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Chapter 1
Review of Communication Process
1. INTRODUCTION
Communi cati on i s the acti v i ty of conv ey i ng i nf or mati on.
Communi cati on has been der i v ed f r om the Lati n wor d communi s,
whi ch means to shar e. Communi cati on r equi r es a sender , a
message, and an i ntended r eci pi ent. Howev er , the r ecei v er need not
to be pr esent or be awar e of the sender 's i ntent to communi cate at
the ti me of communi cati on; thus, communi cati on can occur acr oss
v ast di stances i n ti me and space. Communi cati on r equi r es that the
communi cati ng par ti es shar e an ar ea of communi cati v e
commonal i ty . The communi cati on pr ocess i s compl ete once the
r ecei v er has under stood the message of the sender . Feedback i s
cr i ti cal f or ef f ecti v e communi cati on between par ti es.
Words are the most powerful drug used by mankind
Rudyard Kipling
Communi cati on i s par t and par cel of our day -to-day pr of essi onal
as wel l as soci al l i f e. It i s i nter wov en i n al l nur si ng acti v i ti es and
i s an i nsepar abl e par t of the nur si ng pr ocess. The nur se has to
communi cate pati ent i nf or mati on and other f acts to the member s
of heal th car e team to achi ev e heal th-r el ated goal s of the pati ent.
Si mi l ar l y , she has to communi cate wi th the pati ents whi l e
assessi ng, pl anni ng, i mpl ementi ng, and ev al uati ng nur si ng car e.
Example: Mr s. Radhi ka i s a newl y appoi nted staf f nur se
who got her f i r st posti ng i n Cor onar y Car e Uni t. She i s
assi gned to Mr . Anjuman who i s suf f er i ng wi th
congesti v e hear t f ai l ur e and was admi tted two day s
bef or e. At the ti me of r outi ne war d r ound, the doctor
pr escr i bed tabl et di gox i n 0.25 mg OD. Unf or tunatel y ,
the doctor 's handwr i ti ng was v er y poor and he di d not
menti on 0 (zer o) bef or e .25. Mr s. Radhi ka mi sunder stood
i t as 25 mg and admi ni ster ed the same dose (25 mg) to the
pati ent. Al though, she was i n doubt about the
cor r ectness of the dose, but she di d not cl ar i f y i t wi th
the doctor or wi th a seni or col l eague because of some
r eason. The pati ent dev el oped sev er e br ady car di a and
dy sponea af ter 20 mi nutes of admi ni str ati on of the dr ug.
For tunatel y , he sur v i v ed because of i mmedi ate
tr eatment pr ov i ded to hi m f or di gox i n tox i ci ty and
br ady car di a. In thi s si tuati on, the questi on ar i ses that
why al l thi s happened to Mr . Anjuman? The answer : i t
happened due to l ack of communi cati on between the
nur se and doctor . When i n doubt due to poor
handwr i ti ng of doctor , she must v er i f y the dose f r om the
concer ned doctor or seni or staf f . The doctor al so
r equi r es i mpr ov ement i n hi s handwr i ti ng so that thi s
ty pe of medi cati on er r or s can be av oi ded.
In Indi a, thi s i s the par ti cul ar ski l l that needs to be emphasi zed
among al l nur ses as av ai l abl e ev i dences suggest that major i ty of
the Indi an nur ses ei ther ar e poor i n communi cati on ski l l s or ar e
not usi ng i t ef f ecti v el y as a pr of essi onal nur se due to a v ar i ety of
r easons.
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