Question

4)   Identify and describe 4 (four) factors that may facilitate communication in a healthcare setting.

6)   Refer to the Communication and Behaviour Support for Nurses Practice Package and answer the following questions in your own words.

6.1)   Briefly describe the difference between expressive communication and receptive communication (in 50-70 words).

6.2)   Provide 3 (three) examples of outward-directed challenging behaviours you might experience in a healthcare setting.

6.3)   Identify and describe 4 (four) core components you could implement in relation to positive behaviour support to implement challenging behaviours.

6.4)   What is the most effective communication strategy Nurses could use when communicating with people with severe disabilities and sensory impairments?

Answer 1

4. 4-factors of effective communication in health care setting

• environmental factor: clear noiseless environment will promote communication among staff nurse and patient. so the environment should keep cool and calm otherwise it will make wrong impact on patient also. for ex- in psychiatric patient if the environ ment is noisy then the patient will became more aggressive and un co-operative.
• spiritual factor: it means client belief, trust , personal belief and social belief.we should respect client spiritual belief so that they will co-operate us during treatment. never laugh or dominate client belief. dont deny to client spiritual b elief but slowly make him understand the effect of treatment. for example allow the client for worship as his religion.
• to be a listner: to be a good listener .if you dont listen the client properly then the client will loss his confident upon you. they will not co-operate properly. if you listen half of patient then it make difficulty in implementing plans. so always be a good listener. if you not listen during the time of doctors round then you will unable to implement the change in drug or dose etc.
• knowledge of receiver: it also has its implication in communication. if the person who is listening is not having sufficient knowledge to decode the message, then it will be a bad communication. so we should always speak or communicate with the client as per his level of knowledge. otherwise it eill mislead the communication.

6.

6.1

expressive communication	receptive communication
it is the ability to use vocabulary and words into sentences to express the feelings. for example questioning, commenting, using writing, grammars etc here the person will ask question like where, what, who. it is the ability to communicate language. who are unable to express the feelings has undergone temper tantrum. it mainly found in toddlers.	but this is comprehensive to know what actually said to you. example if any thing said to a older person then explaining the sentence as per his understanding. but here the person will show you the object without saying. but it is the ability to understand the language.

6.2

3- examples of outward challenging behaviours are

• self injuries like head hitting, bitting, scratching, aggressive behaviour, shouting, screaming, others spitting, kicking etc
• injuries to others like cutting, pressurising
• insensitivity of staff and services to the persons need and wishes.

6.3

4-core component to implement positive behaviour are

1. dedication o f staff toward care of client. purely dedicate the hours of duty to implement patient care.
2. commitment of staff for the care she has to give. she should aware about the 24hr data of patient to give care in that one shift. which makes her to implement positive behaviour.
3. team work is also important to implement the positive behaviour. we should co-operate with each other in every shift and for the smooth functioning of work.
4. responsibilities are also have distributed to each to get positive outcome. if any one lacking in providing his responsibilities then it will have negative impact on work.