Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 25

The interactive or interaction model of communication relies on an exchange of communication from the sender to the receiver and back again creating two‐way communication within physical and psychological contexts (Schramm 1997). The main difference between one‐ and two‐way communication is that two‐way communication provides feedback which enables the sender and receiver to ensure that the meaning within the information has been understood. It, therefore, closes the communication loop and is one way of minimising misunderstandings in the receiver’s interpretation of the original meaning of the message.

This model is more interaction focused and concerned with the communication process itself. This model acknowledges that with so many messages being sent at one time, many of them may not even be received and some messages may be sent unintentionally.

The interactive model also takes into consideration the communicator’s fields of experience and physical barriers. It also introduces semantic and psychological barriers. Physical barriers are vitally important as nursing associates must be able to care for people in a broad range of settings, including at home, close to home and in hospital, within a context of challenging environments. Nursing associates work with patients and their carers and families during times of heightened stress, anxiety and fear, and these emotions can affect our communication. Feedback and context help make this model of communication more useful than the transmission model for exploring individual communication encounters. The interactive model is depicted in Figure 1.2.