Communication & Counselling Skills – 1. Introduction to Communication
Read the complete lesson in an organized slide-by-slide format. This topic contains 49 learning sections from the source presentation.
LESSON CONTENTS — 49 SECTIONS
NTA Level 4 – Basic Technician Certificate in CLINICAL MEDICINE Module: Communication and CUSTOMER CARE Code: CMT 04101
PHARES MAROA
INTRODUCTION TO COMMUNICATION
Learning objectives
By the end of this session, each student is expected to be able to:
- Define communication
- Explain the importance of communication
- Identify types of communication
- Describe the communication process
- Outline modes of communication
- Describe effective communication skills
- Identify barriers to communication and how to overcome them
Definition of communication
Communication is the process of exchanging: –
Information
Thoughts
Feelings
Ideas
Instructions
Knowledge
Communication Is defined as the act of transmitting and receiving information, or
Refers to a two-way process in which information, knowledge, ideas and meanings are transmitted by any means from one individual or group to another individual or Group
Cont…
Communication is about sending and receiving information or the transmission of information from one party to another
Importance of communication
It helps in sharing of knowledge and experiences
It helps to build relationships between two parts; brings people together, closer to each other.
Motivate
It facilitates the flow of information and understanding between different people through different media using all channels and networks
Cont…
It facilitates teaching
Communication can persuade
It can entertain
It can inspire people
It helps in giving or receiving direction
Types of communication
Communication can either be
Verbal communication: through spoken words 7-11%
Sharing information through the written or spoken word.
Health personal use verbal communication extensively, they converse with clients, write care plans, document information and assessments, charts and give oral or written change –of-shift reports.
People reveal their education, intellectual skills, interests and ethnic, regional or national backgrounds through verbal communication
Within verbal communication there are many features to think about but in particular we should consider the way we open communication to get the first impression of a person
Four types of verbal communication
Four types of verbal communication are: –
Intrapersonal Communication
Interpersonal Communication
Small group Communication
Social Communication
Advantages of Verbal Communication
The opportunity for immediate feedback to make sure the message was understood
The opportunity to utilize nonverbal cues (tone, body language, inflection
Oral communication allows for immediate feedback such as the opportunity to ask questions when the meaning is not entirely clear.
The sender is able to check and see whether if the instruction is clear or has created confusion.
Spoken instructions are flexible and easily adaptable to many diverse situations
Disadvantages of Verbal Communication
Poor presentation of the message or the instruction can result in misunderstanding and wrong responses.
Spoken communication is influenced by both verbal and non-verbal communication such as tone or body language which may skew the meaning of your message in the mind of the receiver
Types ….
Types ….
Non-verbal communication (89-93%)
Is communication between people through non-verbal or visual cues. This includes gestures, facial expressions, body movement, timing, touch, and anything else that communicates without speaking.
Is sharing information without using words or language
It is also called body language.
Gestures (smiling, leaning forward, nodding)
The way we stand
The way we sit
Facial expressions
Silence
Eye contact
Non verbal Communication
Refers to the use of gestures, facial expressions, tone of voice, eye contact, body language and posture to share information with others.
Non verbal communication can truly speak louder than words
Cont…
People often say one thing but seem to feel a different way
Crying while saying, ‘I am fine’
Saying that you are listening when you are not making eye contact with the speaker and are looking all around the room while the speaker is talking
Saying that you are not bored or tired when you are yawning
Advantages of Non-Verbal Communication
It can communicate with someone who is hard of hearing or deaf.
It can communicate at place where you are supposed to maintain silence.
It can communicate something which you don’t want others to hear or listen to.
It can communicate if you are far away from a person. The person can see but not hear you.
Non-verbal communication makes conversation short and brief.
It can save on time and use it as a tool to communicate with people who don’t understand your language.
Disadvantages of Non-Verbal Communication
It cannot have long conversation.
Cannot discuss the particulars of your message
Difficult to understand and requires a lot of repetitions.
Cannot be used as a public tool for communication.
Less influential and cannot be used everywhere.
Not everybody prefers to communicate through non-verbal communication.
Cannot create an impression upon people/listeners
Verbal communication
Non verbal communication
Oral
Spoken language
Laughing, crying, coughing etc
Non oral
Written language/
Sign language
Gestures, body language etc
Modes of Communication
Communication modes include the use of graphic signs or artificial speech.
Communication generally draws on multiple modes, such as vocalization, speech, gesture and symbols, and is referred to as multimodal.
There are three modes of communication
Interpersonal communication
Interpretive Communication
Presentational Communication
Communication flow/process
Communication process refers to a series of actions or steps taken in order to successfully communicate.
Communication is a two-way process involving both a sender and a receiver.
Cont…
A SENDER creates a MESSAGE for the RECEIVER
The SENDER uses a CHANNEL to relay the MESSAGE
The RECEIVER and the SENDER use FEEDBACK to ask for more information, get answers and find out whether the message is understood
The five are as follows:
The five are as follows
Sender
Message
Medium
Receiver
Feedback
Elements of communication process
The Sender/Encoder/Source
A sender initiates the communication by transforming information into a message.
The creator of the message or message processor
The initiator of communication
Evaluator of the communication
Cont…
Cont…
The Message
The message is information created and initiated by the sender in the process of communication.
Anything that can be communicated
Contains contents to be communicated
The Channel
Channel is the vehicle that carries the message from the sender to the receiver
In order to convey the message the sender uses some kind of a channel or medium.
Common channels of communication include speaking, writing, body language, sign language, telephone and the media such as television, newspapers and radios.
Other channels of communication include pictures, symbols, diagrams, drumming, dancing, visual images and hand signals.
Cont…
Cont…
The Receiver/Decoder
The receiver is the person receiving the message and translating it into meaning.
The receiver is any individual to whom the message has been transmitted
Receiving end from the sender
Decoder of the information (perceives and interprets the message)
Feedback
Feedback is an essential part of communication; the receiver has to respond to show that he or she understood the message or not. The sender had to find out whether he or she has been understood by the receiver. Feedback can be verbal or non-verbal response.
The receiver and the sender use feedback to ask for more information get answers and find out whether the message is understood.
Is the receiver’s response to the sender’s message
Cont…
Slide 29
Channels of Communication
Speaking
Writing
Body language
Sign language
Telephone
Media (television, newspapers and radios)
Ways of providing feedback
Be positive
Be timely
Be specific
Don’t be judgmental
Should be two way conversation
Follow-up
Building Rapport
Rapport is
Building a comfortable connection so that people can share information
Creating a relationship based on trust and respect
Created through both verbal and non-verbal actions
Cont…
Establishing rapport is the first phase of effective communication, which includes
Greeting
Welcoming
Offering a seat
Showing that you care and have time for the patient
Cont…
How to build rapport
Shake hands
Introduce yourself
Use same language as patient
Show patience
Do not interrupt
Make eye contact
Cont…
Do not attend to other patients while busy with another
Say ‘yes’, ‘um-hum’ or use a non-verbal gesture so they know you are interested
Use simple and well understood language and avoiding the use of medical terminology and jargon. The counsellor should try to speak at the same level of language as their patient.
Consequences of negative non-verbal communication
Information is not shared or understood
The patient may ask fewer questions
Problem may be difficult to understand
Situation may be uncomfortable
Lack of adherence to medical appointments and/treatment
Barriers to Communication
Messy desk, with other patients’ information all over the table
Interruptions and distractions
The door is open and there are people nearby who can hear their interaction, so there is no privacy to ensure confidentiality
Not looking directly at someone when he/she is talking. Looking out the window
Cont…
Looking at the clock or watch
Starting to speak to someone else
Taking a call on a mobile phone while in conversation with a patient/colleague
Shuffling papers
Barriers from the Sender
The sender has the primary responsibility for starting an effective communication flow
Talking too much, not giving patient time to express him or herself
Being critical and judgmental
Laughing at or humiliating the patient
Showing signs of being upset
Cont…
Not listening or accepting feedback
Using an inappropriate channel
Not listening, not paying attention
Lack of knowledge on the subject of discussion
Using difficult or different language
Contradictory verbal information with non-verbal gestures
Barriers from the Receiver
Using the inappropriate channel
Not listening, not paying attention
Interrupting before sender completes the message
Not sending feedback
Barriers to Communication in Healthcare
Advice-giving and moralising
Arguing
Preaching
Storytelling
Cont…
Showing discomfort, embarrassment if patient is upset
Not respecting patient’s beliefs or way of life
Not creating trust or rapport
How to Overcome Barriers
Using the appropriate channel
Creating good rapport
Being attentive both verbally and non-verbally
Using a common language
Cont…
Avoiding medical terminology and jargon
Being self-aware
Using feedback from each other
Asking questions for clarification in order to understand feedback
Key points
Effective communication is when there is shared meaning and understanding between sender and receiver, using the correct channel.
Effective communication can be either verbal or non-verbal.
Effective communication can be blocked by barriers from the sender and/or the receiver.
Cont…
Effective communication enhances the working relationship between the patient and the health care worker.
It is essential to providing effective counselling and support.
Questions
What is communication?
What are the 2 types of communication?
What are some effective communication skills?
Name some common barriers to effective communication and how to overcome them.
References
- MOHSW (2006). Modular Course in District Health Management. Dar es Salaam, Tanzania: Ministry of Health and Social Welfare.
- NACP. (2008). HIV and AIDS Voluntary Counselling and Testing: Participant Manual. Dar es Salaam, Tanzania: Ministry of Health and Social Welfare, National AIDS Control Programme.
- NACP. (2008). HIV and AIDS Voluntary Counselling and Testing: Trainer’s Guide. Dar es Salaam, Tanzania: Ministry of Health and Social Welfare, National AIDS Control Programme.
- UNAIDS (1999). Communication Framework for HIV/AIDS: A New Direction. Penn State: The Joint United Nations Programme on HIV/AIDS.
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