Lecture 8 Communication Flashcards
SBAR
S = Situation: Introduce yourself and the patient; briefly state the issue that you want to discuss (generally the patient's condition). B = Background: Describe the background or context (patient's diagnosis, admission date, treatments to date). A = Assessment: Summarize the patient's condition and state what you think the problem is. R = Recommendation: Identify any new treatments or changes ordered and provide opinions or recommendations for further action.
I-SBAR
- SBAR + the step of introduction. Primarily used over the phone.
- Includes an introduction of the person doing the handoff, their role in the patient’s care, and the unit they are calling from.
Assertive communication
A way of communicating that allows people to express themselves in direct, honest, and appropriate ways that do not infringe on another person’s rights.
Passive communication
Occurs when a person suffers in silence although he or she may feel strongly about an issue. These communicators avoid conflict, often at the risk of bottling up feelings which may lead to an eventual explosion.
Aggressive communication
Communication that is generally direct, threatening, and condescending. It usually infringes on another person’s rights and intrudes into that person’s personal space as well.
Passive-aggressive communication
An aggressive message presented in a passive way. It generally involves limited verbal exchange (often with incongruent nonverbal behavior) by a person who feels strongly about a situation.
Communication begins _
The moment two or more people become aware of each other’s presence.
Internal climate of communication
Includes factors such as the values, feelings, temperament, and stress levels of the sender and the receiver.
External climate of communication
Includes external factors such as the weather, temperature, status, power, authority, and the organizational climate itself.
Sender, message, and receiver
- Communication always involves at least one of each, in addition to the mode or medium through which the message is sent.
- Both sender + receiver must be sensitive to the internal and external climates.
- The sender also has the responsibilities of validating what receivers see and hear, adjusting their language to their target audience, seeking feedback, and continuing follow-up communication.
Barriers to effective manager-subordinate communication
- Status.
- Power.
- Authority.
Variables affecting organizational communication
- Number of levels that communicate.
- Gender.
- Power and status.
Channels of communication
- Upward.
- Downward.
- Horizontal.
- Diagonal.
- Grapevine.
Upward communication
- Communication from subordinate to superior.
- Needs and wants are communicated upward to the next level in the hierarchy. Those at this higher level make decisions for a greater segment of the organization than do the lower-level managers.
Downward communication
- Communication from superior to subordinate (top to bottom).
- This is a traditional, primarily directive form of communication in organizations and helps to coordinate activities in various levels of the hierarchy.
Horizontal communication
- Communication from peer to peer.
- Individuals interact with others on the same hierarchical level as themselves who are managing different segments of the organization.
Diagonal communication
- Communication between individuals at differing hierarchy levels and job classifications.
- An individual interacts with individuals from other departments and groups who are not on the same level of the organizational hierarchy.
Grapevine communication
- Communication that is informal, haphazard, and random, usually involving small groups. Typically an undesirable form of communication.
- Information flows quickly among people at all hierarchical levels. Senders have little accountability for the message, which often becomes distorted as it speeds along.
The most significant barrier to effective communication is _
Incongruence between verbal and nonverbal communication.