Communication Techniques Flashcards

1
Q

Patterns of Communication used by Midwives

A
  • Social amenity pattern, involves use of social skills. Communication occurs but only at a superficial level. It is ritualistic.
  • Informational pattern. Used when giving instructions or when information is required (health teaching). Dehumanising if it is the only pattern used
  • Relating pattern. Characterised by meaningful dialogue where each person experiences openness, closeness, and understanding of the other. Dialogue is meaningful.
  • All patterns are used when taking a patient history.
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2
Q

Effective Communication Allows

A
  • Better data collection
  • Initiation of interventions
  • Evaluation of outcomes
  • Initiation of change
  • Reduction/prevention of legal ramifications
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3
Q

Communication - The importance of listening

A
  • Listening encourages disclosure
  • Validates importance of the speaker
  • Promotes midwife-woman understanding
  • Provides the midwife with information
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4
Q

Effective Listening

A
  • Reception
  • Perception
  • Interpretation
  • Sustained Concentration
  • Astute observation
  • Use of senses
  • Attending
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5
Q

SOLER

A
S - Squarely face the person
O - Open posture
L - Lean forward
E - Eye contact maintained
R - Relaxed posture
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6
Q

Benefits for the patient

A
  • Conveys respect and acceptance
  • Reinforces patient worth
  • Feel valued
  • Feel that their feelings are validated
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7
Q

Benefits for the Midwife

A
  • Receive information
  • Gather data
  • Gain deeper levels of understanding
  • Plan appropriate care (effective clinical decision making)
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8
Q

Silence

A
  • Not interrupting is a sign of respect and interest
  • Can be helpful
  • Know when not to use it
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9
Q

Observing

A
- Feelings are often expressed through
 ~ Facial expression
 ~ Eye contact
 ~ Body posture and movement
 ~ Other non verbals
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10
Q

Negative symbols/Body language

A
  • Frowning
  • Pouting
  • Folded arms
  • Talking down to a client
  • Standing while the client is seated
  • Not physically responding to a clients needs
  • Yawning
  • Not making eye contact
  • A slumped stance
  • These actions whether done consciously or not, will at best make the client feel unwelcome and at worst will crete a hostile environment.
  • AVOID GIVING NEGATIVE SYMBOLS AT ALL TIMES
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11
Q

Effective Communication

A
  • Types of questions - open, focused, closed, secondary

- Active Listening

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12
Q

Types of Questions

A
  • Open Questions - States questions generally. Good intro/start
  • Focused Questions - Open questions which limit the topic
  • Closed questions - absolute answer
  • Secondary Questions - Relate to previous question and require expansion
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13
Q

Active Listening

A
  • Offering cues (minimal) such as nodding, leaning forward and smiling
  • Providing clarification
  • Paraphrasing
  • Reflecting
  • Summarising - to review content
  • Silence - timing is important
  • Touch - gentle touch of the hand or shoulder (beware of invading personal space and cultural sensitivities
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14
Q

Therapeutic Communication

A
  • It is a goal directed, focused form or dialogue used as a tool in health care to promote a client’s wellbeing and positive response to treatment
  • Professional
  • Purposeful
  • Provides supper and reinforces self esteem
  • Occurs within a time frame
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15
Q

Response Categories

A
  • Advising and evaluating
  • Analysing and interpreting
  • Reassuring and supporting
  • Questioning and probing
  • Paraphrasing and understanding
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16
Q

Paraphrasing

A
  • Crucial to understanding
  • Acknowledges what has been said
  • Confirms accuracy of understanding
  • Prevents misunderstanding
17
Q

Clarification

A
  • Midwife takes responsibility for lack of understanding
  • Focusses on the need to receive a clearer message
  • Should not put the patient on the defensive
18
Q

Reflecting feelings

A
  • Mirrors the feeling express by the patient

- Verbalises what the patient has implied

19
Q

Summarising

A
  • Reviews what has been discussed
  • Requires adequate time
  • Often extra important information will be presented
  • Used to bring closure to an interaction
20
Q

Good Clinical Conversations

A

I - Identity - Self, Name, Position, Location & Patient
S - Situation - What has happened to trigger this conversation
B - Background - Admission Date, Relevant Hx, Diagnosis, Test Results, What’s been done so far
A - Assessment - Summary of patient’s condition/situation, what you think the problem is
R - Request - or Recommendation

21
Q

Closing the Interview

A
  • Allow patient to finish all they need to say
  • Thank them for time and cooperation
  • Any further questions
22
Q

Extra Techniques

A
  • Expressing empathy
  • Prompting
  • Instructing
  • Focusing
  • Confronting
  • Touch
  • Probing using appropriate questions