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- ケアする人の対話スキルabcd
ケアする人の対話スキルabcd
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- ケアの質は「対話」で決まる すべてのケア従事者のための対話スキルの実践書。対話力が上がれば、ケアの質も変わります。クリニカルサイコロジストとして豊富な臨床経験をもつ著者が、A(Assessment)、B(Be with the Patient)、C(Clinical Questioning)、D(Direction & Decision) の4ステップからなるケアの対話の「型」をわかりやすく解説します。豊富な練習課題で対話スキルを磨きましょう。 【主な内容】 はじめに 対話で、ケアが変わる 1章 ケアの対話とは 1 対話スキルがなぜ必要なのか ケアの対話は宝探し ケアの対話と雑談のちがい 効率よくケアの目的をかなえるために 2 対話全体を俯瞰する ピンポン・ラリーになっていないか 対話のリズムに「ため」をつくる 3 自分の対話スタイルを知ろう 対話のなかの落とし穴に備える 1.「はい」「いいえ」「わからない」を聞けているか 2.あいさつでスタートしているか 3.声や表情に意識を向けているか 4.相手の話を最後まで聞いているか 5.相手のコミュニケーションのレベルに合わせているか 6.沈黙をうまく扱えているか 7.腹話術話法のわなにはまっていないか 8.相手からフィードバックをもらっているか 9.相手の感情をとらえているか 10.自分自身をケアできているか 2章 型を覚えよう 1ケアの対話には「型」がある 達人も最初は「型」から 型を知れば、対話はケアになる 失敗からも学ぶ実験的な態度で ケアの目的を意識した対話を 対話をケアにするには 対話の順序がケアをつくる 2 ケアをつくるABCDの流れ ケアの対話の大きな流れ うまくいかないときは1つ前のステップに戻る 3 ステップA(Assessment)――「どうしましたか?」の質問でケアをスタートする まずは「聞く」に徹する 相手の返答からアセスメントする 4 ステップB(Be with the Patient)――相手を支え、関係をONにする ケアの質は対話で決まる ケアの対話に必要な関係づくり ケアしやすい関係をつくる 制限のなかでケアを実行する 相手を押せば、押し返されるか、逃げられる 関係のONとOFF 関係をONにする2つのレベルと3つの方法 共感で安全な場所を提供する 支持しながら問題に焦点を当てていく ラポートづくりにスキルは有効 どうしてもONにならないときは、「両価性」「葛藤」を疑う 予想どおりにいかないときもあると割り切る 5 ステップC(Clinical Questioning)――質問で目的地を一緒に探す 質問で何ができるのか 質問で縦・横に焦点を動かす 閉ざされた質問・開かれた質問・ソクラテス式質問 質問のタイプ別の特徴 ソクラテス式質問のつかい方 6 ステップD( Direction & Decision)――行動か認知に動かす どのルートで、どこに動かすか 問題をどう理解すればケアになるか 3章 スキルを身につけよう 1 対話の土台をつくるスキル 対話の場をつくるスキル 最後まで聞く【練習1~4】 対話に「ため」をつくる足踏みスキル 1.うなずきを変える【練習5~8】 2.ハ行で返す――ハ行の返答で相手に理解を示す【練習9・10】 3.繰り返してもらう【練習11・12】 4.ひとり言を言う【練習13・14】 5.話をまとめてもらう【練習15】 6.図をつかって外面化する【練習16】 7.フィードバックをもらう【練習17】 2 関係をONにするステイ・スキル 関係をONにするステイ・スキル 1.共感――状況に合う感情を返す【練習18~21】 2.アクセント返し――単語を強調して返す【練習22~25】 3.オウム返し――文をそのまま返して強調する【練習26~28】 4.つまり返し(言い換え)――相手の話を言い換える【練習29~31】 5.まとめ返し――相手の話の要点を整理する【練習32・33】 感情エクササイズ1 感情エクササイズ2 アクセント返しエクササイズ つまり返しエクササイズ 3 相手と目的地を探すムーブ・スキル――ソクラテス式質問 ソクラテス式質問の概要 ソクラテス式質問の8方略 1.「す」:数値化する【練習34・35】 2.「ぐ」:具体化する【練習36・37】 3.「し」:証拠を探す 4.「か」:感情を追う 5.「く」:口癖を拾う 6.「か」:慣用句に着目する 7.「く」:比べる 8.「ほ」:ほかの考えを引き出す ソクラテス式質問練習課題【練習38・39】 4 行動か認知に動かす方向づけのスキル 行動に動かす 認知に動かす どのルートで、どこに動かすか 行動か認知に動かす練習課題【練習40~47】 5対話スキルの総合課題に挑戦しよう 対話スキルの総合課題 【練習48~50】 あとがき Column 聞くスピードと話すスピード 相手のことばの真意 「気持ち」って? 受け入れことばと拒みことば 2つの「支持」と「指示」のジレンマ 共感ことばの3種の神器 録音や録画で自分を客観的に眺めてみよう
| Publisher | 日本看護協会出版会 |
| Publication date | March 20, 2015 |
| Language | Japanese |
| Print length | 198 pages |
| ISBN-10 | 4818018694 |
| ISBN-13 | 978-4818018693 |
| Item Weight | 1 g |
| Dimensions | 0.47 x 5.91 x 8.27 inches (1.2 x 15 x 21 cm) |
Who Should Buy?
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Healthcare Professionals
Designed to enhance communication skills crucial for nurses, doctors, and caregivers in patient interactions.
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Caregivers and Social Workers
Empowers caregivers with effective dialogue techniques to improve support for clients and their families.
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Communication Skills Learners
Ideal for students and individuals seeking to improve their dialogue and communication abilities in various contexts.
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General Audience
Not suitable for those without a focus on healthcare or caregiving, as it targets specific dialogue skills.
Product Description
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堀越 勝 Format: Tankobon Hardcover Psychiatry & Mental Health Editorial Review
ケアする人の対話スキルABCD is a valuable resource for professionals in the caregiving field, published by 日本看護協会出版. Released on March 20, 2015, this book provides 198 pages of essential dialogue skills for effective communication in care settings. The concise dimensions of 0.47 x 5.91 x 8.27 inches make it easy to handle and reference during practice. Written in Japanese, it targets a specific audience looking to improve their care conversations, making it an asset for enhancing relationships with patients.
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Pros
- Concise guide for effective communication skills
- Ideal for caregiving professionals
- Easy-to-carry dimensions for convenience
- In-depth focus on dialogue techniques
- Published by a reputable organization
Cons
- Limited English resources available for non-Japanese speakers
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