FORM 4 DIRECT OBSERVATION OF COMMUNICATION SKILLS
SECTION A STUDENT PREPARATION
To be completed by the student prior to the observation. This is professional writing so needs to refer to literature.
STUDENT NAME
DATE
What do you aim to achieve with the service user/s and carer/s in the practice session?
What issues of oppression or discrimination might be present?
What preparation tasks will you undertake prior to the session? What theories will you draw on?
How will you seek feedback on your practice from service users or carers?
SECTION B SUPERVISOR’S ASSESSMENT
(Note, student should comment at the end of Section B)
STUDENT:
SUPERVISOR:
DATE:
5 = Very Good 4 = Good 3 = Satisfactory (minimum competence) 2 = Skills Need Developing 1 = Poor
1 Preparation Skills / CommentsA Understanding of role and task
bEnsured environment was conducive to the plan for communication / 54321
54321
2 Engagement
AIntroduced him/herself
bClearly explained purpose of practice
cIdentified and encouraged a participative process / 54321
54321
54321
3 Verbal Communication
AAddressed service user(s) appropriately
bCommunicated clearly
cAsked relevant questions
dAsked questions one at a time
eUsed open and closed questions as appropriate
fUsed plain language in place of professional jargon
gAcknowledged and explored issues as presented by
service user(s)
hChecked regularly that he/she understood service
user(s) perspective
iChecked regularly that service user(s) understood
worker/agency perspective / 54321
54321
54321
54321
54321
54321
54321
54321
54321
(continued)
5 = Very Good 4 = Good 3 = Satisfactory (minimum competence) 2 = Skills Need Developing 1 = Poor
AAcknowledge or respond to service user’sexpression of emotion
bAttempt to establish an appropriate emotional tone
cIdentify and try to explore a service user’s expression of emotion / 54321
54321
54321
5 Non-Verbal Style
AAppropriate eye contact
bPosition and posture communicating interest and attention
cPositive use of silence / 54321
54321
54321
6 Endings
aSummarised clearly at the end of session
b Discussed and agreed tasks to be completed by
student and service user(s) / 54321
54321
7 Supervisor Overall comments - Please include any feedback on the student from the Service User and the Carer. If you have given a score of 1 or 2, please explain why and how this could be improved.
______
______
______
8 Students’ Comments
______
______
______
Signatures
Student:
Supervisor:
SECTION C STUDENTREFLECTION ON COMMUNICATION SKILLS
To be completed by the student after the observation has been undertaken.
Please refer to relevant literature
Make a note in the right margin indicating which key roles and value requirements you met (as listed in practice learning agreement).
STUDENT NAME
DATE
How effectively did you achieve the aims of the session? Discuss the following:-
- Your preparation
- Your communication skills
- Issues of oppression or discrimination
- Emotional impact of session