Communication discussion board
henderson.j
Communication2.pptxOrganization, Interpersonal, and Group Communication
By: Briana Estremera-Davis, Roberta Gittens, and Colleen Yeager
The Communication Process
What is communication?
Communication is the process between two or more people in the form of ideas, messages, signals, writing, opinions, or behaviors. Communication can occur on two- level; verbal and non-verbal. Communication is also a three- way process that includes; the sender, which can be internal and external climate. The message, which includes written, verbal and nonverbal communication. The receiver, which includes internal and external climate. Internal climate includes; feelings, values, temperament, and stress level of the sender and the receiver. The external includes; weather condition, status, power, authority, timing, and temperature.
Modes of Communication
Nonverbal Communication
Nonverbal communication is considered more reliable than verbal communication because it indicates the emotional component of the message.
Elements of Nonverbal Communication
Facial expressions, silence, gestures, space, environment, posture and appearance, or through body language such as eye contact, facial or vocal expression.
Written Communication
Memos, Reports (written), e-mail, texting, letters, proposals, contracts, telegrams, faxes, and Postcards
NCLEX Question
While talking with your female patient, you notice that she is frowning. What is the best way to find out her concerns?
A) Ask your patient why she is unhappy
B) Tell your patient that everything will be okay
C) Ask your patient if she is angry about the care being given
D) Identify that you notice the patient is frowning
Answer: D
Modes of Communication ….
Verbal: Face to Face/oral or through the telephone.
May be assertive, passive, aggressive, or passive aggressive.
Example: ISBAR
Assertive communication - Allows people to express themselves in direct, honest, and appropriate ways that do not infringe on another’s right.
Passive communication- When a person suffers in silence, although he or she may feel strongly about the issue.
Aggressive communication- Is direct, threatening, and condescending. It infringes on another person’s right and intrudes into that person’s personal space.
Passive-aggressive communication- Is an aggressive message presented in a passive way. It involved limited verbal exchange by a person who feels strongly about a situation.
The more direct the communication is, the clearer it will be and the risk for miscommunication will be decreased.
The less amount of people communication down the line will decrease the risk for confusion
NCLEX Question
Which statement by the LPN is an example of using assertiveness?
A) "It is time for you to go to physical therapy (PT). Do you want to walk part way or do you think you are strong enough to walk all the way?"
B) "You need to go to PT sometime today; just let me know when you want to go."
C) "It would be best for you to go to PT now, but later is okay also."
D) "Going to PT will help you get stronger, so let's go to PT now please."
Answer: A
Learning Exercise 19.5
Organizational Communication
Variables affecting organizational communication
Organizational structure
Gender
Power and Status
Strategies for clear and complete communication
Communication must be clear, simple and precise
Multiple communication must be used
Sender should provide feedback
Communication is not a one-way channel
Channels of Communication
Upwards: communicated upward to the next level in the hierarchy, such as a registered nurse to the nurse manager
Downwards: traditional form of communication in health care facilities that aids in the coordination of care. In this channel, the nurse manager relays information to the nurses.
Horizontal: Interaction between those on the same hierarchical level. For example Nurse relaying information to another nurse, such as hand off reporting.
Diagonal: Interacting with other members on different units, who are on a different level of the hierarchy.
Consider the type of message you’re sending. Then reflect on your workplace values around messaging and delivery methods, and finally choose a communication channel that will best reach your audience.
Remember to keep it focused on obtaining the intended audience's attention, as well as being direct and informative to get your message across.
Channels of Organizational Communication
https://www.youtube.com/watch?v=miAIl726lPM
Here is a video about organizational communication, which is the exchange of information between two or more individuals or groups in an organization.
NCLEX Question
How can a nurse manager best foster high-quality and safe nursing care among the nursing staff?
A. Praise the staff's efforts to provide care that is both safe and of high quality
B. Offer incentives to those providing specific interventions that are safety and quality focused
C. Create a unit culture where asking questions about health care interventions is encouraged
D. Place great emphasis on how important safe, high-quality nursing care is to the client's health
Answer C
Communicating with HIPAA
Healthcare professionals must at all times protect patient information, while practicing patient care efficiently . As nurses, it is vital that patient confidentiality remains intact while providing safe and effective patient care. This confidentiality can be breeched legally only when one provider must share information about a patient so that another provider can provide care to the patient. However, this has become increasingly difficult due to the use of electronic communication because the information available by electronic communication is easier to access from the internet.
Question:
Can I leave messages about a patient's care via voicemail or with family members?
Answer: When leaving a message, disclose the minimum information necessary in the message or verify the identity of the person receiving the information. Leave only the provider's name and number and ask the patient to call back.
Electronic Health Records
A digital record of a patient’s health history including past and present medical history.
Can assist of previous lab tests and results, immunizations, allergies, demographic information, medications, and advance directives.
It is available at any time to the providers and patients only
Question:
Q: Do patients have a right to know who has viewed their medical record?
Answer: Yes, patients have the right to see who accessed your medical record, when they saw it, what they saw and their purpose for seeing it.
Learning Exercise 19.11
NCLEX Question
A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?
a. Please let me know when you start to have pain.
b. Let's practice some guided imagery.
c. Lets try repositioning you.
d. I will only medicate you every 4 hours.
Answer: D
Group Communication: The Four Stages of Group Develpoment
https://www.youtube.com/watch?v=nFE8IaoInQU
Being in the nursing field, we will be communicating with others in a group setting very often when we care taking care of our patients. The textbook talked about Psychologist Bruce Tuckman's Four Stage's of Group development and the process that each group goes through in each stage. This short 2 min video explains what the four stages are and how the group might interact with each other during each stage.
Group Dynamics
Group Task Roles
Task Roles:
Initiator
Information seeker
Information giver
Opinion seeker
Elaborator
Coordinator
Orienter
Evaluator
Energizer
Procedural Technician
Recorder
Group Building and Maintenance Roles
Group Building Roles:
Encourager
Harmonizer
Compromiser
Gatekeeper
Standard setter
Group commentator
Follower
Individual Roles of Members
Individual Roles
Aggressor
Blocker
Recognition seeker
Self-confessor
Playboy
Dominator
Help seeker
Special interest pleader
NCLEX Question
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
Warn the patient to stay very still because the smallest movement will increase her pain.
Encourage the family to stay in the room for the procedure.
Stay with the patient and focus on slow, deep breathing for relaxation.
Delay the procedure to allow the patient to deal with her feelings.
Answer 3
Briana
Integrating Leadership and Management in Communication
In health care, communication is critical in providing safe, effective, and quality care for patients.
It is important to know who to communicate too, what should be communicated, and when.
Practice and repetition is key to improve effective communication skills
Interpersonal communication is more reflective of the leadership role
Briana
It is vital for a manager to know how select the most appropriate mode of communication for a message because it is important for them to determine who to communicate too, what should be communicated and when the messages should be sent. Because communication is a learned skill, a manager can improve their written and verbal communication with practice and repetition. Interpersonal communication skills are more reflective of the leadership role. When a nurse leader is perceptive and sensitive to their environment, they have a keen understanding of how the unit is running and can intervene whenever a problem occurs.
Leadership and Management Communication
https://www.youtube.com/watch?v=RODNbTtD844
Briana
On this slide is a link to a YouTube video that talks how having excellent communication skills may help you magnify to many of the qualities that makes a persona a great leader.
The Communication Wheel
Briana
The communication wheel is something that you can use when either a conflict or a misunderstanding had occurred. The Wheel of communication is excellent communication tool to use because it provides you with five questions to help you gather your thoughts and feelings so that you communicate in a non-defensive way so that the other person doesn’t feel like you are blaming them or using accusations against them.
NCLEX Question
A nursing student is reporting off at the end of her shift to the RN. The student tells the RN that her patient has a priority nursing diagnosis of Pain. She tells the RN that the last time the ordered analgesic was given was 2 hours ago. The patient continues to report pain at a level of 4. The student also tried repositioning and distraction to reduce the patient's discomfort. She observed her patient grimace while turning. Which expected outcome measure did the student report to the RN?
A. Administration of the analgesic as ordered
B. The use of distraction as a pain-relief measure
C. The reported pain level of 4 on a scale of 0 to 10
D. Observation of the patient grimacing during turning
Answer C
Briana
Discussion Questions
How would you describe good/effective communication? Why and when do we need it?
What are the greatest challenges to good communication?
How important is listening in communication?
Can culture, gender, nationality or social class have an effect on communication? If so in what way?
What role do facial expressions, gestures and pauses play in communication?
This slide has some discussion questions that we would like you guys to think about and answer. The first question is…….
References
Communication Questions. (n.d). Retrieve from https://quizlet.com/253306308/chapter-4-communication
Greg, L. (2018, November 30). Organizational Communication. Retrieve from https://www.youtube.com/watch?v=miAII726IPM
How Communication Affects Leadership. (2018, October 19). Retrieve from https://www.youtube.com/watch?vRODNbTtD844
Marquis, B. L., Huston, C. J. (2017). Leadership Roles and Management Functions in Nursing. Retrieved from
https://coursepoint.vitalsource.com/#/books/9781496376114/
Voices of youth. (2017, November 6). 9 Questions about Communication. Retrieve from http://www,voiceofyouth.org/blog/9-questions
