Communication Notes
Communication Notes
communication.
Feedback in Communication
Once the response or reaction of the
receiver to a message becomes known to
the sender, it becomes feedback.
Through feedback, the source gets to know
say
Help in understanding how to get message across
Enhance relationship
existing beliefs
Entertainment
BASIC PRINCIPLES OF
COMMUNICATION
Communication is a two-way process of giving and
receiving information through any number of channels.
Whether one is speaking informally to a colleague,
addressing a conference or meeting, writing a
newsletter article or formal report,
It is impossible to avoid communicating
used
Includes face to face
appropriate feedback
Disadvantages
Doesn’t bring instant feedback
cosmetics
Surrounding-room, size, lighting, decoration,
furnishings
Body language-facial expressions, gestures,
postures
Sounds-voice tone, volume, speech rate
a) Intrapersonal Communication
Occurs within a person, occurs within us,
3 stages
1.The Phatic Stage-The initial exploratory stage of
communication determines the course conversation will
take. It begins with a 'Hi!' or a 'Hello! How are you?
The accompanying gestures are the meeting of the
a)Internal-operational
Persuasive Communication-Information
given with the idea to change or alter:
an opinion, thought, idea, belief, conviction,
Principle ,ECT.
Visual Communication-There's an old saying that "a
picture is worth a thousand words." Life would indeed
be difficult without paintings, photographs, diagrams,
charts, drawings, and graphic symbols. These are some of
the reasons why SHOWING is such an important form of
communication.
Vertical
Communication-The principal channel for
routing directions, instructions and policies from top
decision makers down through the organization to
the people, who at various levels will implement
them.
Public communication-a person sends a message to a
group of people
Ethical communication -That is honest, fair, and
experienced
Requires no extra materials, taking it the cheapest
as conversations on a telephone.
It is a good instant communication tool
Incorporation
Reverberation
Detachment
Assuming
Judging
Identifying
Filtering
3. ATTENDING
Physical attending
Face the person squarely
Adopt an open posture
Lean toward the person
Maintain good eye contact
Try to be relatively relaxed
4. SILENCE
Using silence
Encouraging the client to communicate
Allowing client time to ponder what has been
said
Allow client time to collect thoughts
Allow client time to consider alternatives
Look interested
Uncomfortable silence should be broken
Analyzed
5. REFLECTION
Reflecting
all or part of the patient’s statement is
repeated to encourage him to go on
Repeating the client’s message
Verbal or nonverbal
Reflecting content repeats client’s statement
May be misused, overused
Use judiciously
Reflecting feelings
Verbalizing implied feelings in client’s comment
Encourages client to clarify
6.JUST THE FACTS
Imparting information
Supplying additional data
Not constructive to withhold useful information
Line between information and advice
Avoid personal, social information
Client participation in decision making positive
mental health outcomes
Take in and understand information
Educated empowered client
7. DEFLECTION
Avoiding self-disclosure
Deflect a request for self-disclosure
Honesty
Benign curiosity
Refocusing
Interpretation
Clarification
Exploration of alternatives
Value to client
Termination
INTRODUCTORY PHASE
Pre-interaction phase
Introductory phase
Orientation, pre-therapeutic phase
Nurse and client observe each other
Open relationship
Clarify problem
Structure and formulate contract
Client may display resistive behaviors
INTRODUCTORY PHASE, CONTINUED
By end of this phase client begins to
Develop trust in nurse
View nurse as honest, open, concerned
Believe nurse will try to understand, respect
Believe nurse will respect client confidentiality
Feel comfortable talking about feelings
Understand purpose of relationship, roles
Feel an active participant in plan
WORKING PHASE STAGES
Stage One
Exploring and understanding thoughts and
feelings
Empathetic listening and responding
Respect, genuineness
Concreteness
Reflecting, paraphrasing, clarifying, confronting
Intensity of interaction increases
CONTINUED
Stage two
Facilitateand take action
Collaborate
Make decisions
Provide support
Offer options
TERMINATION PHASE
Difficult, ambivalent
Summarizing
Termination discussions
independence
DEVELOPING THE THERAPEUTIC
RELATIONSHIP
Set mutual goals with client
Discuss outcomes
Use ingenuity
Maintain confidentiality
be a mechanical barrier
Technically, such barriers are clubbed together as