COMMUNICATION
& IT’S BARRIERS
SPECIFIC LEARNING OBJECTIVES
1. Describe the basic elements of communication skills
2. Explain the importance of listening & empathy in
communication
3. Explain the importance of good communication
skills in medicine
4. Observe patient & family interactions
5. Recognise the common barriers to communication
6. Reflect on the appropriate ways to respond
COMMUNICATION
• ‘’the countless ways that humans have of keeping in
touch with one another’’
• Exchange of information between 2 or more people
• Ultimate goal – change in the desired direction of the
receiver
• 3 levels – cognitive, affective & Psychomotor
COMMUNICATION PROCESS
TYPES OF COMMUNICATION
• One – way communication (Didactic Method)
• Two – way communication (Socratic Method)
• Verbal communication
• Non – verbal communication
• Formal & informal communication
• Visual communication
• Telecommunication& internet
TYPES OF COMMUNICATION
COMMUNICATION SKILLS
• SPEAKING
• WRITING
• LISTENING
• READING
• REASONING
4 WAYS TO IMPROVE YOUR
COMMUNICATION SKILLS
1. Listen with empathy
2. Speak up
3. Prepare what you're going to say
4. Be ready for different answers
1. Listening & Empathy
• Empathy is the ability to understand the
feelings, thoughts, and beliefs of another
person.
• Emotional acceptance.
• Try to see things from other’s perspectives by
accepting what you hear instead of trying to,
fix things and solve the problem’’.
2. Speak Up
• Communication begins with you.
• Don't hide behind various forms of online
communication.
• Nonverbal communication – Disadvantage in
important topics.
3. Prepare What You're Going To Say
• Think before you speak.
• Speech draft – for important meetings.
• Mock-up conversation with a trusted person.
4. Be Ready For Different Answers
• Put yourself in the position of a person who
will listen to you.
• No one can predict with certainty how other
people will react.
• Expect negative answers and queries
DO DOCTORS NEED COMMUNICATION SKILLS?
• Patients are humans with sensitive needs
• To practice medicine
• Poor communication medico-legal & ethical
problems
Communication: With whom?
• Patients & Care-givers
• Nurses & auxiliary
• Staffs
• Colleagues
• Administrators
• Evidence in court
• Reporting research findings
• Talking to the media
• Public & legislature
COMMUNICATION WITH PATIENTS & CARE-
GIVERS
• History taking.
• Relevant cultural beliefs.
• Consultations.
• Breaking bad news.
• Obtaining informed consent.
Doctor-Patient Relationship
built on:
- Honesty
- Confidentiality
- Trust
Effective communication with PATIENTS -
ADVANTAGES
• Ensures good working relationship.
• Increases patients satisfaction.
• Increases patients understanding of illness &
management.
• Improves patients compliance with treatment.
BARRIERS OF COMMUNICATION
Gender
Perceptual
PHYSICAL BARRIER
• Disturbance in the immediate situation, which
can interfere.
FACTORS:
• Physical disability
• Defects in media
• Ignorance of medium
• Distance
• Distraction in environment
HOW TO OVERCOME?
• Removing obstacle.
• To be updated with latest technologies.
• Choosing a suitable environment.
• Making signs easier to read.
• Self motivation.
CULTURAL BARRIER
• Cultures provide people ways of thinking –
ways of seeing, hearing and interpreting the
world.
• Similar words can mean different things to
people from different cultures, even when
they talk the ‘’same’’ language.
FACTORS CAUSING CULTURAL BARRIER
• Diversified cultural background.
• Language and Accent.
• Behaviour and Nature.
• Religion.
HOW TO OVERCOME?
• Cross culture environment.
• Have a thorough knowledge of your
counterpart’s culture background.
• Work in groups and run frequent meeting.
LANGUAGE BARRIER
• Inability to converse in a language that is
known by both the sender & receiver is the
greatest barrier.
• When a person uses inappropriate words
while conversing or writing, it could lead to
misunderstanding between the sender &
receiver.
• Multi-language.
• Region.
• Inadequate vocabulary.
• Interpreting difference.
FACTORS CAUSING LANGUAGE BARRIER
HOW TO OVERCOME?
• Speak slowly and clearly.
• Ask for clarification.
• Frequently check for understanding.
• Be specific.
• Choose your medium of communication
effectively.
• Be patient.
EMOTIONAL BARRIER
• The emotional state may influence your capacity to
make yourself understood & hamper your
understanding of others.
• Many times, emotional barriers on your part or the
part of the person you are speaking which may
inhibit your ability to communicate on an effective
level.
• Fear/insecurity.
• Mistrust.
• Stress.
FACTORS CAUSING EMOTIONAL BARRIER
HOW TO OVERCOME?
• Motivation and commitment to change.
• Peer or mentor support.
• Practice expressing recognition.
GENDER BARRIER
• This barrier arises because men and women
have different ways of thinking and
communication.
FACTORS CAUSING GENDER BARRIER
• Fear and shy.
• Environment.
• Misunderstanding.
HOW TO OVERCOME?
• Can be made clear with a great patience and
understanding that only time and attention
will teach.
PERCEPTUAL BARRIER
• People have different opinions.
• We all have our own preferences, values,
attitudes, origins and life experiences that act
as ‘filters’ on our experience of people, events
& information.
• Difference in understanding.
• Difference in perception of reality.
• Difference in values, attitudes & opinions.
FACTORS CAUSING PERCEPTUAL BARRIER
HOW TO OVERCOME?
• Start by listening to others.
• Clarify if there is confusion.
• Stay calm and be positive.
TAKE HOME MESSAGE
• Good communication is essential for proper
doctor-patient relationship and helps to avoid
problems of misunderstanding.
• Effective communication is the key to success
in professional career.
Without Communication an individual could
never become a human being,
Without mass communication, he could never
become a part of modern society.
COMMUNICATION AND TYPES OF COMMUNICATION

COMMUNICATION AND TYPES OF COMMUNICATION

  • 1.
  • 2.
    SPECIFIC LEARNING OBJECTIVES 1.Describe the basic elements of communication skills 2. Explain the importance of listening & empathy in communication 3. Explain the importance of good communication skills in medicine 4. Observe patient & family interactions 5. Recognise the common barriers to communication 6. Reflect on the appropriate ways to respond
  • 3.
    COMMUNICATION • ‘’the countlessways that humans have of keeping in touch with one another’’ • Exchange of information between 2 or more people • Ultimate goal – change in the desired direction of the receiver • 3 levels – cognitive, affective & Psychomotor
  • 4.
  • 5.
    TYPES OF COMMUNICATION •One – way communication (Didactic Method) • Two – way communication (Socratic Method) • Verbal communication • Non – verbal communication • Formal & informal communication • Visual communication • Telecommunication& internet
  • 6.
  • 7.
    COMMUNICATION SKILLS • SPEAKING •WRITING • LISTENING • READING • REASONING
  • 8.
    4 WAYS TOIMPROVE YOUR COMMUNICATION SKILLS 1. Listen with empathy 2. Speak up 3. Prepare what you're going to say 4. Be ready for different answers
  • 9.
    1. Listening &Empathy • Empathy is the ability to understand the feelings, thoughts, and beliefs of another person. • Emotional acceptance. • Try to see things from other’s perspectives by accepting what you hear instead of trying to, fix things and solve the problem’’.
  • 11.
    2. Speak Up •Communication begins with you. • Don't hide behind various forms of online communication. • Nonverbal communication – Disadvantage in important topics.
  • 12.
    3. Prepare WhatYou're Going To Say • Think before you speak. • Speech draft – for important meetings. • Mock-up conversation with a trusted person.
  • 13.
    4. Be ReadyFor Different Answers • Put yourself in the position of a person who will listen to you. • No one can predict with certainty how other people will react. • Expect negative answers and queries
  • 15.
    DO DOCTORS NEEDCOMMUNICATION SKILLS? • Patients are humans with sensitive needs • To practice medicine • Poor communication medico-legal & ethical problems
  • 16.
    Communication: With whom? •Patients & Care-givers • Nurses & auxiliary • Staffs • Colleagues • Administrators • Evidence in court • Reporting research findings • Talking to the media • Public & legislature
  • 17.
    COMMUNICATION WITH PATIENTS& CARE- GIVERS • History taking. • Relevant cultural beliefs. • Consultations. • Breaking bad news. • Obtaining informed consent.
  • 19.
    Doctor-Patient Relationship built on: -Honesty - Confidentiality - Trust
  • 20.
    Effective communication withPATIENTS - ADVANTAGES • Ensures good working relationship. • Increases patients satisfaction. • Increases patients understanding of illness & management. • Improves patients compliance with treatment.
  • 21.
  • 22.
    PHYSICAL BARRIER • Disturbancein the immediate situation, which can interfere. FACTORS: • Physical disability • Defects in media • Ignorance of medium • Distance • Distraction in environment
  • 24.
    HOW TO OVERCOME? •Removing obstacle. • To be updated with latest technologies. • Choosing a suitable environment. • Making signs easier to read. • Self motivation.
  • 25.
    CULTURAL BARRIER • Culturesprovide people ways of thinking – ways of seeing, hearing and interpreting the world. • Similar words can mean different things to people from different cultures, even when they talk the ‘’same’’ language.
  • 26.
    FACTORS CAUSING CULTURALBARRIER • Diversified cultural background. • Language and Accent. • Behaviour and Nature. • Religion.
  • 27.
    HOW TO OVERCOME? •Cross culture environment. • Have a thorough knowledge of your counterpart’s culture background. • Work in groups and run frequent meeting.
  • 28.
    LANGUAGE BARRIER • Inabilityto converse in a language that is known by both the sender & receiver is the greatest barrier. • When a person uses inappropriate words while conversing or writing, it could lead to misunderstanding between the sender & receiver.
  • 29.
    • Multi-language. • Region. •Inadequate vocabulary. • Interpreting difference. FACTORS CAUSING LANGUAGE BARRIER
  • 30.
    HOW TO OVERCOME? •Speak slowly and clearly. • Ask for clarification. • Frequently check for understanding. • Be specific. • Choose your medium of communication effectively. • Be patient.
  • 31.
    EMOTIONAL BARRIER • Theemotional state may influence your capacity to make yourself understood & hamper your understanding of others. • Many times, emotional barriers on your part or the part of the person you are speaking which may inhibit your ability to communicate on an effective level.
  • 32.
    • Fear/insecurity. • Mistrust. •Stress. FACTORS CAUSING EMOTIONAL BARRIER
  • 33.
    HOW TO OVERCOME? •Motivation and commitment to change. • Peer or mentor support. • Practice expressing recognition.
  • 34.
    GENDER BARRIER • Thisbarrier arises because men and women have different ways of thinking and communication.
  • 35.
    FACTORS CAUSING GENDERBARRIER • Fear and shy. • Environment. • Misunderstanding.
  • 36.
    HOW TO OVERCOME? •Can be made clear with a great patience and understanding that only time and attention will teach.
  • 37.
    PERCEPTUAL BARRIER • Peoplehave different opinions. • We all have our own preferences, values, attitudes, origins and life experiences that act as ‘filters’ on our experience of people, events & information.
  • 38.
    • Difference inunderstanding. • Difference in perception of reality. • Difference in values, attitudes & opinions. FACTORS CAUSING PERCEPTUAL BARRIER
  • 39.
    HOW TO OVERCOME? •Start by listening to others. • Clarify if there is confusion. • Stay calm and be positive.
  • 40.
    TAKE HOME MESSAGE •Good communication is essential for proper doctor-patient relationship and helps to avoid problems of misunderstanding. • Effective communication is the key to success in professional career.
  • 41.
    Without Communication anindividual could never become a human being, Without mass communication, he could never become a part of modern society.