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Effective Communication Skills

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69 views25 pages

Effective Communication Skills

Uploaded by

latha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Effective Communication Skills

Introduction
● Patients with SUD often has complex presentation
● Communication failure can sabotage any opportunity
● High quality communication = Accurate empathy
(not #empathy) is basis for effective communication
● Learnable skills
- Like learning a musical instrument
Barriers
In Communication in
SUD
Verbal communication

● Word choice ❖ Alcoholic


● Complicated ❖ Addicted
terms ❖ Smoker
● Long terms ❖ Psychoeducat
● Language ion ( I am
mismatch not Psycho)
Non verbal communications

● Facial
language
● Body posture
● Language
Therapist attitude
Drug seeking behaviour
● Long working hours ●
● Not keeping
take a toll on therapist appointments

● Overtime there is
decrease in ability to
empathize
● Lead to belittle patient
Irritable Patient
Angry, irritated, or combative patients may not only
lead to frustration but also biased treatment. It is
crucial to identify the reason for the patient’s
frustration.
Principles of communication
*These principles commonly known as 7 C’s of effective
communication.
1.Completeness
2 .Conciseness
3 .Consideration
4. Concreteness
5. Clarity
6. Courtesy
7. Correctness
Communication Skills

What skills are


helpful for effective
communication in
our clinical practice?
Communication Skills
◼ Communication skills are unique to every individual. Each person have
their own way of communicating things.
◼ But certain communication skills are useful in our clinical practice , if used
effectively are themselves therapeutic.
◼ This is useful especially for a person who is seeking help for mental health
issues.
◼ What we speak has an impact on the patient and his well being.
1.Attentive, Active Listening

Active attentive listening is not a passive activity; it


involves hearing, processing and purposefully
comprehending the client's words, as well as
processing these words in the context of the client's
situation and the nonverbal communication.
2.Silence

Senders and receivers of the message take advantage of


brief pauses of silence to think about and reflect on the
full meaning of received message and to contemplate and
reflect on how to respond to the sent message with
feedback.
3.Using Open Ended Questions

Open ended question, as previously discussed, elicits


more and fuller information than a closed ended question
that requires more than a simple yes or no answer.
Eg: How are you feeling today?
What bring you to the clinic today?
4.Clarification

Specific clarification techniques include exploring,


paraphrasing, reflecting and restating, which will be
discussed below.
● Commonly used phrases:
○ Would you tell me more about…
○ I did not understand…
○ Would you please elaborate/describe…
5.Paraphrasing

Rephrase a client's comment or question in a manner that


is similar to what the nurse thinks that they have heard
and understood.
6.Restating

Restating is done to clarify the client's message by


repeating the same statement back to the client.
7.Reflection

This therapeutic communication technique reflects and


mirrors what the interviewer believes. For example, when
a client appears to be angry and upset, the nurse may
state, "You seem a little angry today. Would you like to
talk about it?"

● Reflective listening is meant to close the loop in communication to ensure


breakdowns don’t occur.
● Eg:So you feel…
8.Summarizing

Summarizing is a highly useful therapeutic


communication technique that sums up the primary and
main points that were discussed as well as the conclusion
of the discussion that was mutually decided up.
● Begin with a statement indicating you are making a summary.
Eg :Let me see if I understand so far…
9.Recognition, acknowledgment and acceptance

Recognition, acknowledgment and acceptance of the


client and their thoughts which are conveyed during
communication are therapeutic communication
techniques and strategies that give the nurse the
opportunity to let the client he/she is accepted.
Core skills
Informing- Asking- Listening
(ILA)
Let us find out
(Informing-Asking-Listening)
● “Tell me more about your last six month drinking
pattern?"
● “Walk me through a typical day……?”
● “You have been successful in sharing your
thoughts and being truthful about your
emotions.”
● Uh… yes….
Conclusion
Therapist = The helpful person

◼ Allows client to do most of the talking and is encouraging

◼ Nods and maintains eye contact without staring and appears


interested & Makes the client feel respected

◼ Appears relaxed to what client is saying, asks to repeat or clarify


something to make sure that they understand

◼ Uses “Summarizing” and “Paraphrasing”

◼ Does not judge the client & Gives ample time to talk.
This slide is copyright of NIMHANS digital academy
Further Reading
Douaihy AB, Kelly TM, Gold MA, editors. Motivational
interviewing: A guide for medical trainees. Oxford University
Press, USA; 2015 Jan 2.

Wu, Kevin, and Jeff Baker. "Patient Communication In


Substance Abuse Disorders." (2019).

Miller WR. Listening well: The art of empathic


understanding. Wipf and Stock Publishers; 2018 Jan 3.
THANKYOU

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