Chapter 15: Core communication skills

Case study 15.2: Kim and Kerry

When communicating with children in healthcare settings, how might play benefit the therapeutic relationship between the nurse and the child?

Besides satisfying a child’s normal need to play, play in hospital helps children to adjust to potentially stressful situations.

Play benefits children and young people by:

  • Helping them to cope with illness;
  • Helping them to cope with painful procedures;
  • Reducing stress and anxiety;
  • Providing an outlet for feelings of fear and frustration;
  • Helping children regain confidence, independence and self-esteem;
  • Aiding with diagnosis;
  • Speeding up recovery and rehabilitation;
  • Encouraging parents to be involved on their child’s care;
  • Developing new skills for children;
  • Helping them to achieve mastery;
  • Helping them experience and identify emotions;
  • Allowing children to practice roles; provides a way of acting out troublesome issues; and
  • Finally, play is fun.

What non-conventional communication approaches might be used in other fields of practice?

Examples you may have thought of are:

  • Sign-language for people who are profoundly deaf or mute
  • Use of Makaton for people with a learning disability
  • Use of picture cards for people who are unable to talk (e.g. after a stroke) or for whom English is not their first language
  • Communication Boards, communication books and E-Tran frames
  • Voice Output Communication Aids or VOCAs which may offer a single message up to multiple messages. They may involve a single button press to speak a whole message or require multiple button presses to build up a sentence.