Communicating
Communicating
COMMUNICATION
exchanging information or feelings between two or more people.
INTRAPERSONAL COMMUNICATION
self- talk
INTERPERSONAL COMMUNICATION
Takes place within dyads (groups of two persons) and in small groups.
PUBLIC COMMUNICATION
Communication between a person and several other people
TYPES OF COMMUNICATION
NON VERBAL
Actions or behaviors that communicate a message without speaking
Facial expressions, body language, posture, hand gestures, use of space and territory
TYPES OF COMMUNICATION
VERBAL
transmission of a message using spoken language
TYPES OF COMMUNICATION
THERAPEUTIC
Communication that pertains to treatment and healing Important elements contributing to the establishment of the therapeutic relationship:
TYPES OF COMMUNICATION
NON-THERAPEUTIC
Communication that is a barrier to free
ACTIVE LISTENING
Attentiveness to the client in a physical and psychological manner
ELECTRONIC COMMUNICATION:
E-MAIL: most common form of electronic communication. ADVANTAGES: Fast, efficient Provides record of the date and time of the message that was sent or received. Provide information about the person. DISADVANTAGES: Socio-economic No Computer Skills LImited abilities to read and speak in English.
ELEMENTS COMMUNICATION
SENDER
A person or group who wishes to convey a message to another Source-encoder
MESSAGE
This is what we actually said or written.
RECEIVER
Listen, observe and attend listener or the decoder
DECODE: relate the message perceived to the receivers storehouse of knowledge and experience and to sort out the meaning of the message.
RESPONSE
message that the receiver returns to the sender. feedback
Establishing rapport Identifying issues of concern Being empathetic, genuine, caring, and unconditionally accepting of the person Understanding the clients perception Exploring the clients thoughts and feelings Developing problem-solving skills Promoting the clients evaluation of solutions
therapeutic communication is most comfortable at 3 to 6 feet; should not be less than 18 inches
stening
road Opening
Facing and leaning toward the client, using eye contact, relaxed body posture Open ended question What & Why
larification/Clarifying
Nurse communicates an understanding of the thought or feeling tone of the clients message back him/her to offer another perspective in the situation
eflecting
onfronting
iving information
eeking validation
elf disclosure
ilence
ummary
nterrupting
Nurse shows disrespect by breaking into an interferin with his/ her communicatio
CHARACTERISTIC OF COMMUNICATION:
Timing and relevance: require choice and appropriate time and consideration of the client interest and concerns. Adaptability: adjustment on what nurse says and how it is said depending on moods and behavior of the client. Credibility: worthiness of belief. Clarity: saying exactly what is meant. Simplicity: commonly understood words, brevity and completeness.
Personal Space
Distance people refer in interactions with others Proxemics: study of distance between people and their interactions
Interpersonal Attitudes
Elder speak: a speech style similar to baby talk, that gives a message of
BARRIERS TO COMMUNICATION
Stereotyping
Categorize clients and negate their uniqueness as individual
Being defensive
you have no right to complain prevent the client from expressing true concerns
BARRIERS TO COMMUNICATION
Challenging
Makes the client feel it necessary to defend a position
Probing
Prying (why) places the patient in a defensive position
Testing
Permit client only limited answers and often meets the nurses need rather than the client
Rejecting
Makes client feel that the nurse rejects the communication and even the client themselves
BARRIERS TO COMMUNICATION
Changing topics and subjects
Implies what the nurse considers important and clients should not discuss certain topics
Unwarranted assurance
Blocks fears, feelings, and other thoughts
Passing judgment
Imply the client must think as the nurse thinks, fostering client dependence
Assessing
Cognitive Impairments
Clients develop:
total loss of speech impaired articulation inability to find or name words
Assessing
Structural deficits
cleft palate artificial airways such as tracheostomy and laryngectomy dyspnea
Assessing
Aggressive strongly asserts the persons legitimate rights and opinions with little regard or respect of the rights and opinions of others. often perceived as a personal attack by the other person.
Cultural Considerations
The nurse must be aware of cultural differences in: Speech patterns and habits Styles of speech and expression Eye contact Touch Concept of time Health and health care
Thank You!