Communication-2 Flashcards

1
Q

Communication

A

What is communication?

  • Communication may be defined as an exchange of information,
    feelings and thoughts through words and actions (Mcintosh, 2022).
    It is a dynamic complex process that occurs in the context of physical space,
    social and cultural values, and psychological conditions.
  • Communication skills, manners and professional attitudes can have a
    powerful effecton our environment, your modod and efficiency, and
    the responses of those around you (Ehrlich and Coakes, 2017).
    In this context, to communicate means to convey information accurately, to
    express oneself clearly, and to have an interchange of ideas and information
    with others.
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2
Q

Why is communication important?

A

Why is communication important?
* A 2016 report estimated that poor communication led to waste of over £1
Billion of NHS funds.
* Poor communication can lead to adverse outcomes and potential patient
harm.
WHO checklists are a working example of how we have tried to address this.
* Communicating effectively and maintaining accurate records are HCPC
regulatory requirements.
Communication is Section 8 of the Radiographer Standards of Proficiency (HCPC,
2013)
Maintaining appropriate records is section 10 of the Radiographer Standards of
Proficiency (HCPC, 2013)

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3
Q

Who cares?

A

Society of Radiographers Code of Professional Conduct
* 1.5. You must communicate effectively and appropriately with patients, introducing yourself
and giving relevant information during their examination or treatment.
Communication is a dialogue between individuals that depends on clear expression and reciprocal listening
and hearing.
You may need to check what the patient has heard and adjust your communication style to meet the needs
of different patient groups, such as those for whom English is not a first language, or hearing impaired people.
* 4.1 You must practise collaboratively and communicate effectively with other healthcare staff,
putting patients at the centre of your work, and recognising and respecting the contributions of
all members of the multidisciplinary team.
Working collaboratively in partnership with other health care staff means that you should be aware of the
expertise of others in the MDT and be able to communicate with them as peers in an honest, respectful and
effective manner. However, if you have concerns about the quality of care or treatment being given by
others, you should challenge those individuals.

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4
Q

Who cares?

A

Health and Care Professions Council – Guidance on conduct and ethics for students
Section 2 Communicate appropriately and effectively
* You should be polite and considerate to service users, other students and staff at your education provider and
practice placement provider.
* You should listen to service users and carers and take account of their needs and wishes when carrying out any
care, treatment or other services.
* You should take all reasonable steps to make sure that you can communicate appropriately and effectively
with service users and carers.
* You should communicate effectively and co-operate with members of staff at your education provider and
practice placement provider to benefit service users and carers.
* If you are experiencing any difficulties or other issues which may affect your learning or ability to successfully
participate in your programme, you should tell your education provider and practice placement provider.
* You should use all forms of communication appropriately and, responsibly, including social media and
networking websites.

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5
Q

Who cares?

A

Health and Care Professions Council – Standards of Proficiency for Radiographers
Section 8 – be able to communicate effectively
* 8.1: be able to demonstrate effective and appropriate verbal and non-verbal skills in communicating
information, advice, instruction and professional opinion to service users, colleagues and others
* 8.2: be able to communicate in English to the standard equivalent to level 7 of the International English
Language Testing System, with no element below 6.5
* 8.3: understand how communication skills affect assessment and engagement of service users and how
the means of communication should be modified to address and take account of factors such as age,
capacity, learning ability and physical ability
* 8.4: be aware of the characteristics and consequences of verbal and non-verbal communication and how
this can be affected by factors such as age, culture, ethnicity, gender, socio-economic status and spiritual or
religious beliefs
* 8.5: understand the need to provide service users or people acting on their behalf with the information
necessary to enable them to make informed decision

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6
Q

Who cares?

A

Health and Care Professions Council – Standards of Proficiency for Radiographers
Section 8 – be able to communicate effectively
* 8.6: understand the need to assist the communication needs of service users
such as through the use of an appropriate interpreter, wherever possible
* 8.7: recognise the need to use interpersonal skills to encourage the active
participation of service users
* 8.8: be able to advise other healthcare professionals about the relevance and
application of radiotherapy or imaging modalities to the service user’s needs
* 8.9: be able to formulate and provide information to service users about the
treatment or imaging process and procedures, with regular reappraisal of their
information needs, as appropriate

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7
Q

Verbal Vs Non-VerbalCommunication types

A

Methods of Communication
* Mentimeter - Can you think of any particular methods in which we
communicate with each other?

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8
Q

Verbal vs Non-Verbal

A
  • What percentage of communication do the words that we say to each
    other represent (i.e., verbal)?
    7%
  • What percentage of our non-verbal communication is our tone of voice
    accountable for?
    38%
  • What percentage of our non-verbal communication is our body language
    accountable for?
    55%
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9
Q

Non-Verbal communication skills

A

It is important to align your body language to what is being said, to
avoid mixed messages:
* Use regular head movements to show engagement
* Maintain an upright and open posture
* Make eye contact (find a balance between direct and in-direct)
* Remember the tone of voice (yours and theirs)
* Respect personal space

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10
Q

The Process of Communication

A
  • Encoding is Communicator’s Intention
  • Decoding is Receiver’s Understanding
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11
Q

Active Listening

A
  • One of the most effective ways to understand a service user’s perspective
    and to build strong relationships
  • Sometimes you are listening to hear what is not said as much as what is
  • How it is said and in what tone can give you an insight into a persons
    emotional state
  • Very often, we hear what we want to hear and assume what is important
  • Key to active listening is to withhold your own assumptions and
    demonstrate a genuine interest in what a person is saying
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12
Q

Active listening

A
  • Empathy:
    Ability to understand and share the feelings of another.
    Demonstrating it creates a positive experience
  • Empathy and active listening are key to supporting anyone presenting with
    negative emotions.
  • How you can achieve this:
    Invest time to listen
    Share similar experiences if you are able to (consider the scenario)
    Treat as a priority
    Take ownership of any questions
    Show that you care, and are concerned
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13
Q

Passive, Assertive and
Aggresive
Forms of communication

A

Passive
Assertive
Aggressive

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14
Q

Passive Communication Features

A
  • Avoidant of confrontation
  • Agreement with decisions that they disagree with
  • An inability to say “no” to others
  • The rights of the communicator are not upheld
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15
Q

Example of Passive Communication

A
  • Radiographer: I am very sorry Sir, but this patient was x-rayed already
    today.
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: Oh ok I guess we should do it again then…
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16
Q

Example of Passive Communication

A
  • Radiographer: I am very sorry Sir, but this patient was x-rayed already
    today.
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: Oh ok I guess we should do it again then…
17
Q

Problems with Passive Communication

A
  • Individuals are unable to transmit their information effectively
  • Safety concerns are not raised
  • The individual can accumulate an un-achievable workload
  • Inability to delegate
  • The self esteem of the individual can be eroded
  • In multi-disciplinary teams, the concerns of the communicator’s
    professional group are not represented
18
Q

Aggressive Communication Features

A
  • Can be either Direct
  • Dominating conversations
  • Shouting or using inappropriate language
  • Interrupting people
  • Intimidating others
  • Or INDIRECT
  • Lying or distorting situations to achieve your desired results
  • Implying that you have been victimised when you have not
  • Manipulating other’s by playing on their insecurities or feelings of guilt
19
Q

Example of Aggressive Communication

A
  • Radiographer: I have a patient here who has already been x-rayed, I
    AM NOT DOING IT AGAIN.
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: I SAID NO! [Slams phone down]
20
Q

Example of Aggressive Communication

A
  • Radiographer: I have a patient here who has already been x-rayed, I
    AM NOT DOING IT AGAIN.
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: I SAID NO! [Slams phone down]
21
Q

Problems with Aggressive
Communication

A
  • Dishonesty
  • Safety concerns from other individuals might be silenced
  • Conflict or tension can escalate into violence
  • This style of communication can represent Bullying
  • Damages the reputation of the communicator
  • Harms relations with the speaker’s professional group in multi-
    disciplinary teams
22
Q

Features of Assertive Communication

A
  • Having the courage to express your feelings and thoughts
  • Expressing one’s views clearly and articulately
  • Considering the views of others, but not allowing them to dominate
    the conversation
  • Respectfully demonstrating an understanding for other peoples’
    considerations and thoughts
  • The ability to say no to unreasonable or unsafe requests
  • Being able to make effective compromises
23
Q

Example of Assertive Communication

A
  • Radiographer: Good afternoon, I have a patient who has attended the department who has had
    an x-ray performed already today, may I ask why you have requested another one please?
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: I am afraid performing the x-ray again would represent an unnecessary irradiation
    of the patient, with no guarantee that the new image will be visible on your system. You will need
    to contact the PACS team to investigate, in the meantime you are more than welcome to come to
    the Radiology department and view the images on our system.
  • Doctor: Ah ok, I will come around shortly, thank you for your help.
24
Q

Example of Assertive Communication

A
  • Radiographer: Good afternoon, I have a patient who has attended the department who has had
    an x-ray performed already today, may I ask why you have requested another one please?
  • Doctor: Well I can’t see it on my screen, you will have to do it again!
  • Radiographer: I am afraid performing the x-ray again would represent an unnecessary irradiation
    of the patient, with no guarantee that the new image will be visible on your system. You will need
    to contact the PACS team to investigate, in the meantime you are more than welcome to come to
    the Radiology department and view the images on our system.
  • Doctor: Ah ok, I will come around shortly, thank you for your help.
25
Q

Benefits of Assertive Communication

A
  • Assertive communication allows the communicator to effectively distribute information, which in turn facilitates:
  • Increased patient safety
  • Effective leadership and management
  • Fosters team members’ satisfaction (Pearsal & Ellis 2006)
  • Increases self-confidence
  • Raises awareness of professional practice boundaries (Rohsig&DeSouza 2021)
  • It is important to note that you can be both polite and assertive!
26
Q

Personal SpaceIn-direct communication
Personal Space example

A

Proxemics
* Proxemics is the study of how people unconsciously structure the
space around them (Robert and Rakel, 2015).
* Different cultures perceive personal space differently.
* Distances:
Intimate space (close physical contact) to 18 inches (1.5 feet),
Personal space from 18 inches to 4 feet,
Social space from 4 feet to 12 feet and,
Public space from 12 feet and beyond (Lambert, 2008).

27
Q

Personal Space

A
  • Personal space can vary significantly depending on the relationship
    between individuals.
  • Different cultures can include different ranges of normal personal
    space.
    Some cultures consider eye-contact impolite and an invasion of personal
    space.
  • People of different ages can treat personal space differently.
  • Gender of the individuals can also impact on personal space.
    What can you deduce from this?
28
Q

Inclusivity
Communication for all

A

Inclusive communication
* Using open and clear language can improve understanding where there
maybe cultural differences
* Explaining if and when you may need to touch someone to provide
healthcare
* At the point of introduction, establish a clear means of addressing the
patient
* Communication of changing instructions should be done in the most
respectful and gender-affirming manner possible.
Staff should include gender neutral vocabulary to show understanding

29
Q

Inclusiveness in practice

A

Inclusive pregnancy forms
* David and his colleague tried for some time to devise ways to support our trans,
non-binary and intersex (TNBI) service users and be more inclusive in terms of
pregnancy checking.
* He worked with a local LBGTQIA youth group to create a poster to explain
pregnancy checked was a requirement.
* The poster worked well but, ultimately, it was not robust enough.
* It is a sensitive topic with clear legal protections but, radiological legislation is
also required (IR(ME)R, 2017)
* His department had experienced a number of radiation near-misses/incidents
where trans-males were imaged without appropriate checks.

30
Q

What can you do?

A
  • Introduce yourself first and confirm how they patient would like to be
    referred to
  • Actively listen to them, withhold any judgement and respect who
    they are
  • Adapt your speech and behaviour to all of your patients to promote
    positive healthcare encounters
  • Educate yourself through continual professional development (CPD)
31
Q

Improving CommunicationCommunication – best practice

A

Body Language – S.O.L.E.R
* Squarely face speaker.
* Open posture (avoid crossing arms and legs)
* Leaning forwards
* Eye Contact (avoid staring)
* Relax (avoid fidgeting)

32
Q

Active Listening

A
33
Q

Speaking Techniques

A
  • Use clear language that is appropriate for the level of understanding
    of the audience.
  • Speak clearly in an even tone.
  • Ensure your speaking pace is slow enough to follow.
  • Ensure you are speaking loud enough to be heard.
  • Where possible ensure your listener can see you to assist with lip
    reading.