COMMUNICATIONDefinition:-

-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

ELEMENTSAccording 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

BARRIERS OF COMMUNICATION

1- PHYSIOLOGICAL BARRIER:

Difficulty in hearing

Difficulty in vision

Difficulty in expression

MESSAGE

CHANNELS

RECEIVER

FEEDBACK

SENDER

4 – CULTURAL BARRIER:

Level of knowledge & understanding

Customs

Belief

Religion

Language

2- PSYCHOLOGICAL BARRIER:

Emotional disturbance

Fear

Level of intelligent

Ego

3- ENVIRONMENTAL BARRIER:

Lack of ventilation

Lack of privacy

Over crowding

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