Communication Healthcare

Communication healthc areThis essay allow for look at communion within a healthcare setting and will give examples from literature to demonstrate the importance of chat. It will use the work of (Ellis Beattie, 1986) and alike (Egan, 1990) as models for effectual dialogue. It will discuss whether these models are adequate alone to enable effective communication and will excessively draw on in the flesh(predicate) conveys from the clinical area.Communication underpins all other nursing interventions (Minardi Riley, 1997). Communication is a fundamental tool for healthcare delivery (Rungapadiachy, 1999). To listen to another person is the most caring trifle of all, Listening and attending are by far the most important aspects of being a have (Burnard, 1992).(Roper, 2001) Emphasizes communication as an integral part of the unique function of nursing.(Peplau, 1988) used the term, psychodynamic nursing, to describe the dynamic family relationship between a nurse and a dilige nt.Peplau described four phases of this relationship The orientation phase, in which the person and the nurse mutually identify the persons problem.The identification phase, in which the person identifies with the nurse, thereby accepting help.The exploitation phase, in which the person makes use of the nurses help.The resolution phase, in which the person accepts new goals and frees herself or himself from the relationship.Peplau also identified half dozen nursing roles of the nurse Counseling voice working with the patient on current problems Leadership Role working with the patient democratically Surrogate Role figuratively standing in for aperson in the patients bearing Stranger accepting the patient objectively Resource Person interpreting the medical plan to the patient Teaching Role offering information and helping the patient learn (Betts, 1992) states that people have a basic drive to relate to one another, which is expressed through communication. Even if c onversation doesnt take place, prosperous as is not smiling a form of communication albeit non verbal.Communication can be conceptualized as a series of components that require a message, transmitter, receiver and a channel for transmission. All of these elements can be categorized into either verbal or non-verbal components. Both of these categories combine in the skill of active listening, which is a cornerstone of effective communication (Minardi Riley, 1997).(Ellis Beattie, 1986) used a diagram to illustrate the communication formation, (appendix a).The communication organisation is divided into verbal and non-verbal parts. The verbal communication consists of words, clauses and sentences, which enables the exchange of information, clarification of issues, demonstrating understanding and to offer support and direction.The non-verbal system contains four elements Prosodic, which is used to give emphasis to verbal communication through intonation and rhythm.Paralinguistic, whi ch are the free-spoken but non-verbal expressions such as mmm, ah which will allow the person offering the information the confirmation that they are being listened to.Kinesic, is body language, for example facial expressions, moves, position of the recipient.And The standing element, which may include tangible appearance, individual(prenominal) space.Although a model of communication can simply demonstrate the communication serve swell it can also oversimplify.A model only bring home the bacons a framework for observing, understanding and predicting what occurs when two people communicate (Heath, 1995). in effect(p) communication between a nurse and a patient is a conscious, goal directed process that differs from casual or social interactions. It is undertaken as a tool with which to develop trust, effect change, promote health, provide limits, reinforce, orient, convey, identify and work towards goals (Schultz Videbeck, 2002) An important aspect within effective communica tion is the ability to understand the message. individually element of communication must be ascertaind separately. For example, within the Kinesic element,(Egan 1990) offers the acronym, SOLER, when considering the aspect of body language. Egan suggests to Sit Squarely in relation to the client, Maintain an Open posture,Lean slightly towards the client,Maintain reasonable Eye contact, Relax.Through personal experience whilst in the clinical area I have implemented this acronym and found it effective although needing to realise my accept actions later to assess whether its was used to its full potential. I have found that to sit forthright with the client isnt necessarily the best position this has offered periods of discomfort both for myself and visibly to the patient. By sitting in this position there is less opportunity to break eye contact with show up appearing distracted or disinterested. Open body posture can give a sense of disinterest as well as increasing anxiety in m yself in web sites where there may be a essay of physical aggression. In the suggestion that Egan gives of relaxing, this has been easier at times when the other suggestions of Egans have been modified. (Betts, 1992) states it is important not to discern at the patient for too long as this can be seen as an intimidating gesture as also can distance where too close can be seen as an invasion or a threat or too far can be interpreted as the nurse being unable to cooperate.Within the verbal element it is also important for the nurse to certify the difference between a person saying what they mean and meaning what they say (Minardi Riley, 1997).An example of this from my own clinical experience was whilst having a conversation with a patient, they told me that they just wanted to kill themself. When we researchd this statement nurture the patient said that they didnt actually mean they wanted to kill themselves but rather that they felt they couldnt care with current problems. B y sitting and discussing these problems, a number were able to be resolved and others discussed. In this situation and with such an alarming statement for a student nurse it would have been an easy get out to dismiss the statement. (Speight, 1991) however, states that by responding in this way could have led to the patient being unwilling to explore this statement hike. Speight suggests that expression can be used as a communication technique.For example, when the patient do the statement, the response that could be used is one of you want to kill yourself? and thereby encouraging a further response from the patient about the statement.To enable effective communication the healthcare worker must also be aware of the individual factors involved. All communication between individuals has internal factors that can influence the displace or receiving of the message, these may include beliefs, goals, physical and emotional states and the perceptions of others roles, status and perso nality. External factors may include environmental, social, biological, mental and economic influences (George, 1990).(Minardi Riley, 1997) suggests that it is also important in being an effective communicator to ensure that the language used during communication is at a level that can be understood through familiarity of words.Once the basics of communication are understood, in order to turn this into effective communication it is important for the healthcare worker to examine their own actions through reflection (Minardi Riley, 1997).This may be done with the aid of a model of reflection such as Gibbs reflective roll (appendix 2). Gibbs identifies five points for reflection. Description, feelings, evaluation, analysis, conclusion and action.By using Gibbs reflective cycle I have been able to identify obstacles either personal, environmental or on a physical level. This I believe has led me to a greater understanding of my own actions, thoughts or feelings and helped me identify solutions to these obstacles. refinementIn conclusion, this essay has identified and examined models of communication and discussed the various elements involved. It has given examples from literature to stress the importance of communication and identified elements needed towards communication being effective within healthcare. It has drawn on personal experience form the clinical area to demonstrate the skills required in maintaining a therapeutic relationship and also identified the need for ongoing reflection during the communication processes.