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Communication - eBook

Communication - eBook

Gjyn O'Toole

(2016)

Additional Information

Book Details

Abstract

The third edition of Communication: Core Interpersonal Skills for Health Professionals is an essential guide to clear and effective communication in a multidisciplinary healthcare setting.

Divided into four sections, the title takes the reader on a journey of reflection upon personal communication styles and habits. Essential communication strategies and skills are reviewed to rebuild and enhance future practice. The fully revised third edition by Gjyn O'Toole will appeal to the health student and practitioner seeking to improve communication style and practice in an increasingly complex healthcare environment.

  • Individual and group activities integrated throughout, designed to promote communication skill, reflection and awareness
  • Key communication challenges addressed – conflict, cultural variations, misunderstandings, ethical issues, communicating over distances, written documentation and electronic forms of communication including social networking sites
  • Updated online evolve resources for lecturers and students at evolve.elsevier.com
  • Updated illustrations
  • New chapter focusing solely on electronic communication – the advantages and disadvantages plus strategies for appropriate use of social media
  • New chapter exploring the importance of ‘one way’ documentation, professional writing and conduct
  • New scenarios and activities – 49 scenarios present realistic situations and individuals that health professionals encounter, encouraging the reader to actively explore circumstances and needs

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Communication i
Copyright Page iv
Table Of Contents v
How to use this book xi
Reviewers xii
Preface xiii
Acknowledgements xiv
1 The Significance of Effective Interpersonal Communication in the Health Professional 1
1 Effective communication for health professionals 2
Chapter objectives 2
Why learn how to communicate? Everyone can communicate! 2
A guiding principle 3
Factors to consider when defining effective communication 3
Mutual understanding 3
A common understanding of words 5
Factors external to the sender and receiver 5
Factors specific to the sender 5
Factors specific to the receivers or ‘audience’ 6
Chapter summary 7
References 8
2 The overarching goal of communication for health professionals 10
Chapter objectives 10
A model demonstrating the importance of communication 10
Official expectations for effective communication 11
A model to guide the general purpose of communication for the health professions 12
Mutual understanding 13
Respect 13
Empathy 13
Developing trust 15
A therapeutic relationship 16
Family/Person-centred goals and practice 16
Chapter summary 18
References 18
3 The specific goals of communication for health professionals 21
Chapter objectives 21
Making verbal introductions 22
Introducing oneself and the associated role 23
Introducing the unfamiliar environment 24
Providing information: a two-way process 25
Providing constructive feedback 27
Criteria for providing useful and constructive feedback 28
Chapter summary 28
Review questions 29
References 30
4 The specific goals of communication for health professionals 33
Chapter objectives 33
Interviewing and questioning to gather information 33
Questioning: the tool 34
Why use questions? 34
Types of questions and the information they gather 34
Closed questions 34
Open questions 36
Questions that probe 36
Questions that clarify 36
Questions that ‘lead’ 37
Comforting: encouraging versus discouraging 37
Characteristics of encouragement and discouragement 38
Confronting unhelpful attitudes or beliefs 40
Chapter summary 42
Review questions 43
References 45
2 Achieving Effective Communication by Developing Awareness within the Health Professional 47
5 Awareness of and need for reflective practice 48
Chapter objectives 48
The ‘what’ of reflection: a definition 49
The ‘why’ of reflection: reasons for reflecting 50
Reflection upon barriers to experiencing, accepting and resolving negative emotions 52
The ‘how’ of reflection: models of reflection 55
The result of reflection: achieving self-awareness 58
Chapter summary 58
Review questions 59
References 60
6 Awareness of self 64
Chapter objectives 64
Self-awareness: an essential requirement 64
The benefits of achieving self-awareness 65
Beginning the journey of self-awareness 65
Individual values 66
Is a health profession an appropriate choice? 67
Values of a health professional 67
Characteristics and abilities that enhance the practice of a health professional 68
Personal unconscious needs 69
Conflict between values and needs 71
Perfectionism as a value 71
Self-awareness of personal communication skills 72
Self-awareness of skills for effective listening 73
Self-awareness of skills for effective speaking 73
Personality and resultant communicative behaviours 74
Chapter summary 75
Review questions 76
References 77
7 Awareness of how personal assumptions affect communication 80
Chapter objectives 80
Reasons to avoid stereotypical judgment when communicating 81
Stereotypical judgment relating to roles 82
Expectations of a health professional 82
Developing attitudes that avoid stereotypical judgment 84
Overcoming the power imbalance: ways to demonstrate equality in a relationship 86
Chapter summary 87
Review questions 87
References 89
8 Awareness of the ‘Person/s’ 92
Chapter objectives 92
Who is the Person/s? 92
Relevant information about the Person/s 92
Defining the whole ‘Person’ 93
Physical aspects of the Person 95
Sexual aspects of the Person 95
Emotional aspects of the Person 96
Validation 96
Clarification within validation 97
Cognitive aspects of the Person 99
Social needs of the Person 101
Spiritual needs of the Person 102
Chapter summary 103
Review questions 104
References 105
9 Awareness of the effects of non-verbal communication 108
Chapter objectives 108
The significance of non-verbal communication 109
The benefits of non-verbal communication 110
The effects of non-verbal communication 110
The components of non-verbal communication 110
Environment 110
Body language 111
Facial expression 111
Eye contact 112
Gesture 112
Personal space or proximity 112
Suprasegmentals: prosodic features of the voice 113
Volume 113
Pitch 113
Rate 113
Suprasegmentals: paralinguistic features of the voice 114
Emphasis 114
Pauses 114
Tone 115
Communicating with the Person/s who has limited verbal communication skills 116
Chapter summary 117
Review questions 118
References 120
10 Awareness of listening to facilitate Person/s-centred communication 123
Chapter objectives 123
Defining effective listening 124
Requirements of effective listening 124
Results of effective listening 125
Benefits of effective listening 125
Barriers to effective listening 126
Reasons for the use of barriers to listening 128
Preparing to listen 129
Cultural expectations change the requirements for effective listening 129
Characteristics of effective listening 130
Disengagement 131
Chapter summary 132
Review questions 133
References 134
11 Awareness of different environments that can affect communication 137
Chapter objectives 137
The physical environment 138
Physical appearance: dress and odour 138
Familiarity with the physical environment and the usual procedures of the health service 139
Person/s seeking assistance 139
Health professional 139
Rooms 140
Furniture placement and physical comfort 140
Waiting rooms 140
Treatment rooms and rooms with beds 140
Avoiding distractions and interruptions 141
Temperature 141
The physical status of the Person/s in particular environments 142
The emotional environment 142
Formal versus informal environments 142
Emotional responses to environmental demands 143
Emotional responses to the immediate environment 143
Emotional responses to an external environment 143
The cultural environment 145
Personal space 145
Colour 145
Time 145
Understanding cultural differences 146
Environments affecting sexuality 146
The social environment 147
Family 147
Pets 147
Friends, neighbours, interest groups and sporting teams 147
Institutional social environment 147
The spiritual environment 148
Chapter summary 149
Review questions 150
References 151
3 Managing Realities of Communication as A Health Professional 154
12 Holistic communication resulting in holistic care 155
Chapter objectives 155
Holistic communication 155
An essential criterion in holistic communication: Respect 156
Defining respect 157
Demonstrating respect 157
Cultural expectations 158
Using names as a sign of respect 158
Confidentiality demonstrates respect 158
Another essential criterion in holistic communication: Empathy 159
The importance and result of empathy for the seeker of assistance 160
The use of touch with or without empathy 161
Silence to comfort 162
Holistic care 163
Holistic care includes consideration of context 164
The requirements of holistic care 164
Chapter summary 166
Review questions 167
References 168
13 Conflict and communication 172
Chapter objectives 172
Conflict during communication 173
Causes of conflict 173
Identifying emotions during conflict 173
Choosing to ignore 174
Resolving negative attitudes and emotions towards another 174
Patterns of relating during conflict 175
Passive 176
Aggressive 176
Passive-aggressive 176
Assertive 177
Bullying 177
Communicating assertively 178
Chapter summary 180
Review questions 181
References 182
14 Culturally congruent communication 185
Chapter objectives 185
Introduction 185
Defining culture 186
Cultural identity affecting culturally congruent communication 186
Defining culturally congruent communication 187
Cultural safety 187
Why consider cultural differences? 188
A model of culturally congruent communication 189
Language 190
Understanding context 191
Ethnocentricity 191
Managing personal cultural assumptions and expectations 193
Strategies for achieving culturally congruent communication 194
Critical self-awareness 194
Personal commitment to understanding differences 194
Exposure and learning 195
Investment of time to negotiate meaning and ensure understanding 195
Anticipation of difficulties 195
Using an interpreter 196
Essential steps when using an interpreter 196
The culture of each health profession 197
The culture of disease or ill-health 198
Chapter summary 198
Review questions 199
References 200
15 Communicating with Indigenous Peoples 205
Chapter objectives 205
Correct use of terms 205
The 4 Rs for reconciliation: Remember, Reflect, Recognise, Respond 206
Remember 206
Reflect 206
Recognise 207
Respond 207
The complexity of cultural identity 207
Principles of practice for health professionals when working with Indigenous Peoples 209
Creating culturally effective interactions and cultural safety for Indigenous Peoples 209
The importance of history 211
Pre-contact history 211
Post-contact history 211
Other factors 212
Factors contributing to culturally congruent communication with Indigenous Peoples 215
Barriers to culturally responsive or congruent communication 218
Chapter summary 218
Review questions 219
References 222
Further Reading 224
Websites and Organisations 225
16 Misunderstandings and communication 226
Chapter objectives 226
Communication that produces misunderstandings 226
Factors affecting mutual understanding 227
Causes of misunderstandings 228
Attitudes 229
Emotions 229
Relevance of context to determine meaning 229
Expectations of styles of communication 230
Expectations of the event or procedure 231
Expectations governed by cultural norms 231
Strategies to avoid misunderstandings 232
Reducing the incidence of misunderstandings 232
Resolving misunderstandings 233
Steps to resolving misunderstandings 234
Chapter summary 234
Review questions 235
References 237
17 Ethical communication 239
Chapter objectives 239
Respect regardless of differences 240
Honesty 240
Clarification of expectations 241
Consent 242
Agreement about information 242
Informed consent 242
Confidentiality 243
Protecting shared information 243
Protecting information as an ethical responsibility 243
Protecting the health professional 244
Protecting the Person/s from gossip 244
Boundaries 244
Roles 244
Relationships 245
Self-disclosure 245
Over-identification 246
Ethical codes of behaviour and conduct 246
Chapter summary 246
Review questions 247
References 249
Further reading 251
Useful websites 252
18 Providing healthcare by long-distance or remote communication 253
Chapter objectives 253
Characteristics of remote forms of communication for the health professional 254
Principles that govern professional remote communication 256
Electronic records 256
Telephones 257
Strategies for using a telephone 257
Answering a call 257
Making a call 257
Strategies for using short messaging service (SMS) 258
Strategies for using an answering service or voicemail 258
Video/teleconferencing or using Skype 259
Benefits 259
Strategies for using video/teleconferencing 260
The internet 260
Email 260
Search engines 261
Online collaboration tools 262
Professional chat rooms and wiki spaces 262
Chapter summary 262
Review questions 263
References 265
19 Documentation 267
Chapter objectives 267
Documentation: information recording and provision 268
Quality, understandable documentation 268
Documentation requirements in the health professions 269
Step 1: Consider the purpose 269
Step 2: Consider the audience 269
Step 3: Consider ethical requirements 269
Step 4: Consider content and organisation 270
Step 5: Consider professional style 270
Characteristics of a professional writing style 271
1. The use of formal expression and word choice 271
2. Creating a cohesive document 273
3. Sentence structure 273
4. Abbreviations 276
5. Punctuation 277
Report or letter writing: formatting and content 277
Points to remember 278
Chapter summary 278
Review questions 279
References 282
20 Electronic or absent-audience communication 285
Chapter objectives 285
Social networking sites 286
Cyberbullying 289
Other factors relating to the use of social media 290
Netiquette: a mnemonic to guide personal electronic communication 292
Professional communication using social media 292
Chapter summary 294
Review questions 294
References 296
Websites relating to policies for use of social media 299
4 Scenarios to Guide Communication: Opportunities to Practise Communicating Effectively with ‘The Person/s’ 300
4 Scenarios to Guide Communication: Opportunities to Practise Communicating Effectively with ‘the Person/s’ 301
Introduction 301
One possible session outline – role-plays 301
Alternative session outline – small-group discussions 303
21 Person/s experiencing strong negative emotions 304
Chapter objective 304
Person/s behaving aggressively 305
Definition of aggression 305
Individuals most susceptible to behaving aggressively 305
Possible reasons for aggression 305
Possible behaviours related to aggression 306
Principles for effective communication with a Person/s behaving aggressively 306
Strategies for communicating with a Person/s behaving aggressively 306
Person/s experiencing extreme distress 307
Definition of extreme distress 307
Individuals most susceptible to extreme distress 308
Possible reasons for extreme distress 308
Possible behaviours related to extreme distress 308
Principles for effective communication with a Person/s experiencing extreme distress 308
Strategies for communicating with a Person/s experiencing extreme distress 308
Person/s experiencing depression 310
Interesting facts 310
Definition of depression 310
Individuals most susceptible to feelings of depression 310
Possible reasons for feelings of depression 310
Possible behaviours related to feelings of depression 310
Principles for effective communication with a Person/s experiencing depression 311
Strategies for communicating with a Person/s experiencing depression 311
Person/s reluctant to engage or be involved in communication or intervention 312
Definition of reluctance to engage 312
Individuals most susceptible to feeling reluctant to engage 312
Possible reasons for reluctance to engage 313
Possible behaviours related to feeling reluctant to engage 313
Principles for effective communication with a Person/s reluctant to engage 313
Strategies for communicating with a Person/s reluctant to engage 314
22 Person/s in particular stages of the lifespan 316
Chapter objective 316
A child 317
Definition of a child 317
Children most susceptible to experiencing difficulties when attending a health service 317
Possible emotions a child might experience when attending a health service 317
Possible reasons for these emotions 317
Possible behaviours related to being a child 318
Principles for effective communication with a child 318
Strategies for communicating with a child 318
An adolescent 320
Definition of an adolescent 320
Adolescents most susceptible to experiencing difficulties when attending a health service 320
Possible emotions an adolescent might experience 321
Possible reasons for these emotions 321
Possible behaviours related to being an adolescent 321
Principles for effective communication with an adolescent 321
Strategies for communicating with an adolescent 322
An adult 323
Definition of an adult 323
Adults most susceptible to experiencing difficulties when attending a health service 324
Possible emotions an adult might experience when relating to a health professional 324
Possible reasons for these emotions 324
Principles for effective communication with an adult 324
Strategies for communicating with an adult 324
A person who is older 326
Definition of a person who is older 326
An older person most susceptible to experiencing difficulties when attending a health service 326
Possible emotions an older person might experience 326
Possible reasons for these emotions 327
Possible behaviours related to being an older person 327
Principles for effective communication with an older person 327
Strategies for communicating with an older person 328
23 Person/s fulfilling particular life roles 329
Chapter objective 329
Person/s fulfilling the role of carer 330
Definition of a carer 330
Possible emotions a carer might experience 330
Possible reasons for these emotions 330
Possible behaviours related to being a carer 330
Principles for effective communication with a carer 331
Strategies for communicating with a carer 331
Person/s fulfilling the role of a colleague 332
Definition of a colleague in the health professions 332
Attitudes and/or behaviours expected of a health professional 332
Attitudes and/or behaviours not expected of a health professional 332
Possible emotions a colleague might experience 333
Possible reasons for these emotions 333
Principles for effective communication with a colleague 333
Strategies for communicating with a colleague 333
Person/s fulfilling the role of parent to a child requiring assistance 334
Definition of a parent 335
Parents in situations most susceptible to experiencing difficulties when attending a health service 335
Possible emotions such a parent might experience 335
Possible reasons for these emotions 335
Possible behaviours related to being a parent with such a child 336
Principles for effective communication with a parent in this situation 336
Strategies for communicating with a parent in this situation 336
Person/s fulfilling the role of single parent to a child requiring assistance 337
Definition of a single parent 338
Characteristics single parents may expect of themselves 338
Possible emotions a single parent might experience 338
Possible reasons for these emotions 338
Principles for effective communication with a single parent in this situation 339
Strategies for communicating with a single parent with a child requiring assistance 339
Person/s fulfilling the role of a student 340
Definition of a student in the health professions 340
Possible emotions a student might experience 341
Possible reasons for these emotions 341
Possible behaviours related to being a student 341
Principles for effective communication with a student 341
Strategies for communicating with a student 342
Groups in the health professions 343
Types of groups offered in health services 343
Stages of group growth 344
Emotions typically experienced in a group 345
Overall group aims 345
Events of specific group sessions and associated emotions 345
Group norms: expectations of group behaviour 346
Principles for effective communication within groups 346
Strategies for communicating as a group leader 346
References 347
24 Person/s experiencing particular conditions 348
Chapter objective 348
Person/s experiencing post-traumatic stress disorder (PTSD) and complex PTSD 349
Definition of PTSD 349
Susceptibility to PTSD 349
Possible emotions a Person/s with PTSD might experience 349
Possible reasons for these emotions 350
Possible behaviours typical of a Person/s with PTSD 350
Principles for effective communication with a Person/s experiencing PTSD 350
Strategies for communicating with a Person/s experiencing PTSD 351
Person/s with decreased cognitive function 352
Definition of decreased cognitive function 353
Individuals with decreased cognitive function most susceptible to experiencing difficulty when relating to a health professional 353
Possible emotions a Person/s with decreased cognitive function might experience 353
Possible behaviours related to being a Person/s with decreased cognitive function 354
Principles for effective communication with a Person/s with decreased cognitive function 354
Strategies for communicating with a Person/s with decreased cognitive function 354
Person/s experiencing a life-limiting illness and their family 355
Facts about people who know they are dying and their families 355
Core values of Palliative Care Australia (www.palliativecare.org.au) 356
Definition of a life-limiting illness 356
Possible emotions a Person/s experiencing a life-limiting illness, their family members and friends might experience 357
Possible behaviours a Person/s experiencing a life-limiting illness might exhibit 358
Principles for effective communication with a Person/s experiencing a life-limiting illness, their family members and friends 358
Strategies for communicating with a person experiencing a life-limiting illness or with their family and friends 358
Person/s experiencing a mental illness 359
Definition of a mental illness 359
Individuals most susceptible to experiencing a mental illness 360
Individuals with a mental illness most susceptible to experiencing difficulty when relating to a health professional 360
Possible emotions a Person/s with a mental illness might experience 360
Possible behaviours related to a Person/s experiencing a mental illness 360
Principles for effective communication with a Person/s experiencing a mental illness 361
Strategies for communicating with a Person/s experiencing a mental illness 361
Person/s experiencing long-term (chronic) and/or multiple physical conditions 363
Definition of long-term or multiple physical conditions/comorbidity 363
Susceptibility to acquiring long-term or multiple physical conditions 363
Individuals with long-term or multiple physical conditions most susceptible to experiencing difficulty when relating to a health professional 363
Possible emotions a Person/s with long-term or multiple physical conditions might experience 363
Possible reasons for these emotions 364
Possible behaviours typical of a Person/s with long-term conditions or comorbidities 364
Principles for effective communication with a Person/s experiencing long-term or multiple conditions 364
Strategies for communicating with a Person/s experiencing long-term or multiple physical conditions 364
Person/s experiencing a hearing impairment 366
Definition of a hearing impairment 366
Individuals most susceptible to a hearing impairment 366
Possible emotions a Person/s with a hearing impairment might experience 367
Possible reasons for these emotions 367
Principles for effective communication with a Person/s experiencing a hearing impairment 367
Possible behaviours typical of a Person/s experiencing a hearing impairment 368
Strategies for communicating with a Person/s experiencing a hearing impairment 368
Person/s experiencing a visual impairment 369
Definition of a visual impairment 369
Individuals most susceptible to a visual impairment 370
Possible emotions a Person/s experiencing a visual impairment might experience 370
Possible reasons for these emotions 371
Possible behaviours related to a Person/s experiencing a visual impairment 371
Principles for effective communication with a Person/s experiencing a visual impairment 372
Strategies for communicating with a Person/s experiencing a visual impairment 372
References 373
25 Person/s in particular contexts 374
Chapter objective 374
A Person/s who experiences an emergency 375
Definition of a person who experiences an emergency 375
Behaviours related to being a person who experiences an emergency 375
Individuals most susceptible to emergencies 375
Possible emotions a person who experiences an emergency might experience 375
Principles for effective communication with a person who experiences an emergency 375
Strategies for communicating with a person who experiences an emergency 376
Role-plays 376
A Person/s who experiences domestic abuse 377
Definition of domestic abuse 377
Behaviours related to being a Person/s who experiences domestic abuse 378
Possible emotions a Person/s who experiences domestic abuse might experience 378
Possible reasons for these emotions 379
Principles for effective communication with a Person/s who experiences domestic abuse 379
Strategies for communicating with a Person/s who experiences domestic abuse 379
A Person/s who speaks a different language to the health professional 381
Definition of a person who speaks a different language to the health professional 381
Behaviours related to being a person who speaks a different language to the health professional 381
Possible emotions a person who speaks a different language to the health professional might experience 381
Possible reasons for these emotions 381
Principles for effective communication with a person who speaks a different language to the health professional 382
Strategies for communicating with a person who speaks a different language to the health professional 382
Role-plays 382
Glossary 384
Index 390
A 390
B 391
C 391
D 394
E 395
F 397
G 398
H 398
I 399
J 400
K 400
L 400
M 401
N 402
O 402
P 402
Q 404
R 404
S 405
T 407
U 407
V 408
W 408
Y 408