exchange of information between two or more parties.   The exchange of information involves a sender a message to a receiver and a medium. Forms of communication include, verbal, audio-visual and written. As a leader, possession of effective communication skills is important in carrying out leadership responsibilities. Such skills include listening, clarity and respect. In healthcare set up the type of communication that happens is different from other setups due to formality and type of language used. Forms of communication that are mostly used are conversations. A conversation entails two or more people exchanging information. The type of language, body language, points of discussions and communication skills in a conversation can determine the quality of communication.

Diagnosis of some incurable diseases such as HIV/AIDS creates distress to patients when positively diagnosed.  Last week a patient screamed in the hospital after being positively diagnosed with HIV/AIDS. The nurse who was examining her was unable to control the patient's reaction and so she brought her to me. I am the nurse in charge of the department of VCT and counselling. The patient, a female at her early twenties realized that she was HIV positive and it shocked her. As a counsellor and a health expert, I understood the reason for her shock. I gave her time to calm down but it was not easy.

When the patient calmed down, I started by telling her that that was not the end of life and that a lot of people have the virus. One way to approach such incidences is to give the victim hope by showing her facts. Looking at her face, I could tell that she felt guilty and I chose to ask her why she was shocked and guilt at the same time. It was a sensitive question to ask but she shyly managed to say that she felt guilty because she had multiple sexual partners so she felt like she was a "whore". I informed the patient that being HIV positive does not imply that one is immoral. It s disease and could infect anyone. To establish further facts, in our conversation, she revealed to me the last time she had unprotected sex and the last time that she was examined of the virus. She informed me that she had last engaged in unprotected sex three months ago. To proceed with the conversation I made clear to her that stress and such reactions would affect her life. The solution was to start taking ARVs, live positively and to only stick to one partner.

Most people do not know what to live positively means. The patient asked me to explain what living positively meant. I explained that to live positively meant, taking medication daily, avoiding stress, eating healthy and exercising. I sensed that she was not aware what eating healthy meant as well, I explained that healthy eating is eating a balanced diet, however, to concentrate more on foods that are rich in vitamins such as green vegetables and fruits. The patient informed me that I knew she was going to die soon or later and that I was just making her feel better because that was my job. I assured her and stressed that the virus does not kill. It is the opportunistic diseases such as tuberculosis. I realized that the patient did not have a lot of information about the virus so I made my responsibility to give her an overview. I informed her that, the virus only kills the white blood cells of the body. The white blood cells are body solder that fights whose role is to fight infections in the body. That being said I directed the patient on where find ARVs in the hospital as left. The conversation with the client ended. 

As indicated by Meuter, et.al.,(2015), there are in any event three hypothetical ways to deal with understanding why correspondence issues emerge in language-discrepant restorative correspondence settings. One is a psycholinguistic methodology examined by Segalowitz and Kehayia, in which the emphasis is en route in which speakers direct the other individual's focal point of consideration regarding key components of their message by utilizing semantic and syntactic highlights of the language to bundle the message suitably, and on the audience's capacity to surmise the speaker's goal. Indeed, even with a comprehension of punctuation and semantics, the vital element of language is its suitable use. The qualification between the unique information of language and its genuine use is caught in the differentiation between langue (i.e., the proper language) and parole (i.e., the real utilization of language to impart). To have the option to utilize language ably, I used polite and concerned language to gain the c patient's trust. 

Portraying the parameters of the field of pragmatics is unpredictable. The term is utilized from various perspectives. Analyzing thoughts of language structure without considering the setting in which it is utilized may bring about a convincing proper examination with the minimal pragmatic application. Pragmatics endeavours to clarify language being used. This includes going to a comprehension of the unpredictable idea of the setting. The setting is the thing that we have to think about to appropriately comprehend the occasion, activity or talk. The setting is a muddled, elusive wonder. Individuals will, in general, consider setting a "pail" in which things happen. Those things are frequently taken to be moulded by the can. While setting may shape correspondence, correspondence frequently shapes setting, accommodating an equal relationship in which talk is both setting moulded and setting recharging. Based on this argued I also use body language and assurance that whatever we were discussing with the patient would be confidential. 

When talking to a person to trust them, it depends on certain behaviours that can tell if one is telling the truth or not. These behaviours include eye contact and body language in general. It is psychologically proven that a person who fidgets and hesitates to answer questions during a conversation would be lying. Talking with the patient, she maintained a proper eye contact revealing to me that she was telling the truth. I was, therefore, able to trust her.  

Alignment can be characterized as bringing parts into the appropriate relative situation; to modify, to bring into legitimate relationship or direction, (Lee, 2016). While full accord or understanding isn't constantly conceivable when we're in the struggle, there is continually something to adjust around; dependent on how willing both parties is to look for it.  To align, you both must be open to some degree of influence from each other. During the conversation, the patient agreed to my advice. This is because she was listening keenly, therefore, giving me an impression of being in alignment. Compelling correspondence includes limiting potential misconstruing and conquering any obstructions to correspondence at each phase in the correspondence procedure

In a conversation, the most important thing is the truth. Truth can be determined through the way the other person is communicating. It feels bad when one opens up in a conversation and speaks the truth while the other party displays mistrust. This can make a conversation to end prenatally. Therefore how a person uses language can create mistrust or trust in a conversation. 

Undivided attention is fundamental for successful correspondence. Rather than interfering with the other individual, bleeding-edge labourers and administrators who ace this aptitude centre on what the other individual is letting them know. Great communicators additionally comprehend the benefit of affirming that they're eagerly tuning in, regardless of whether it's through gestures, brief verbal prompts or rewording the other individual's announcements,( Lee, 2016). This kind of reactions shields discussions from transforming into monologues, which is pivotal to taking care of a client's issues or settling healthcare issues for instance. At numerous work environments, correspondence is much of the time related to a hard-driving language style.

Rather, great communicators look for open doors for cooperation and important exchange. Such conceivable outcomes are bound to happen when you attempt to comprehend the other individual's worries about an issue, instead of driving your perspectives on him. Powerful communicators look to see how others feel about a circumstance. 

Conclusion

Representatives and supervisors regularly cooperate without saying a word. If you comprehend this guideline, you realize that non-verbal communication, eye to eye connection and manner of speaking send incredible prompts in working environment connections. For instance, absence of eye to eye connection or inability to sit upstanding at a conference shows weariness or lack of engagement in a speaker's message. Good communicators Endeavour to abstain from radiating these sign, which shows how they respect others. Proper eye to eye connection conveys regard and intrigue. 

References

Lee, M. R. (2016). Leading virtual project teams: Adapting leadership theories and communications techniques to 21st century organizations. Auerbach Publication

 Meuter, R. F., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming language barriers in healthcare: a protocol for investigating safe and effective communication when patients or clinicians use a second language. BMC health services re