Verbal & Non-Verbal
Communication
Active & Passive Listening
What is Communication?
•
Two-way process of reaching mutual
understanding, in which participants not only
exchange (encode-decode) information but
also create and share meaning.
•
"sending, giving, or exchanging information
and ideas.
•
Communication requires a sender, a message,
and an intended recipient.
THINK
ARTICULATE
INFLUENCE
COMMUNICATE
FEEDBACK
DESIRED
ACTION
Sender
Receive
r
Message
Listening
•
Patients appreciate & respond positively to
the doctor who listens carefully;
•
Active or effective listening is the most
difficult skills to acquire.
Hearing & Listening
Hearing is noting that someone is speaking,
just one stage of listening.
Listening, is making sense of what is heard
and requires to constantly pay attention,
interpret, and remember what is heard.
Hearing is passive; listening is active.
Important of Listening:-
•
80 % TOP EXECUTIVES BELIVES IT AS MOST
IMPORTANT SKILL
•
STRENGTHENS ORGANIZATIONAL
RELATIONSHIPS
•
CREATES OPPORTUNITIES OF INNOVATION
“The main remarks made by patients in the PHC
centers in Riyadh was that:
“physicians were
not listening
enough to their
complaints.”
( Saeed 2001)
Ways to improve listening:
•
1. Make Eye Contact
•
2. Use Affirmative Nods and Appropriate
Facial Expressions
•
3. Avoid Distracting Actions or Gestures
•
4. Ask Questions
•
5.Taking notes;
Ways to improve listening
6. Asking the speaker to repeat or clarify;
7. Paraphrase
8. Do Not Talk Too Much
9. Summarising
ACTIVE LISTENING
–
AVOID OR TURN OFF ANY BIASES OR
FILTERS TO TRUALY HEAR &
UNDERSTAND THE SPEAKERS MESSAGE
–
ENCOURAGE SPEAKERS WITH POSITIVE
BODY LAUNGUAGE
–
Passive Listening??
ACTIVE LISTENING
•
LISTENING/RECEIVING / RESPONDING
–
PHYSICALLY HEARING THE MESSAGE &
ACKNOWLEDGING IT
Key Features of Active Listening:
Gathering & retaining the information;
Understanding the implications to the
patient;
Responding to verbal & non-verbal cues;
Pay attention & try to understand
.
3. Use Non-verbal Communication:
•
Smile,
•
Gestures,
•
Eye contact,
•
Your posture.
ACTIVE LISTENING…(cntd…)
4. Give Feedback
•
Remember that what someone says and what
we hear can be amazingly different
.
•
Repeat back or summarize to ensure that you
understand
.
•
Restate what you think you heard and ask,
"Have I understood you correctly?"
ACTIVE LISTENING…(cntd…)
Techniques to improve listening
skills
PARAPHRASE
PARAPHRASE
Restate what was
said in your own
words
PARAPHRASE
PARAPHRASE
Restate what was
said in your own
words
SUMMARIZE
SUMMARIZE
Pull together
the main points
of a speaker
SUMMARIZE
SUMMARIZE
Pull together
the main points
of a speaker
QUESTION
QUESTION
Challenge speaker
to think further,
clarifying both your
and their
understanding
QUESTION
QUESTION
Challenge speaker
to think further,
clarifying both your
and their
understanding
Techniques to improve listening
skills
•
Facilitation;
•
Clarification;
•
Reflection;
•
Helping the patient to be relevant;
•
Silence;
•
Signposting
•
Summarising.
Practice Paraphrasing
•
Paraphrasing is
simply restating
what another
person has said in
your own words.
Use phrases such as:
In other words…
I gather that…
If I understand what you
are saying…
What I hear you saying is…
Pardon my interruption,
but let me see if I
understand you
correctly…
Demonstrating Active Listening
•
Appropriate use of eye contact;
•
Posture ( sitting forwards facing the
patient);
•
Nodding your head & saying “ hum – go
on.
•
Asking questions directly related to the
patient’s last statement.
Task 1
•
Demonstration of active and passive listening
in 2 different topics discussion.
Non-verbal Communication:
ACTIONS SPEAK LOUDER THAN WORDS!!!
Non-verbal Communication
DEFINITION:
•
Non verbal communication is the message or
response not expressed or send in words, hints,
suggestions or indications.
Non-Verbal Communication
38%
38%
voice dynamics
:
tone + inflection +
volume + accent
+
non
-word
sounds; and...
55%
55%
Face and body
:
non-verbal
communication or
face and body
language.
Non- Verbal Communication
•
Visual
: expression, eye contact, eye movement
•
Listening
: carefully, actively, memory
•
Kinesthetic
: Posture, distance, mobility, muscle
tone, hand movement, etc
NONVERBAL
COMMUNICATION
FACIAL
EXPRESSIONS
Eyes
Contact.
GESTURES
POSTURES
BODY
MOVEMENTS
SMILE
AND
TOUCH
VOICE
AND
SOUNDS
VOLUME
PITCH/TONE
SILENCE
RECOGNIZING NON
VERBAL COMMUNICATION
•
PERSONAL APPREARENCE
•
TOUCH
•
TIME & SPACE
Example of body language
•
Folded arms and leg crossed away from you:
•
Rejection
•
Tapping fingers:
•
Impatience
•
Avoiding eye contact:
•
Untrustworthy
Eye Contact
•
Eyes are the windows of soul.
Touch
•
Express emotions, tenderness, love & anger;
•
Can convey concern empathy;
•
Can have a therapeutic effect;
•
Must be used appropriately;
If you feel uncomfortable about touching, don't
do
.
Task 2