The Indian Journal of Pediatrics

, Volume 85, Issue 11, pp 1025–1027 | Cite as

Non-verbal Communication in a Neonatal Intensive Care Unit: A Video Audit Using Non-verbal Immediacy Scale (NIS-O)

  • Somashekhar Marutirao Nimbalkar
  • Himalaya Raval
  • Satvik Chaitanya BansalEmail author
  • Utkarsh Pandya
  • Ajay Pathak
Clinical Brief


Effective communication with parents is a very important skill for pediatricians especially in a neonatal setup. The authors analyzed non-verbal communication of medical caregivers during counseling sessions. Recorded videos of counseling sessions from the months of March–April 2016 were audited. Counseling episodes were scored using Non-verbal Immediacy Scale Observer Report (NIS-O). A total of 150 videos of counseling sessions were audited. The mean (SD) total score on (NIS-O) was 78.96(7.07). Female counseled sessions had significantly higher proportion of low scores (p < 0.001). No video revealed high score. Overall 67(44.67%) sessions revealed low total score. This reflects an urgent need to develop strategies to improve communication skills in a neonatal unit. This study lays down a template on which other Neonatal intensive care units (NICUs) can carry out gap defining audits.


Non-verbal immediacy scale observer report Communication Neonatal intensive care 



SCB: Designed the study, collected the data, wrote the paper, and approved the final manuscript; SMN: Conceived the study, designed the study, wrote the paper, and approved the final manuscript; UP: Collected the data, gave inputs to the paper, and approved the final manuscript; HR: Designed the study, collected the data, analyzed the data, wrote the first draft and approved the final manuscript; AP: Designed the study, analyzed and interpreted the data, gave important intellectual inputs to the manuscript and approved the final manuscript. SMN will be the guarantor for the paper.

Compliance with Ethical Standards

Conflict of Interest


Source of Funding



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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Somashekhar Marutirao Nimbalkar
    • 1
    • 2
  • Himalaya Raval
    • 1
  • Satvik Chaitanya Bansal
    • 1
    Email author
  • Utkarsh Pandya
    • 1
  • Ajay Pathak
    • 2
  1. 1.Department of PediatricsPramukhswami Medical CollegeKaramsadIndia
  2. 2.Central Research ServicesCharutar Arogya MandalKaramsadIndia

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