Factors that Obstruct Effective Communication

The following factors can interfere with effective communication during clinical assessment.

Lack of exclusivity, for example, assessment on the bedside inside a unit of 20 patients.
Anxiety by a doctor, because of which divides their attention and concentrating, not the assessment is difficult.
Awkward seating that makes it difficult to relax while assessing a patient.
Lack of attention to the nonverbal cues
Offensive remarks.
Frequent interruptions.
Selective listening.
Daydreaming.

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