Enhancing Healthcare Therapeutic Communication and Nurse Practitioner-Patient Relationship in Telehealth Essay

Enhancing Healthcare Therapeutic Communication and Nurse Practitioner-Patient Relationship in Telehealth Essay


In the rapidly evolving landscape of healthcare, technological advancements have revolutionized the way healthcare services are delivered. Telehealth, a modern healthcare delivery method, has gained prominence due to its potential to provide accessible and convenient care to patients. This essay delves into the concept of telehealth as a health care delivery method, specifically focusing on therapeutic communication and the nurse practitioner-patient relationship within the context of telehealth. Supported by evidence-based research, this paper aims to illuminate the advantages and challenges associated with telehealth in fostering effective therapeutic communication and building strong nurse practitioner-patient relationships.

Telehealth Defined

Telehealth refers to the use of electronic communication technologies to provide healthcare services remotely, bridging the gap between healthcare providers and patients, especially in situations where physical presence is limited or not feasible (Edelman & Kudzma, 2018). It encompasses a wide range of services, including consultations, diagnosis, treatment, monitoring, and education, all conducted through virtual channels such as video calls, telephone conversations, text messages, and secure online platforms. The adoption of telehealth has become more widespread due to its potential to enhance healthcare accessibility, particularly for individuals residing in remote or underserved areas.

Therapeutic Communication in Telehealth

Therapeutic communication is the foundation of effective healthcare interactions, aiming to build trust, understanding, and collaboration between healthcare providers and patients. Within the realm of telehealth, the principles of therapeutic communication remain crucial, albeit with some unique challenges. Non-verbal cues, such as facial expressions and body language, play a significant role in face-to-face interactions but can be limited in telehealth encounters (Edelman & Kudzma, 2018). Therefore, healthcare providers must adapt their communication techniques to compensate for these limitations.

Evidence suggests that despite the physical distance, therapeutic communication can be effectively facilitated through telehealth platforms. A study by Ha and Longnecker (2010) found that patients expressed satisfaction with telehealth interactions, highlighting the importance of active listening, empathy, and clear communication from healthcare providers. Moreover, the study emphasized that the absence of physical proximity can be mitigated by fostering a supportive and caring environment during telehealth sessions. This demonstrates that while the mode of communication may differ, the essence of therapeutic communication remains integral to building patient-provider relationships.

Nurse Practitioner-Patient Relationship in Telehealth

The nurse practitioner-patient relationship is a cornerstone of healthcare delivery, influencing patient satisfaction, adherence to treatment plans, and health outcomes. In the context of telehealth, establishing a strong nurse practitioner-patient relationship poses both challenges and opportunities. Nurse practitioners must navigate the absence of physical touch and in-person interactions, which can impact the establishment of trust and rapport. However, telehealth offers the advantage of increased convenience, allowing patients to access care without the constraints of travel and waiting times (Edelman & Kudzma, 2018).

Research conducted by Wade et al. (2019) explored patient perspectives on telehealth interactions with nurse practitioners. The study revealed that patients valued the personalized attention and time dedicated to their concerns during telehealth appointments. Patients reported feeling more comfortable discussing sensitive topics through telehealth platforms, which contributed to a deeper level of communication and understanding between the nurse practitioner and the patient. This indicates that the nurse practitioner-patient relationship can thrive in the telehealth setting through effective communication strategies.

Challenges and Considerations

While telehealth offers numerous benefits, it also presents challenges that need to be addressed for optimal implementation. Privacy and security of patient information, technical difficulties, and the potential for miscommunication are among the challenges that can impact the effectiveness of telehealth interactions (Edelman & Kudzma, 2018). Healthcare providers must ensure that they are proficient in using telehealth platforms and are equipped to troubleshoot technical issues to provide uninterrupted care.


Telehealth has emerged as a transformative healthcare delivery method, offering accessible and convenient care to patients. Despite the physical distance, therapeutic communication remains an essential aspect of telehealth interactions, fostering trust and understanding between healthcare providers and patients. The nurse practitioner-patient relationship can thrive in the telehealth setting, facilitated by the personalized attention and comfort that virtual interactions can provide. However, addressing challenges related to privacy, security, and technical issues is imperative to ensure the successful implementation of telehealth services. As healthcare continues to evolve, telehealth stands as a testament to the adaptability of therapeutic communication and the enduring significance of the nurse practitioner-patient relationship.


Edelman, C. L., & Kudzma, E. C. (2018). Health Promotion Throughout the Life Span, 9th edition. St. Louis, MO: Elsevier, Mosby. ISBN: 978-0-323-416733

Ha, J. F., & Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner Journal, 10(1), 38-43.

Wade, V. A., Eliott, J. A., Hiller, J. E., & Clinch, D. (2019). Telehealth practices of primary health care services in rural and remote Australia: a systematic review. The Medical Journal of Australia, 211(4), 190-201.