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showed them to be outside normal levels, indicating that they were all suffering above normal levels of stress Communication is essential to address this problem The initial assessment should provide both information and an opportunity for the patient to ask questions and express their feelings and concerns Not everyone will always be able to discuss their anxieties immediately so there may be an ongoing process of building up a relationship over a period of time A study by McCabe (2004) investigated patients experiences of nurse patient communication She noted that all the patients in the study frequently stated that nurses did not provide them with enough information and seemed to be more interested in tasks than in talking to patients This was then excused by saying that the nurses were too busy McCabe analysed the ndings from her study in terms of patient-centred communication and task-centred communication.

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The aim is to get good evidence on what a candidate can do and how they conduct relationships. So a good interviewer allows candidates to show themselves as they really are, despite the arti cial and potentially intimidating circumstances of a job interview. You want the candidate to drop any play acting: you want to get behind smoke screens and impressions, to allow the person to show who they are, how they set about things, what they ve learned, what mistakes they ve made, what they have to offer that is special. Prerequisites for this are that the candidate and the interviewer are able to relax; and that the interviewer listens, using a questioning style that does not unwittingly contaminate the evidence.

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Patient-centred communication involves attending behaviour and the patients in the study described this in terms of: giving time and being there, open/honest communication, genuineness, empathy and friendliness and humour McCabe considered that nurses could have been using friendliness and humour as a means of maintaining a super cial level of communication to avoid the need to address emotional or dif cult issues She also considered that the culture of the organisation tended to discourage patient-centred communication Active listening is not a very safe occupation The consequences may be emotionally painful to the nurse because of the dif cult questions that may be asked Many may feel inadequate or too inexperienced Koshy (1989) describes active listening as the process of receiving and assimilating ideas and information from verbal and non-verbal messages and responding appropriately Tschudin (1991) emphasises the importance of not making assumptions.

If the claims are accurate and they seem corroborated by Fronto it is a tribute to Marcus that Antoninus Pius at the approach of his death passed imperial power to him with the watchword aequanimitas.14 The term in Greek, ataraxia (literally, undisturbedness ) is a key expression in Stoicism and points to the Stoic sage s mental imperturbability (hence equanimity in English). Marcus also wore a beard. What was generally called the philosopher s beard was a symbol of Greek culture that began with Hadrian and continued with Antoninus Pius. Marcus beard, his Greek cloak, and his habit of sleeping on a hard pallet proclaimed him a Stoic. (He grew his beard even longer than Antoninus Pius had done.) The most beautiful image of him as a Roman imperator (army commander) is that of the equestrian bronze statue originally displayed on the Esquiline Hill in Rome and later brought to the Capitoline by Michelangelo.15 The head with its inward looking and downcast eyes and the long beard seems to announce a new age of spirituality. Anyone interested in a ctive but plausible recollection of Hadrian as he came to know the Stoic prince who was to become his grandson by adoption should read the last pages of Marguerite Yourcenar s Memoirs of Hadrian. These are ctional memoirs Hadrian addresses to Marcus during his last year as emperor. The following excerpts are revealing:

Key issues dealt with in this chapter are:

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