Komunikasi Keperawatan
COMMUNICATION in Nursing
COMMUNICATION
• The sending and receiving of a message.
Aspects of Communication (i)
• Sender - the one who conveys the message to another person.
• Message - the thought, idea, or emotion conveyed.
• Channel - how the message is sent.
Aspects of Communication (ii)
• Receiver - physiological/ psychological components.
• Feedback - the receiver’s response to the sender.
• Influences - Culture, education, emotions and other factors involved.
Methods of Communication
• Verbal - Speaking, Listening, Writing, Reading.
• Nonverbal - Gestures, Facial Expressions, Posture and Gait, Tone of
Voice, Touch, Eye Contact, Body Position, Physical Appearance.
Influences on Communication
•Age •Language
•Education •Attention
•Emotions •Surroundings
•Culture
Congruency of Messages
Verbal and nonverbal communication must be congruent, or in
agreement.
Listening and Observing
Listening and observing are two of the most valuable skills a nurse can
have.
These two skills are used to gather the subjective and objective data
for the nursing assessment.
Active Listening
The process of hearing spoken words and noting nonverbal behavior.
Active listening takes energy and concentration.
Therapeutic Communication
Sometimes called effective communication, it is purposeful and goal-
oriented, creating a beneficial outcome for the client.
Goals of Therapeutic Communication
• To obtain or provide information
• To develop trust
• To show caring
• To explore feelings
Enhancing Communication
• Self-Disclosure.
• Caring.
• Genuineness.
• Warmth.
• Active Listening.
• Empathy (the capacity to understand another’s feelings).
• Acceptance and respect.
Communication Techniques
• Clarifying/validating.
• Asking open questions.
• Using indirect statements.
• Paraphrasing.
• Summarizing.
• Focusing.
Barriers Communication
• Closed questions.
• False reassurance.
• Judgmental responses.
• Defensive reflex.
• Changing the subject.
Nurse-Client Communication
• Almost every nurse-client interaction should involve therapeutic
communication.
• Nurse-client communication is influenced by both the nurse and the
client.
Three Phases of Nurse-Client
Communication
• Introduction: Fairly short; expectations clarified; mutual goals
set
• Working: Major portion of the interaction; used to accomplish
goals outlined in introduction; feedback from client essential.
• Termination: Nurse asks if client has questions; summarizing
the topic is another way to indicate closure.
Determinant Factors in Communication
A nurse’s communication is affected by:
• Past Experience
• State of Health
• Home Situation
• Workload
• Staff Relations
Determinant Factors in
Communication
A client’s communication is affected by:
• Social Factors
• Religion
• Family Situation
• Level of Consciousness
• Stage of Illness
• Visual, Hearing and Speech Ability
• Language Proficiency