laura neale st1 gp trainee non-violent communication on 10 slides (nvc)
TRANSCRIPT
LAURA NEALEST1 GP TRAINEE
Non-Violent Communication on 10 Slides (NVC)
Overview
Background
Explain NVC
Example
Important ‘do’s’ and ‘don’ts’
Conclusion
Background
Developed by Marshall Rosenberg
Related to Ghandi’s philosophy of ahinsa (do no harm)
Used worldwide to resolve disputes at various levels
Explaining NVC (1)
Actions and words represent attempt to meet our own needs
Conflict arises because of miscommunication about needs
2 broad stages 1st = Empathising 2nd = Honest self-expression
Explaining NVC (2)
For both stages employ OFNR
O = observations (must be neutral)
F = feelings
N = needs (NOT strategies)
R = requests (must be clear and feasible but not demanding)
Formal vs colloquialFluidSpoken vs acted
Example (1)
Busy weekend shift… imagine this scenario
You have 3 sick patients on the ward that need seeing You have some I.V. antibiotics give 4 patients waiting to be clerked in – the ward sister
keeps bleeping you to remind you. (She’s already rang 4 times)
Example (2)
Using OFN(R)
Stage 1 (empathise) - mop it up:-
Neutral observation e.g. “I can see you are very busy” State what they’re feeling e.g. “This must be stressful
for you” Acknowledge their needs e.g. “I know you need to
clear the backlog to keep the unit running smoothly”
Example (3)
Using OFNR
Stage 2 (self-expression) – give it back:- Neutral observations – state what is going on in a matter of
fact way Tell them how you feel e.g. “I feel stressed by this situation
and concerned that the patients get the care they need” Express your needs e.g. “I need to prioritise these tasks
based on clinical need. I also need time and space to work through the tasks as best as I can”
Make a request e.g. “Would it be possible for you to stop bleeping me to remind me as this is slowing me down – I promise to be with you as soon as I can.”
Do’s and Don’ts
Do Try to understand people Keep practising (emotional pollution)
Don’t Express yourself first and ask to be understood (think
like a vacuum) Miscategorise someone’s feelings Say what you don’t want rather than what you do Worry more about other’s responses than your own
Conclusion
NVC tried and tested tool for improving communication
2-staged process – empathy and honest
self-expressionRequires lots of practiceNothing ventured, nothing
gained!