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NUR301 Unit 3

Concept 41: Communication

Communication is a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states.
Spoken communication gestures, facial expressions, and body movements
Written communication abbreviations, medical terminology, and spelling errors
Scope of communication The scope ranges from effective communication to no communication. ( Effective communication <- ineffective communication -> absence of communication )
Three primary categories of communication linguistic communication, paralinguistic communication, and metacommunication
Linguistic communication spoken words or written symbols
Paralinguistic communication nonverbal messages (e.g., gestures, eye contact, facial expressions)
Metacommunication context of the message
Communication process interpretation affected by perceptions, linguistics, paralinguistics, context and feedback
Complementary exchange: in each exchange, each participant is, in turn, either a sender or a receiver.
Complementary exchange: As each transmission is completed, the receiver perceives the message, interprets the symbols, and responds again using symbols.
Communication context: Context is important to the quality of meaning derived by participants during the process of complementary exchange.
Communication context: characteristics of the environment, internal mood states, mental and physical conditions, experience and education, environment, and culture.
Communication Context: Hierarchical relationships- relationships ALWAYS affect the communication process.
In hierarchical relationships, power and status affect communication between participants.
Communication is a learned skill acquired over time.
Unique communication patterns with the health care environment: medical terminology or professional language, health care, culture, communicating with patients, communicating with other nurses, communicating across the health care team, evolving mechanisms for communication.
Communication competence means that communication by the nurse is effective and appropriate.
Communication competence includes skills for communicating clearly and accurately with the patient and family, other nurses, and other members of the health care team.
Communication competence evolves with experience and professional development throughout a nursing career.
In the U.S. health care system, an estimated 98,000 medical errors occur each year that lead to patient injury and death.
Communication is a frequently cited cause of errors in the delivery of health care.
SBAR: one effective communication technique
Electronic Health Record accurate and timely documentation in the patient record.
EHR is an important source of information and a major means of communication between members of the team; legal document; evidence of provider's actions.
Advocacy speaking up for patients to ensure that health needs are met is an expectation within the scope of professional nursing practice.
Advocacy is the ability to speak assertively, credibly, and authoritatively is a highly valued communication skill critical for effective advocacy
Interrelated concepts of communication: listening, culture, critical thinking, care coordination, collaboration
Exemplars of communication: therapeutic communication, interprofessional communication, intrapersonal communication
Therapeutic communication: interviewing, patient and family instructions and teaching, conflict management, effective listening
Interprofessional communication: SBAR, documentation, reporting to other staff members, effective listening
Intrapersonal communication: self-talk
Created by: katelynreid