing what can relate to their nurse can help them feel more

open in certain situations, when they refuse cooperation or communication. This situation can also
be comfortable because there is a sense of closeness between patients and nurses.

Definition of Nurse-Client Communication

In everyday life, we are not free from communication activities. In fact, communication is absolutely
an integral part of our lives, including the status of a nurse, whose daily tasks are always in contact
with others. Whether it's with patients, fellow friends, with superiors, doctors and so on. Then
communication is a very effective tool in making it easier for nurses to carry out their roles and
well (Kariyoso, 1994).

Nurse-client communication is the process of sending or exchanging information and messages from
nurses to patients or vice versa both verbally and non-verbally with the aim of influencing behavior
and responding in order to help overcome client problems (Mundakir, 2006).

Based on the above understanding it can be concluded that nurse-client communication is the

process of sending messages or information from nurses to patients in the hope that patients
provide feedback and make changes to him (Kariyoso, 1994; Suryani, 2005; Mundakir, 2006).

Components in Nurse-Client Communication

According to Karyowo in Musliha and Siti Fatimah (2009), mentioning the communication
component consists of:

1. Communicator
Communicators (message providers), usually also means the place where the message source
originates. In the nursing process, the nurse is the source of the message or communicator for the

2. Message
Message (message or news) is what is delivered by nurses through conversation, movement and so
on. In this hospital the message is usually in the form of a doctor or nurse's advice to the patient, the
results of consultation on patient status, reports, and so on. The contents of this message are also
decisive for the client to respond and change his behavior.

3. Channel
Media or means used by nurses to communicate with patients, usually using the five senses.

4. Communicate
Communicating is the recipient of a message or target object from communication activities. In the
nursing process, the client is the recipient of the message or communicant.

5. Feed back
Feed back is feedback or response, and is the patient's response to the message delivered by the

Nurse-Client Communication Objectives

According to Mundakir (2006), the general purpose of nurse-client communication is:

1. So that the message we convey can be understood by the client

As a communicator, the nurse needs to convey his message clearly, completely, and politely so that
the patient can understand.

2. Understanding clients
As a communicator, the communication process will not take place properly if the nurse cannot
understand the condition or feeling that the patient wants.

3. So that ideas can be accepted by clients

Aside from being a communicator, nurses also as educators are providing health education to
patients. This role will be effective and successful if the message delivered by the nurse can be
accepted and understood by the client.

4. Move the client to do or change something
Influencing others to do something we want is not an easy thing, there needs to be accurate
approaches so that other people or clients believe and believe that what we hope is something that
is useful for the client or communicant.

Type of nurse-client communication

1. Verbal communication
That is the communication carried out by the nurse-client through words, speech, or writing. One of
the important verb communication in nursing is interview, which is one way to get data from specific

2. Non verbal communication

That is communication that uses gestures or body language. In communicating with patients, nurses
must use non-verbal communication as well, such as gestures, eyesight to the patient, distance to
patients, posture, and facial expressions. In addition to using verbal language, using expression or
body language makes it easier for clients to understand and understand the purpose of the
communication that the nurse conveyed. Factors affecting nurse-client communication

According to Potter and Perry (1993), the communication process is influenced by several factors,
1. Development
In order to be able to communicate effectively with patients, nurses must understand the influence
of age development both in terms of language and thought processes of these patients. Because
each stage of development or age different clients have the ability to understand the purpose of the
contents of the communication that the nurse conveyed.

2. Perception
Perception is a person's personal view of an event or event, and is shaped by hope or experience.
Differences in perception between nurses and patients can result in communication obstruction.

3. Value
Value is a standard that influences behavior, so it is important for nurses to be aware of one's value.
Nurses need to try to know and clarify values so that they can make the right decisions and
interactions with clients.

4. Socio-cultural background
Language and style of communication will be strongly influenced by cultural factors, and this culture
also limits how to act and communicate. Clients as humans must have different cultures between
one and the other.

5. Emotions
Emotion is a subjective feeling of an event. Emotional expressions such as sadness, joy, and
compassion can influence others in communicating. Nurses need to study the emotions of their
clients and their families so that nurses can provide proper care for care.

6. Gender
Each sex has a different style of communication. According to Tanned (1990); in Nurjannah, I (2005),
states that women and men have different communication styles.

7. Knowledge
Patients with a low level of knowledge will find it difficult to respond with questions containing
verbal language compared to people with a high level of knowledge. So nurses need to know the
level of knowledge of clients so they can interact well.

8. Roles and relationships

Communication style is in accordance with the roles and relationships between people who
communicate. A nurse communicates with his colleagues will certainly be different when
communicating to his client. So a nurse must be able to use different language styles in the
interlocutor based on roles and relationships, especially with clients.

9. Environment
The interaction environment will influence effective communication. Noisy environment and no
privacy will undermine the nurse-client communication process.

10. Distance
Distance can affect the communication process, a certain distance will provide a sense of security,
clarity of message, and control when communicating. Then the nurse needs to take into account the
distance of interacting with the client.