Giddens Concept 43 - Communication

Message

content of the communication

Channels

means of conveying and receiving messages

Feedback

message the receiver returns

Referent

motivates one person to communicate with another - can be internal or external

assertive communication

positive and negative ideas and feelings are expressed in an open and direct way

communication

process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states

What always affects the communication process?

relationships

the process of sending a message

sender encodes the message ➡ message is transmitted➡ receiver decodes and interprets the message

What do studies of language acquisition show among infants and toddlers?

that they receive cues about meaning from facial expressions of their caregivers during verbal interactions

sentinel events

unusually serious, unexpected events that occur during episodes of care (ex) wrong site surgery, adverse drug events, patient falls, are not only a result of harm to the patient but also read to increase health care costs #1 cause is due to communication issues Lessened with standardized communication like SBAR

communication competence

- Communication is effective & appropriate - Clear, concrete, courteous, and complete. - Voice concerns and advocate - Evolves with experience

Types of communication

- Verbal - Non-Verbal - Symbolic - Meta-communication

exemplars of communication

-assertive communication -therapeutic communication -intra-personal communication (self-talk) -inter-personal communication -inter professional communication -hand-off/ reporting -documentation - EHR

interrelated concepts of communication

-collaboration -care coordination -safety -culture -health care quality

hand-off/Report

-nurses communicate with one another via end-of-shift or end-of-day report -this is the process of the nurse-to-nurse communication in which the patient data are shared between shifts and other points of transition, with the primary intent of ensuring accuracy and the continuity of care

intra-personal communication

-self talk -can be positive and helpful to the person -or it can be negative and self destructive

Symbolic Communication

Adds to what is understood by incorporating art and music to enhance meaning

therapeutic communication is defined as

Collaboration with patients to promote understanding relationships and participation, leading to positive healthcare outcomes.

Meta-communication

Factors that comprise the context of the message. Internal personal states (e.g., disturbances in mood) Experience / education Environmental stimuli related to the setting of the communication Contextual variables (e.g., the relationship between the people in the communication episode).

interpersonal communication

Verbal and non-verbal communication between people. Romantic, healthcare, family Connection with others.

Is silence considered a form of communication? Yes or No?

Yes. Silence is considered a form of communication in the sense that some messages may be eloquently expressed when one or more persons in the communication exchange choose to either withhold messages or to avoid the interaction

Process for Complementary Exchange

Between people Participants are senders or recievers (usually both) In the act of communication, the reception and transmission of messages between participants is dynamic, cyclic, reciprocal, and interactive, where dialogue serves to support the creation of shared meaning The sender encodes a message using symbols (both verbal and nonverbal) and transmits the created message to the receiver. As each transmission is completed, the receiver perceives the message, interprets the symbols, and then responds with another act of encoding and transmission of a response to the sender.

Sender and Receiver

One who encodes and one who decodes the message