1. Describe a scenario based on work or volunteer experience that you have had in the past year where communication was a focus( and the work was working in a hospital ( in a metal ward and face issue with the relatives of the patient) the as a staff nurse after completing graduation). The scenario should be one in which specific communication techniques could have been used to improve the outcome of the interaction. Examples may include, but are not limited to: a difficult conversation with a colleague or a supervisor, a conversation when you were advocating for yourself or someone else, or an in-depth conversation that involved planning or decision-making.

1. Briefly identify three barriers that affected the communication process in the scenario that have described.
2. sample ans:Communication Scenario

I was working as an occupational therapist in Children's Treatment Centre. This was my first role postgraduation, and the learning curve was steep as I took on a caseload of 80 children and youth with physical and cognitive disabilities. One part of my role involved visiting children in their school settings, enabling participation in learning and social activities.

On a very usual day, I was meeting with a student and her educational assistant (EA) to review her toileting routine and equipment needs in the accessible washroom space. The educational assistant reported that the student was getting difficult to transfer as she had grown and her movements were impacted by rigid tone as a result of Cerebral Palsy. I took these concerns very seriously as part of my role was to ensure the safety of this child, and anyone who was supporting her care. I recommended that we set up a meeting with the child's family to discuss alternatives. I wrote a summary of the visit and sent it home for the family, who I had not yet met, planning to call and arrange a meeting soon. The next day, I was surprised to receive an angry voicemail from this student's mother, asking me, 'how dare I tell her child's EA to stop helping her with toileting until we had a meeting together?" She mentioned that she would also be contacting her lawyer and that I was not to go back to the school to see her daughter. She would be calling my manager next and requesting a change in occupational therapists. I was shocked by this message and worried about how manager was going to react to this situation, given that fact that I was a new therapist to the organization.

The three communication barriers that I have identified based on this scenario are as follows:

1) Language use: Were the language and ideas that I was conveying to the EA vague or unclear? Was the same true for the note that I wrote for the family?

2) Demographic differences: I was a young occupational therapist with no children of my own and my main concern was safety. This child's mother was concerned about her daughter's care needs being met at school. I could also likely label this issue as an attitudinal barrier that resulted from a difference in values/attitudes about what was most important in this situation.

3) Physical distance: Because this interaction did not happen in person, the intent and next steps were somehow lost in translation