Advertisement

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 Bansal
  • Utkarsh Pandya
  • Ajay Pathak
Clinical Brief
  • 80 Downloads

Abstract

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.

Keywords

Non-verbal immediacy scale observer report Communication Neonatal intensive care 

Notes

Contributions

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

None.

Source of Funding

None.

References

  1. 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
  2. 2.
    Richmond VP, McCroskey JC, Johnson AE. Development of the nonverbal immediacy scale (NIS): measures of self- and other-perceived nonverbal immediacy. Commun Q. 2003;51:504–17.CrossRefGoogle Scholar
  3. 3.
    Yee W, Ross S. Communicating with parents of high-risk infants in neonatal intensive care. Paediatr Child Health. 2006;11:291–4.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Dhillon AS, Albersheim SG, Alsaad S, Pargass NS, Zupancic JA. Internet use and perceptions of information reliability by parents in a neonatal intensive care unit. J Perinatol. 2003;23:420–4.CrossRefPubMedGoogle Scholar
  5. 5.
    Kowalski WJ, Leef KH, Mackley A, Spear ML, Paul DA. Communicating with parents of premature infants: who is the informant? J Perinatol. 2006;26:44–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Sawyer A, Rabe H, Abbott J, Gyte G, Duley L, Ayers S. Parents' experiences and satisfaction with care during the birth of their very preterm baby: a qualitative study. BJOG. 2013;120:637–43.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Ranchod TM, Ballot DE, Martinez AM, Cory BJ, Davies VA, Partridge JC. Parental perception of neonatal intensive care in public sector hospitals in South Africa. S Afr Med J. 2004;94:913–6.PubMedGoogle Scholar
  8. 8.
    Partridge JC, Martinez AM, Nishida H, et al. International comparison of care for very low birth weight infants: parents' perceptions of counseling and decision-making. Pediatrics. 2005;116:e263–71.Google Scholar
  9. 9.
    Verma K, Monte BD, Adkoli BV, Nayer U, Kacker SK. Inquiry-driven strategies for innovation in medical education: experiences in India. Indian J Pediatr. 1993;60:739–49.CrossRefPubMedGoogle Scholar
  10. 10.
    Sood R, Adkoli BV. Medical education in India – problems and prospects. J Indian Acad Clin Med. 2000;1:210–2.Google Scholar
  11. 11.
    Biasini A, Fantini F, Neri E, Stella M, Arcangeli T. Communication in the neonatal intensive care unit: a continuous challenge. J Matern Fetal Neonatal Med. 2012;25:2126–9.CrossRefPubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

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

Personalised recommendations