Communication Techniques Flashcards Preview

MIDW127 - Beginning the Journey > Communication Techniques > Flashcards

Flashcards in Communication Techniques Deck (22):
1

Patterns of Communication used by Midwives

- 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.

2

Effective Communication Allows

- Better data collection
- Initiation of interventions
- Evaluation of outcomes
- Initiation of change
- Reduction/prevention of legal ramifications

3

Communication - The importance of listening

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

4

Effective Listening

- Reception
- Perception
- Interpretation
- Sustained Concentration
- Astute observation
- Use of senses
- Attending

5

SOLER

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

6

Benefits for the patient

- Conveys respect and acceptance
- Reinforces patient worth
- Feel valued
- Feel that their feelings are validated

7

Benefits for the Midwife

- Receive information
- Gather data
- Gain deeper levels of understanding
- Plan appropriate care (effective clinical decision making)

8

Silence

- Not interrupting is a sign of respect and interest
- Can be helpful
- Know when not to use it

9

Observing

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

10

Negative symbols/Body language

- 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

11

Effective Communication

- Types of questions - open, focused, closed, secondary
- Active Listening

12

Types of Questions

- 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

13

Active Listening

- 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

14

Therapeutic Communication

- 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

15

Response Categories

- Advising and evaluating
- Analysing and interpreting
- Reassuring and supporting
- Questioning and probing
- Paraphrasing and understanding

16

Paraphrasing

- Crucial to understanding
- Acknowledges what has been said
- Confirms accuracy of understanding
- Prevents misunderstanding

17

Clarification

- 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

Reflecting feelings

- Mirrors the feeling express by the patient
- Verbalises what the patient has implied

19

Summarising

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

20

Good Clinical Conversations

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

Closing the Interview

- Allow patient to finish all they need to say
- Thank them for time and cooperation
- Any further questions

22

Extra Techniques

- Expressing empathy
- Prompting
- Instructing
- Focusing
- Confronting
- Touch
- Probing using appropriate questions