Communication healthcare

This essay can look at interaction within a healthcare setting up and will give good examples from literature to demonstrate the importance of communication. It’ll use the job of (Ellis& Beattie, 1986) and also (Egan, 1990) as models for successful communication. It’ll discuss whether these types are adequate alone to enable effective communication and can also draw along personal activities from the clinical place.

Communication underpins all the nursing interventions (Minardi& Riley, 1997). Conversation is a fundamental tool for health care delivery (Rungapadiachy, 1999). To listen to another person may be the most caring act of most, Listening and how to write a short essay: key steps attending will be by far the most important aspects of being a nurse (Burnard, 1992).

(Roper, 2001) Emphasizes communication as a fundamental element of the unique function of nursing.

(Peplau, 1988) used the word, psychodynamic nursing, to describe the dynamic relationship between a nurse and an individual.

Peplau described four phases of the relationship:

The orientation phase, where the person and the nurse mutually distinguish the individuals problem.

The identification phase, where the person identifies with the nurse, thereby accepting help.

The exploitation phase, in which the person makes make use of the nurse’s help.

The resolution phase, in which the person accepts latest goals and frees herself or himself from the partnership.

Peplau also discovered six nursing roles of the nurse:

  • Counseling Role – dealing with the individual on current problems
  • Leadership Role – working with the individual democratically
  • Surrogate Position – figuratively standing in for aperson in the patient’s life
  • Stranger – accepting the patient objectively
  • Learning resource Person – interpreting the medical plan to the patient
  • Teaching Role – giving information and helping the patient learn

(Betts, 1992) states that persons have a basic drive to relate to one another, which is certainly expressed through interaction. Even if dialogue doesn’t happen, smiling as is not smiling a sort of connection albeit non verbal.

Communication could be conceptualized as some components that require a message, transmitter, receiver and a channel for transmission. All of these elements could be categorized into either verbal or non-verbal components. Both of these categories incorporate in the skill of effective listening, which is a cornerstone of effective interaction (Minardi& Riley, 1997).

(Ellis & Beattie, 1986) used a diagram to illustrate the conversation system, (appendix a).

The communication system is split into verbal and non-verbal parts. The verbal communication contains thoughts, clauses and sentences, which allows the exchange of info, clarification of problems, demonstrating understanding and also to offer support and way.

The non-verbal program contains four elements:

Prosodic, which can be used to give emphasis to verbal connection through intonation and rhythm how to write a good persuasive essay.

Paralinguistic, which are the vocal but non-verbal expressions such as for example mmm, ah that will allow the person offering the info the confirmation they are being listened to.

Kinesic, is body language, for example facial expressions, gestures, job of the recipient.


The standing element, which may include appearance, personal space.

Although a style of communication can merely demonstrate the communication procedure it can also oversimplify.

A model only provides a framework for observing, understanding and predicting what happens when two persons communicate (Heath, 1995).

Effective interaction between a nurse and a patient is a conscious, goal directed method that differs from casual or social interactions. It really is undertaken as an instrument with which to build up trust, effect switch, promote health, provide limitations, reinforce, orient, convey, recognize and work at goals (Schultz & Videbeck, 2002)

An essential requirement within effective communication may be the ability to understand the concept. Each component of communication must be examined separately. For instance, within the Kinesic factor,

(Egan 1990) offers the acronym, SOLER, when contemplating the aspect of body language. Egan suggests to:

Sit Squarely with regards to the client,

Maintain an Open posture,

Lean slightly towards your client,

Maintain reasonable Eye call,


Through personal experience whilst in the medical area I have applied this acronym and found it effective although having to examine my very own actions later to assess whether its was used to its total potential. I have found that to be seated squarely with the client isn’t necessarily the very best position this has offered periods of irritation both for myself and visibly to the patient. By sitting in this posture there is less possibility to break eye get in touch with without appearing distracted or disinterested. Start body posture can provide a sense of disinterest as well as increasing anxiety in myself in conditions where there could be a risk of physical aggression. In the suggestion that Egan offers of relaxing, it has been easier sometimes when the other suggestions of Egan’s have already been modified.

(Betts, 1992) states it is necessary never to stare at the patient for too long as this could be seen as an intimidating gesture as also can distance where as well close is seen as an invasion or a threat or too far could be interpreted as the nurse staying unable to cooperate.

Within the verbal component it is also very important to the nurse to recognize the difference between a person declaring what they indicate and signifying what they say (Minardi& Riley, 1997).

An example of this from my own clinical experience was whilst having a conversation with an individual, they explained that they just wanted to kill themself. Whenever we explored this statement further more the patient explained that they didn’t truly mean they wished to kill themselves but instead that they experienced they couldn’t cope with current concerns. By sitting and discussing these problems, a number were able to be resolved and others reviewed. In this example and with such an alarming statement for a student nurse it would have already been a simple get out to dismiss the declaration.

(Speight, 1991) however, claims that by responding in this manner could have resulted in the individual being unwilling to check out this affirmation further. Speight suggests that reflection can be utilized as a communication approach.

For example, when the patient made the assertion, the response that could be used is among “ you intend to kill yourself?” and thus encouraging a further response from the individual about the statement.

To permit effective communication the health care worker must also be aware of the average person factors involved. All conversation between individuals has inner factors that may influence the sending or acquiring of the concept, these can include beliefs, goals, physical and psychological says and the perceptions of others roles, status and personality. Exterior factors can include environmental, social, biological, mental and monetary influences (George, 1990).

(Minardi& Riley, 1997) suggests that it is also important in being a powerful communicator to ensure that the vocabulary used during communication reaches a level that could be understood through familiarity of text.

Once the fundamentals of communication are understood, so that you can turn this into successful communication it is crucial for the healthcare employee to examine their individual actions through reflection (Minardi& Riley, 1997).

This may be done with the aid of a style of reflection such as Gibbs reflective cycle (appendix 2). Gibbs identifies five details for reflection. Description, feelings, evaluation, analysis, summary and action.

By using Gibbs reflective cycle I have already been able to identify obstacles either personal, environmental or on a physical level. This I believe possesses led me to a larger understanding of my own actions, thoughts or emotions and helped me identify solutions to these obstacles.


In conclusion, this essay has recognized and examined types of communication and discussed the many elements involved. It has presented examples from literature to strain the importance of communication and discovered elements needed towards interaction being effective within healthcare. It has got drawn on personal encounter form the clinical location to demonstrate the skills required in keeping a therapeutic relationship and in addition identified the necessity for ongoing reflection through the communication processes.

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