Friday, June 1, 2012

The Art of Listening as a Communicating Technique




Although communication is an important part of our daily lives, it is vital in the health care industry that effective communication between the provider and the patient is established in order for the relationship to be successful. Failure to communicate effectively using therapeutic techniques can cause high risk of providing poor health care to the patient.

Listening techniques are natural and realistic but it will take some time to be become skillful. In the health care setting the communication technique such as the quality of listening provides both therapeutic value in the patient and the provider.
What is the Art of Listening in Communication?
 As the art of listening can be defined as becoming a listening presences in others, it also a way of opening people up to knowledge and understanding. In the health care profession there should certain qualities and attributes one should process. Professional tones of voice, along with professional manners skills are important.   
 However, what is often overlooked and is considered the most important is the art of listening. As listening demonstrates and interest in what the patient is saying it also provides assurance in the capabilities of the provider to the patient. A patient may feel a sense of ease after a pleasant exchange of communication between the provider and the patient.                                    
The first person listens and the second person responds or continues to listen. The quality of our listening can make difference in any conversation it can control perception and filter out curiosities in one another. Kay Lindahl (2003), shares that “when we understand the power of sacred listening, we become aware that it is a key to communication in our global community”. The therapeutic of one helping someone else through engaging in listening increases each individual freedom to express themselves resulting in far more that could ever be imagined.
Values of active listening
 Listening is part of who we are and what are to become. Active listening is a technique that is familiar in health care setting (Van Servellen, 2009).  There are many barriers that can affect listening skills in the settings. Language barriers that are present many cases may challenge the health care provider.  This barrier can affect the provider and patient relationship.
 In using listening skills as a technique the health care professional practices listening with empathy. Another example would be lack of trust, but over time and with the use of therapeutic communication skills, the patient’s trust can be built. 
 When the health care provider is using these techniques to build on therapeutic value that an individual can get from helping another brings a change or in conflict a resolution. There is a perception made by the provider that the patient will disclose even more to the not only help provider but the patient. True listening skills are developed over time and the art of listening is not a declaring that every problem or situation will be resolved rather by using art of listening as a therapeutic method focuses the attention on the words and the non verbal communication of the patient in order to walk with them in the process of healing.
What is empathy Listening?
  According to the dictionary, Empathy is defined by the ability of an individual to understand another’s situation, feelings, and motives. In other words, being moved by another’s person’s circumstances. In the health care setting it is believed that the patient wants the provider to practice empathy. To have to ability to be moved by someone’s experience or circumstances will increase the leaning and validate with the patient is feeling.
Empathy listening is often spoken of as a character attribute that people have to varying degrees. The role of listening with empathy means that there is an acknowledgement and a mutual understanding between individuals. One important characteristic of empathy listening is the ability to listen so others will talk. Be receptive to other person communication towards you.            
 Using listening as a therapeutic technique the patient is heard in a non-judgmental way. It allow for the patient to actively participant in his or her own health care (Banar, M., 2001). When an individual feels as though they are being understood without judgment an emotional burden can be lifted, stress deceases, and clarity increased. Listening to comfort someone who is going through sadness or grief are approached through empathy listening (Miller, J., 2003).  The provider in the therapeutic setting with the patient will provide exactly what is necessary for the patient without feeling any regret, or difficult emotions.
 However, using the art of listening as a way to sympathize with someone takes on an entirely different meaning.  In the health care setting the provider uses art of listening emphatically. Whereas, when you sympathize with someone, you have feelings for that person or situation, but you don’t necessarily feel her feelings. Sympathy can also take the form of support or allegiance with respect to a condition or cause, but not in any type of individualized comparison to the actual event. Although there is sense of concern as well compassion, you are not putting yourself in their place.
Techniques in Therapeutic Listening
Therapeutic listening in a valuable tool in communicating: it builds trust along with provider rapport with the patient  (Rosenberg, S, 2011).  Therapeutic Listening utilizes other areas in describing the full scope of the art of listening. Rather than making any type of assumptions, the provider, however facilitates by listening with therapeutic expression. Techniques that help in specifying some other event could include the patient engaging in daily activities and other therapeutic activities for some analyses purpose. These might include if the provider want to help the patient identify with some situation that is not easily discussed by the patient.  These types of programs include listening for reflection, which consist of a deeper understanding of what is going on with the patient.  This technique of Listening for reflection helps not only the provider but also the patient.  Reflective listening is often used when you are trying the deal with a situation. When the provider through listening uses this technique it helps the patient gain their own insight and clarify their own thoughts in regards to the situation from their situation.
 Consequently, the patient grows by accesses their problem solving skills that is found somewhere all of us. Some of the common principles in using this therapeutic technique are (1) do more listening than talking; (2) respond to what the patient is saying and restate with clarity so the person will that provider is listening (Rosenberg, S, 2008). This will help the patient gain trust, as he is motivated to keep talking. This are all positive patterns of listening provide successful outcomes in using the art of listening as therapeutic technique.
 Although the provider wants positive from the patient through with these therapeutic techniques, it can become challenge when the provided uses negative approaches to communicate with the patient. Not listening to the patient’s concerns, making assumptions about the patient problem, and more importantly are talking more than the patient about their situation. These are all approaches that should not be used as a technique.                                                            
 Most patients become agitated and, “guess what?” no problem never the patient or the provider benefited from that encounter.  As Dr. Linda Lee (2009) states in her article, “In listening to our patient, we learn invaluable lessons from those making their journey ahead of us.”  Failure a apply techniques as part of listening   could cause poor relations with the patient and just infuse a negative outcome in the process of establishing trust in the patient as well as with the provider. The art of listening as a therapeutic technique, employs the not only skills of the provider but the actions of the patient over time.


Reference:

Van Servellen, Gwen (2009). Communication Skills for the Health Care Professional: Concepts, Practice, and Evidence (2nd ed). Sudbury, Massachusetts: Jones and Bartlett.

Miller, James E. (2003). The Art of Listening in a Healing Way.  Fort Wayne, Indiana: Willowgreen Publishing.
Kasperek, L. (1997). Clinical. Non-verbal communication: The importance of Listening. British Journal of Nursing. Mar. 13-26, 6(5), 275-9

Lee, Linda, L.W. (2009). On Listening: The left atrium. Canadian Medical Association Journal.  179 (6) 562-563
Rosenberg, S. (2008). Therapeutic communication in the clinical setting: Natural and applied sciences. Retrieved April 20, 2012 http://ctl.laguardia.edu/journal/v3/pdf/Rosenberg.pdf

Banar, M. (2011).  Communication Techniques. The Importance of therapeutic communication in healthcare. Retrieved from http://www.livestrong.com/article/525095-the-importance-of-therapeutic-communication-in-healthcare




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