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COMMUNICATION

Definition:-
-Communication is a process of sharing information using a set of
common rules.
-Communication is a process by which information is exchanged
between individuals through a common system of symbols, signs or
behavior.
PURPOSES:-
To collect assessment data
To initiate intervention
To evaluate outcome of intervention
To initiate change which help in promoting health
To take measures for preventing legal problems associated with
nursing practice
To analyze factors affecting the health team
COMMUNICATION
Definition:-It is a process by which two or more
persons exchange or share ideas ,facts, feelings or
impressions.
Purposes:-In community communication is to
educate the public or certain specific groups towards
the development of attitude & behavior that are likely
to promote health & welfare. The purpose of
communication is classified in three headings-
Information
Propaganda(publicity)
Entertainment
LEVELS
Level 1-Conventional acquaintances a person communicates with strangers
to have casual quaintances in the conventional level.
Ex:-First encounter between the nurse and patient

Level 2 Exploratory associates


Ex:-Relationship with collegues,neighbours,teaching to public etc

Levels 3-Participate friends


Ex:-Nurse and Doctor

Levels 4-Intimacy (closest friends)


Ex:-Two close friends
ELEMENTS
According to Berlo there are 4 elements they are as followes
o S-Source(sender-encoder):-The person who initiates
conversations or sending message.
o M-Message:-Message consist of verbal or nonverbal information
to the receiver.
o C-Channel:-The medium used to convey the message
o R-Receiver:-Listener, observer who interprets message.

MODES OF COMMUNICATION:-
By which communication occurs

1-Verbal Communication

2-Nonverbal Communication
TYPES
Formal communication:-conversation between officials on
various positions.ex:nursing superintendent & staff nurse.
Informal communication:-conversation between peoples on
non official matter. ex:Interaction between two close friends
One way communication:-It always flows in one direction
there is no feedback. ex: lecturer delivered by teacher in class
room.
Two way communication:-In conversation feedback is present.
ex: group discussion
Visual communication:-Message is conveyed using symbols. ex:
displayed posters or models in the exhibition
Telecommunication:-Communicating in distant places with help
of electromagnetic appliances. Ex: Television,radio,internet etc
SKILLS FOR EFFECTIVE COMMUNICATION
Confidence
Critical thinker
Analytical
Openmindness
Active listener
Empathetic
Honest
Confidentiality
Knowledgeable
Systematic
Tactfulness
PROCESS OF COMMUNICATION

SENDER MESSAGE

FEEDBACK CHANNELS

RECEIVER

BARRIERS OF COMMUNICATION
1- PHYSIOLOGICAL BARRIER:
Difficulty in hearing
Difficulty in vision
Difficulty in expression
2- PSYCHOLOGICAL BARRIER:
Emotional disturbance
Fear
Level of intelligent
Ego

3- ENVIRONMENTAL BARRIER:
Lack of ventilation
Lack of privacy
Over crowding

4 CULTURAL BARRIER:
Level of knowledge & understanding
Customs
Belief
Religion
Language
IMPORTANCE OF COMMUNICATION

Information

Education

Motivation

Counseling

Reduce stress

Health promotion
NURSE PATIENT RELATIONSHIP
Introduction:-NPR is a basic requirements of nursing practice.
These relationship find encouragement when we are feeling down
& comfort when we are hurting.

Definition:-It is an interaction between two persons in which the


nurse offers a series of purposeful activities & practice that are
useful to particular patient.

Types of relationships:-
Social relationship
Intimate relationship
Therapeutic relationship
characteristics
It is an intellectual and emotional bond between the
nurse and mainly focused on the client.
It respects the client as an individual.
Considering family relationship and values.
Maximizing the clients abilities to participating in
decision making.
It respects client confidentiality.
It is based on the mutual trust, respect and acceptance.
Developing Helping Relationship

The following points are important, to develop a nurse-client


relationship or helping relationship.
listen actively.
Be honest.
Be aware of cultural differences.
Maintain client confidentiality.
Know your rolls and your limitations.
Phases of Relationship
Pre-interaction phase

Introductory phase

Working phase

Termination phase
Patient teaching

Teaching is given to enhance specific learning of patient.


Patient teaching is a creative interpersonal experience,
differs from other forms of teaching by its client
oriented relationship.

Definition: Patient teaching is a process involves teaching


the patient about reducing the health risk factors,
increasing clients level of wellness and taking specific
protective health measures.
Role of nurse in patient teaching
Nurse is to identify clients learning needs.
Motivate the client.
Involving client actively.
Topic of the client teaching should match with clients
need.
The teaching should be simple to complex.
She should provide peaceful environment while
teaching.
She should observe the emotional and physiological
needs.
The nurse should be knowledgeable and confidence
Purposes of patient teaching
To promote health,
to protect health,
to maintain health,
to identify relevant health care needs of the clients
to provide psychological support during teaching
learning process,
to keep nurse knowledgeable,
to raise self confidence of nurse in teaching.
Importance of patient teaching
Providing patient teaching is an important
independent function of nurse. As client has a
right to know, right to information, giving
information regarding clients health status is
mandatory now a days.
Patient teaching improves nurse client
relationship.
It helps in patients safe transition from one level
to another
It helps client to make decision about his health
condition.
Guidelines for effective patient
teaching
Development and maintenance of rapport between
nurse and client is important.
Time for delivering teaching should be as clients
convenience.
Nurse should have all communication skills.
Local language should be perfectly used.
Use of A.V.Aids faster learning and grasp the client
attention.
Teaching with demonstration is effective.
Repetition is necessary in teaching process.
Active involvement of nurse and client is important