COMMUNICATIO

N
By
Efriena Masda Kartianah
DEFINITION
 Communication is a method to build the
relationship or contact which therapeutic. In
communication process has delivery of
information and exchange the feel and
opinion included verbal and nonverbal (stuart
and sundeen).
 Therapeutic communication is
communication that is planned as awareness,
has a purpose to recovery client.
COMPONENTS OF
COMMUNICATION'S PROCESS
1. Communicator

2. Message

3. Channel

4. Communicant

5. Feed back
1. COMMUNICATOR
a. Evolving the idea that be conveyed
b. Code the idea be symbol verbal or
nonverbal
c. Convey the message through channel of
communication and use special method
d. Waiting for feed back from communicant to
know the outcome of communication
2. MESSAGE
 Used language, symbol that easy to understand by
communicator or communicant, therefore
miscommunication can be avoided

 There are 2 kinds of message in communication :

a. Verbal: Words, intonation (low, high, fast, slow, loud
etc) and quality of voice (clear or not clear)
- clear and short
- easy to understand
- give chance to talk
- intonation
- time and relevance
- humor
b. Nonverbal
Without words but body language, consist of :
1. Movement
2. Expression
3. View
4. Posture
5. Distance of body and closeness

There are 4 kinds of distance :

a. Intimate zone (about 18 inch)
b. Personal zone (about 18 inch - 4 feet)
c. Social or consultative zone (9 - 12 feet)
d. Public zone (12 feet more)

6. Touch or contact
3. CHANNEL

a. Visual channel
b. Auditory channel
c. Kinesthetic channel
4. COMMUNICANT

a. Receive the sign or symbol from

communicator
b. Read the symbol as verbal or non verbal
c. Use the message
d. Give the feed back
5. FEED BACK
 is spontaneous reaction from communicant
Characteristic
1. Immediate feedback/direct feedback
2. Delayed feedback/indirect feedback

 Kinds of feedback:
1. Positive feedback
2. Neutral feedback
3. Negative feedback
NURSE ATTITUDE IN COMMUNICATION
AND TECHNIQUE OF COMMUNICATION
 The way to approaching the client:
- Address client and bow
- introduce our self  
- came near and bow  
- give a contact or touch  
- communicated
- gazed into client's eyes
- Face to face
- open  
- Relax        
1. Empathy: ability to feel what the patient think            

2. Trust    
5 points to take the belief :
- convince
- consequences
- open end, be friends
- hold on to appointment
- exact time      

3. Honesty    
Able to open end, sincere
Nurse must has attitude:
a. as reality
b. avoid the gustiness
c. evolving forgiveness
d. awareness      
4. Validations Listening to client and convince that client and
nurse has the same understanding      
5. Caring
- see client
- benefitted the time together
- pay attention to client needed
- give support and contact      
6. Active Listening
- hear of client's problem
- give attention
- eyed contact
- give verbal or nonverbal response from client
- good listener
- used the principle and technique of communication
- emphasize comprehension to topic not criticize
- analyze the conversation
- manage the emotion      
7. Genuine
All of negative feeling from client must be
accepted      
8. Warmth          
9. Show acceptance      
10. Repeat the client question or words      
11. Offer information      
12. Give chance client to speak (nurse is silent)      
13. Summarize      
14. Give a reward
PHASE OF THERAPEUTIC
COMMUNICATION
1. Orientation
- Addressing and greeting with shake hand

- Introducing
- Building trust
- Identification of problems and goals
- Clarification of roles
- Evaluation and validation
- Contract formation      
2. Working    
- Implementation to reach the goal
- Solve the problem
- use therapeutic communication  
  
3. Termination
a. Temporary termination: Contract
b. Finishing: Reaction, Evaluation, Greeting
INHIBITOR FACTOR OF
COMMUNICATION
1. Development 7. Knowledge
2. Perception 8. Character and
3. Value relationship
4. Background 9. Environment
(social, culture, 10. Gap
education) 11. Image
5. Emotion 12. Physical
6. Gender condition