Barriers to Effective Interpersonal Communication:
may include shyness or embarrassment. Sometimes, a patient may present herself
or himself as being abrupt or difficult when she or he may actually be nervous.
If a patient is already prejudiced before meeting a doctor, this will cause a
It should also be noted
here that communication barrier is the most familiar obstacle that can be
experienced by the health care provider in an actual face to face encounter
with patients in a multicultural health care setting, as would a simple human
interaction as a direct eye contact which can have implications to some
Other aspects of
culture affecting communication can also include issues such as in the Asian
culture wherein there is great respect placed on the eldest male as the head
and decision maker of the family, therefore all nursing intervention
instructions from the health care provider to the Asian patient should be
conveyed only through this eldest Asian male and not directly to the patient.
A communication barrier
may be present because both parties do not share a common language.
Interpreters and translators may be used to good effect in these circumstances.
If a patient is deaf or visually impaired, this presents an obvious barrier
that needs to be addressed prior to the meeting. Speech impediments or
dysphasia as a result of a stroke or other brain problem can present a barrier.
The use of jargon and over‐complicated language
creates barriers to communication.
assessment and intervention is very dependent on effective communication, which
requires a clear and unobstructed exchanging of thoughts, feelings and
experiences between the patient and the health care provider or even among
health care providers. When health care providers and patients do not speak a
common dialect, the use of an interpreter is often the only alternative means
to convey the right message.
to communication can include noise and lack of privacy. An environment which is
too hot or cold will not be conducive to effective communication. Sometimes in
a hospital setting these are the obstacles which negatively influence proper
interpersonal relation between the patient and the service providers.