The document discusses techniques of communication in nursing. It outlines the SMCR model of communication which includes a sender, message, channel and receiver. It also discusses the purposes of communication in nursing which include awareness, interest, evaluation and adoption. The document lists factors that can influence communication such as developmental level, gender, sociocultural differences and roles/responsibilities. Finally, it outlines various therapeutic communication techniques used in nursing including sharing observations, sympathy, hope and humor, using touch and silence, asking questions, providing information, paraphrasing, clarifying and self-disclosing.