Non-verbal Communication in a Neonatal Intensive Care Unit: A Video Audit Using Non-verbal Immediacy Scale (NIS-O)
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.
KeywordsNon-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
- 1.Zodpey S, Paul VK. PHFI, AIIMS, and SC- State of India’s Newborns (SOIN) 2014- a report. New Delhi, India: All India Institute of Medical Sciences and Save the Children, Public Health Foundation of India; 2014.Google Scholar
- 10.Sood R, Adkoli BV. Medical education in India – problems and prospects. J Indian Acad Clin Med. 2000;1:210–2.Google Scholar