Communication Flashcards
COMMUNICATION
The exchange of information, thoughts,
ideas and transmission of feelings
accomplished by sending and receiving
messages
Role of communication in
nursing
Nursing process:
Assessment – determining patient needs
through communication
4 Components of an
interaction (define)
Referent – motivates one to communicate.
Sender (source/encoder) = person trying to communicate. uses verbal/nonverbal communication to deliver a message.
Message = information-idea or thought being.
communicated
Receiver – observer, listener and interrupter person listening, trying to understand the message. (decodes)
Response/Feedback= may be verbal, Nonverbal. Validates that the receiver received the message and understood it as the sender intended.
TYPES OF
RELATIONSHIPS: Intimate
INTIMATE –
2 INDIVIDUALS COMMITTED TO ONE
ANOTHER
Types of Relationships: Social
SOCIAL
Needs met
through
relationships.
No
predetermined
goal or focus
Intrapersonal Communication
self-talk
constructive affirmations
positive self-talk
Both verbal and nonverbal communication
should be congruent.
Incongruent communication (2)
example
denial/dark humor
denotation
connotation
literal meaning of a word.
implied or emotional meaning of the word.
Phases of relationships in nursing: (3)
1.Introduction/orientation phase = very important
- Working Phase= focus on patients’ problem/ideas
- Termination phase= termination may produce stress. feelings rejection and insecurity may arise.
attentive
listening must be purposeful and .deliberate
must be ACTIVE. using all senses
pay attention to what is said and not said
effective listening
( SOLER)
S- sit and face the person
O- observe and maintain an open
posture
L- Lean forward
E-maintain eye contact
R- Remain relaxed
VERBAL
COMMUNICATION-
influenced by 5
SPOKEN WORD/Written
Goal for the receiver to understand.
both your words and your meanings. Conscious act.
influenced by: education/culture/language/ age/past experiences
Order of importance between verbal and non-
verbal:
7% THE WORDS BEING SPOKEN (verbal)
38% TONE OF VOICE(non-verbal)
55% BODY LANGUAGE (non-verbal)
Verbal Barriers
nurse duties
- Never give opinion
- Offering inappropriate reassurance (only realistic)
- Showing approval or disapproval
- Being defensive ( be open)
5 Discussing facts rather than feelings.
- Changing the subject (allow pt to speak as long as they feel)
- Asking “why” questions (NEVER)
- Language level too high or too low
- Talking too fast/ too slow
- Outside barriers, noise, other
patients - Stereotyping (don’t)
NON VERBAL
COMMUNICATION
- Gestures or facial expression
-90% of communication is nonverbal, more.
accurate of true feelings of person, less
under control than verbal
2.Body language - facial
- Physical Distance
- eye contact -
- touch
- silence
INTIMATE SPACE –
PERSONAL
SOCIAL –
PUBLIC GROUPS
up close and
personal up to 18 inches
18”- 4’
– 4’ – 12’
greater than 12
use touch when someone is angry or mentally disturbed.
t or f
false
Chinese American (4 )
remember eye contact
1.Less direct eye contact esp. with authority
- Quiet, may hesitate to ask questions
- Prefer not to touch esp. strangers
4.May does not complain of pain
Territoriality
spaces and things that indudivial identifies as his own.
PASSive approach
aggressive approach
IN RELATION WITH OTHERS
avoids conflict and allows others to take lead.
forces others to lose.
Mexican American
- less direct eye contact esp. with strangers
2.prefer closeness, touching
3.Enjoy talking, sharing
4.C/O pain a sign of weakness esp. men
NON VERBAL BARRIERS TO
COMMUNICATION (8)
1. Unrecognized hostility
2. Day dreaming
3. Prejudice
4. Reacting to appearance
5. Jumping to conclusions
6. Inappropriate facial expressions
7. Diverse backgrounds
8. Stereotyping
Congruent & Incongruent
communication
Verbal and
non verbal in
agreement
Incongruent
communication
Verbal and
non verbal
not in
agreement
Empathy –
is the ability to enter a
person’s world and attempt to
understand how the patient may feel.
Sympathy
SYMPATHY- an
expression of the nurse’s
sorrow for the patient’s
situation
Attempts at Empathy
1. Put yourself in the patient’s
situation
2. Ask yourself “how would I
feel”
3. Come up with a feeling
statement – attempt to translate
into feelings
brevity
using fewest words
inTONation
tone of voice reflects feeling behind words