Many definitions describe communication as a transfer of information, thoughts or ideas to create shared understanding between a sender and a receiver. The information may be written or spoken, professional or social, personal or impersonal to name a few possibilities. Basically, the communication process involves a sender, receiver, message, channel and feedback. However, this simplistic description significantly under-represents what can actually be a very complex process. Click here for a brief overview of the communication process.

Essential issues to be aware of in any communication situation are:

Content refers to the actual words or symbols of the message that are known as language - the spoken and written words combined into phrases that make grammatical sense. Importantly, we all use and interpret the meanings of words differently, so even simple messages can be misunderstood. And many words have different meanings to confuse the issue even more.Process refers to the way the message is delivered - the nonverbal elements in speech such as the tone of voice, the look in the sender’s eyes, body language, hand gestures and state of emotions (anger, fear, uncertainty, confidence, etc.) that can be detected. The non-verbals that we use often cause messages to be misunderstood as we tend to believe what we see more than what we hear. Indeed, we often trust the accuracy of nonverbal behaviors more than verbal behaviors. A well-known UCLA study found that only around 7% of the meaning of spoken communication came from words alone, 55% came from facial expression and 38% came from the way the words were said.Context refers to the situation or environment in which your message is delivered. Important contextual factors that can subtly influence the effectiveness of a message include the physical environment (eg. a patient’s bedside, ward office, quiet room etc.), cultural factors (eg. international cultures, organisational cultures and so on) and developmental factors (eg. first, second or third year student, experience in similar clinical settings, stage of the practicum etc.).

The goal of communication between a sender and a receiver is understanding of the message being sent. Anything that interferes with this can be referred to as ‘noise’. Communication noise can influence our interpretation of messages and significantly affect our perception of interactions with others.Read more about some examples of noise.

However, there are a number of strategies that can help to help minimise communication noise and maximise communication efficiency.Read more about these strategies.

Developing competence in communication, particularly in the professional context, requires ongoing practice and reflection on practice