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active listening
The process of hearing what others are saying with a sense of seriousness and discrimination
conflict
An experience in which there is simultaneous arousal of two or
more incompatible motives
filtration
unconscious exclusion of extraneous stimuli
information
the data that are meaningful and alter the receiver's understanding
interpretation
receiver's understanding of the meaning of the communication
negative communication
behaviors that block or impair effective communication
perception
the manner in which one sees reality
positive communication
behaviors that enhance effective communication
communication
complex process that can easily lead to misunderstandings
why is understanding communication required?
to interact professionally with patients, families, peers, managers, student nurses, physicians, other members of the interdisciplinary team, and the public
verbal communication
spoken word
Factors that influence meaning of speech
Same words can have several meanings
Tone or inflection affects meaning
True meaning of a statement may be contained in the emphasis placed on a specific word
attitude
Involves a predisposition or tendency to respond in one way or another
what is more meaningful than the actual words spoken?
Attitude that accompanies a verbal interaction
nonverbal communication
positive and negative body language
possible body language
Open and relaxed posture, maintaining eye contact and smiling
Using inviting hand gestures and nodding to show engagement
Mirroring the other person's body language to establish rapport
Displaying confident body language and purposeful movement
Pleasant, polite, and warm voice
negative body language
Closed-off posture, avoiding eye contact, and displaying tense facial expressions
Fidgeting, excessive movements, and defensive body language
Aggressive gestures, rolling eyes, and signs of impatience
Distancing oneself physically using negative verbal cues
Loud, abusive, threatening voice
positive communication techniques
Openness
Empathy
Supportiveness
Positiveness
Equality
Developing trust - keeping promises
Using "I" messages
Expressing empathy
Do's and Dont's of therapeutic communication
why should the sender ask for feedback?
to be certain the receiver is correctly interpreting what is being said
when should the receiver stop the sender?
any time the message becomes unclear and provide feedback regularly
assertive communication
healthiest form of communication
pronounce their basic rights without violating the rights of others
includes active listening and reflective feedback so that other individuals recognize that their opinions are valued as the assertive communicator seeks to find an acceptable solution without compromising his or her own needs
aggressive communication
make decisions for themselves and others with the intent of always coming out "the winner."
want their needs met exclusively and immediately, using guilt, hurt, anger, and a repertoire of other manipulation tools
passive communication
the polar opposite of aggressive communicators
allow others to make decisions for them in the hope of avoiding confrontation or difficult situations
they're dishonest because they would rather succumb than state their true feelings or needs
closed communication styles
⬤ Asking yes/no questions
⬤ Making inquiries or statements that require single-word answers and limit the response
⬤ Crossing arms, hands on the hips
⬤ Avoiding eye contact
⬤ Turning away or moving away from the individual
negative communication techniques
Name calling
Diverting
Grilling
Fixing
Judging
Preaching
Reassuring
Diagnosing
electronic health record
Absolute accuracy is paramount when one is recording in the legal document (medical record)
Every effort should be made to report concisely
written communication
e-mail, text messages, attachments, chats
what do you need to beware of with written communication?
communication via computer can often be retrieved even after it has been deleted
conflict is created...
intentionally
why may conflict occur?
lack of awareness of how our own behavior contributes to interpersonal problems
steps to resolve conflict
Recognize one's own conflict resolution style
Engage in active listening
All people involved must view their conflict as a problem to be solved mutually
causes of conflict
ineffective communication
unclear expectations of team members in their various roles
poorly defined or actualized organizational structure
conflicts of interest and variance in standards
incompatibility of individuals
management or staffing changes
diversity related to age, gender, race, or ethnicity
categories of conflict
intrapersonal
interpersonal
intergroup
intrapersonal conflict
occurs within the person and can involve internal struggle related to contradictory values or wants
interpersonal conflict
occurs when two or more people with differing values, goals, or beliefs
what is a form of interpersonal conflict?
bullying and incivility
what does interpersonal conflict contribute to?
burnout and work-related stress
intergroup conflict
occurs between two or more groups of individuals, departments, or organizations and can be caused by a new policy or procedure, a change in leadership, or a change in organizational structure
stages of conflict
latent conflict
perceived conflict
felt conflict
manifest conflict
conflict aftermath
stage 1: latent conflict
the actual conflict has not yet developed; however, factors are present that have a high likelihood of causing conflict to occur
stage 2: perceived conflict
a party perceives that a problem is present though an actual conflict might not actually exist
stage 3: felt conflict
those involved begin to feel an emotional response to the conflict
stage 4: manifest conflict
the parties involved are aware of the conflict and action is taken. actions as this stage can be positive and strive towards conflict resolution, or they can negative and include debating, competing, or withdrawal of one or more parties from the situation
stage 5: conflict aftermath
the completion of the conflict process and can positive or negative
conflict resolution styles
avoidance, accommodation, force, compromise, collaboration
avoidance
one person uses passive behaviors and withdraws from the conflict; neither person is able to pursue goals
accomodation
one person puts aside his/her goals in order to satisfy the other person's desires
force
one person achieves his/her own goals at the expense of the other person
compromise
both people give up something to experience partial goal attainment
collaboration
both people actively try to find solutions that will satisfy them both
what should you do when the conversation is escalating?
move to a private location
problem solving strategies
Speak in a normal tone of voice
Use "I" messages
Maintain eye contact throughout
Maintain an open body stance with your hands at your side or open toward the individual (but not invading the other person's space)
Do not physically back away unless you perceive you are actually in physical danger
Offer explanations, but do not make excuses
If you say you will take care of something, or report something, or change something, do it
Negotiation