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Effective Communication

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When I had first met Jean Dominic, Argyle’s theory of the communication cycle was a very useful communicating with him as I am the person who is a encoder I am the first person talking and Jean-Do is the decoder as he is the one who is listening to me. Throughout the conversation these roles will always be put in place. Once I have asked Jean-Do a question he the decodes the message to give me an answer and observing the reaction in the way that I am speaking and translate it in a way that he is able to understand.
Jean-Do has locked-in syndrome means that he is unable to talk at all; this is a barrier in effective communication. This means that after looking at the responses that he gave me and observing his reactions to my words I had to use another strategy in being able to communicate with him effectively. One of the techniques I was able to use I used was asking him closed questions that only required a yes or no answer, this was effective for him because he was replying with two blinks if yes and one blink if no. this was easier for me to understand how he is feeling and ask the important question I needed to get from him with no hassles or barriers. I had an idea of what he was talking

B) Effective communication is also important in helping, treating and meeting patients ‘needs. In addition, effective communications can also allow the career (doctor and nurse) to get a detailed diagnosis of the abnormality that the patient is suffering from. This will the allow treatments to commence as soon as possible and the patient can get better faster. The faster the diagnosis, the chance if the illnesses escalating will be slim. For example, if a patient told the doctor that they have been coughing for 2 weeks and spitting blood, the doctor will know the exact tests to running order to find out what is actually happening to the patient. Once the illness is investigated treatments can resume straight away and the patient will not be at risk of the illness getting worse.
There are many strategies that help to overcome barriers to have an effective communication with patients. Simple strategies are generally used with simple barriers but more complex barriers require more complex approaches.

Speaking loudly and clearly is an example of a simple strategy. This is a simple strategy because it can be used in specific cases of barriers in effective communication, such as hearing disabilities. Speaking loudly and clearly allows the patient (decoder) to clearly understand what has been said so that a response can be given. Also it allows the conversation to flow much easier and accurate answers can be given. However, speaking loudly and clearly can be patronising as the patients may feel belittled and disrespected. Also it can affect confidentiality as people from other rooms or walking pass can potential hear what is being said.

In addition, sitting close to the patient is a simple strategy because it is easy to do and is very effective. This strategy can also be used for deaf people as sitting close to them will give of a welcoming vibe and making them feel more comfortable disclosing personal information. Not only this, it will show the patient that the service professional is listening and paying attention to them which will urge them to open up more. However, sitting close to a patient may affect their personal space policies because the patient may feel a bit uncomfortable and intimidated. The patient may not like people in their personal space and this can cause a negative outcome such as an argument or the patient not talking at all as they feel intimidated.

On the other hand, complex strategies are used for complex situations. For example, if a patient is arguing with the service professional or telling the family sad news. One example of a complex is supportive skill. These skills create a sense of emotional safety for patients and it was first identified by Carl Rogers (1902-1987). Supportive skills in include body language (nodding, smiling and facing the patient), eye contact reflective listening, warmth, empathy and sincerity.

Warmth (also known as acceptance) towards the patients permits them to full not judge and threatened also it allows them to feel accepting. In addition, this shows that patient that the service professional is willing to listen to their problems and help them. This also links on to reflecting on what they have said. Repeating what the patient said in a different way even if you disagree with the statement, it allows them to feel safe to express their own feelings and this allows the service professional to understand them on a better. A disadvantage of this supportive skill is that the patient my feel reluctant to open up as they feel embarrassed.
In addition, sincerity (also known as genuineness) shows the patient that you are a real Person and not just a Nurse or doctor; it allows them to see that you are genuine and honest and this allows the service professionals to understand people rather than just giving advice. Not only can this, sharing life experiences or situations similar to their problems help them as they can use it as an example to know how to tackle the situation. Also this allows that patient and the doctor or nurse to connect with each other. However, this supportive skill has disadvantages such as the patient may feel that the nurse or doctor is only talking about themselves and not helping them at all. Also the service professionals may not want to share their life experiences as they may not trust the patient.

Moreover, empathy fuels connection with the patient and the Nurse or Doctor because it allows them to connect on a deeper level as they would share a similar emotion depending on the similar experience they both shared. This can be a vulnerable choice to allow you to feel that painful emotion again in order to connect with the patient. This can sometimes be a disadvantage because some service provider or even patients may not want to disclose or be vulnerable to someone that they have just met. In addition, it can be hard to put yourself into somebody’s shoes if you haven’t experienced something similar to them and they could affect the effectiveness of the help given.

Furthermore, it is easy to have an emotional and rational response in a situation. Fear us an emotion that we experience when being stressed, as its easy to give in to and this can lead to be either submissive or aggressive. Unfortunately, this response will not solve anything, thus its important to be assertive. Assertion, involves mental attitudes that help problems rather then giving into impulses. This strategy is effective as it ensures that the patient will not take advantage of you or try to persuade you negatively. However, there are some disadvantages. At times its possible for the service professional to come across as cold and sympathetic. Also its difficult to use assertion if you have no experience because the patients may still take advantage as they may not take you seriously. Assertion should only be used on people who are too dependent or aggressive patients. In addition, if the doctor feels that a child should have a surgery that will be beneficial to them the doctor must be assertive in order to make sure the surgery is carried though. This strategy shouldn’t be used in sensitive and vulnerable situations as the patient may be too emotional, thus supportive skills would be the better strategy to use.

Additionally, negotiation skills are complex strategies that are used for complex approaches. There are steps to follow in order to make sure that negotiations are successful.

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