Nursing 153 Communication and Education for Health

Proces in which people affect one another through an exchange of information, ideas and feelings. Creates meaning. Foundation of professional practice.

Linear model -Speaker -Message -Receiver

1) Self-Awareness 2) Interpersonal communication 3) Boundary setting 4) Therapuetic use of self 5) Helping relationships 6) Communication and conflict

- Listening - Asking open-ended questions - Closed ended- questions - Clarifying or paraphrasing - Using facilitators - Assessing non-verbals - Silence

- Courtesy - Use of names - Privacy and confidentiality - Trustworthiness - Autonomy and responsibility - Assertiveness

1) Intrapersonal - within individual, self talk 2) Interpersonal - reciprocal b/w 2 people 3) Transpersonal - within spiritual domain (prayer) 4) Small group - goals 5) Public - interaction with an audience

- Evironmental factors - pain, tired, brightness - Territory and personal space - Physical appearance, dress - Non-verbal cues - Use of "I" messages

- Referent- motivates communication - Sender - encodes and delivers message - Receiver - receives and decodes message - Message - content, context, tx - Channel - conveyance of message, nonverbals, body language, written - Feedback - message returned by receiver - Environment- privacy, comfort, interest - Interpersonal varialbles - factors influence communication

What is the message within the message Verbal, Nonverbal, culture, gender, vocal pitch, body language, appearance all play a part.

1) Verbal - 7% of communication. Vocabulary (slang, jargon, ESL), denotative/connotative, pace, intonation, clarity, timing, relevance 2) Non-verbal- 92% nonverbal. All five senses, subjective and subconcious. 3) Symbolic - art, music, drawings, child's play

- Personal appearance - Posture and gait - Facial expressions - Eye contact - Gestures - Sounds - Territoriality and personal space

Attentive to waht a client is verball and non-verbally saying. Two way, interactive process. Listening without judgements. S - sit facing client/squarely O- Observe an open posture L- Lean toward client E- Establish and maintain intermittent eye contact R- Relax

- Active listening - Perspective taking - Understanding the message - Maintaining neutrality - Understanding postions vs interests - Managing one's emotions

- Preoccupation - Physical discomfort - Rehearsing - wait for whole story before respons - Filtering

Techniques that encourage the expression of feelins, ideas and convey the nurse's acceptance and respect. Includes a wide range of effective communication strategies. - Therapeutic use of self - Helping relationships - Self awareness - Interpersonal communication - Boundary setting