00157 Willingness To Improve Communication

Domain 5: perception/cognition
Class 5: communication
Diagnostic Code: 00157
Nanda label: willingness to improve communication
Diagnostic focus: communication
Approved 2002 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « willingness to improve communication is defined as: information exchange pattern and ideas with others, which can be reinforced.

Definite characteristics

  • Express desire to improve communication

Suggestions of use

As it is a diagnosis of well -being, it is not necessary to determine an etiology (that is, related factors). If there is a situation in which there are risks for effective communication, use
Risk of deterioration of verbal communication.

Suggested alternative diagnostics

NOC Results

  • Communication: Reception, interpretation and expression of spoken, written and nonverbal messages
  • Communication: expressive: expression of verbal and nonverbal messages with meaning
  • Communication: Receptive: Reception and interpretation of verbal and nonverbal messages

Evaluation objectives and criteria

  • Demonstrate communication, demonstrated by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not affected):
  • Use of written, spoken and nonverbal language
  • Sign language use
  • Use of images and drawings
  • Recognition of messages received
  • Precise exchange of messages with others
  • Other examples

    The patient will be able to:

    • Manifest that it has improved its verbal communication capacity
    • Manifest that your nonverbal communication has improved

    NIC Interventions

    • Assertive training: helping the effective expression of feelings, ideas and needs, at the same time respecting the rights of others
    • Establishment of complex relationships: establish a therapeutic relationship with a patient who has difficulty interacting with others
    • Communication promotion: Auditory deficit: help accept and learn alternative methods to live with a diminished audition
    • Communication promotion: speech deficit: help accept and learn alternative methods to live with a speech disorder
    • Socialization promotion: facilitate the ability of a person to interact with others
    • Anxiety reduction: minimize apprehension, fear, omen or discomfort related to the anticipation of an unknown danger of origin

    Nursing Activities

    • In general, nursing activities for this diagnosis focus on the valuation of current communication and the areas that the patient wishes to improve; establish a good relationship between the patient and nursing staff; model good communication; help share and establish relationships, and provide feedback.


    • Determine the areas in which the patient wants to improve their communication (verbal, nonverbal, written)
    • Evaluate the clarity and effectiveness of verbal messages
    • Assess possible obstacles to assertiveness (such as cultural level)

    Patient and family education

    • Teach the difference between assertiveness and aggressiveness
    • Model assertive behaviors
    • Teach assertiveness strategies (for example, say “no” properly, start and end of conversations, ask for something)


    • Demonstrate interest in the patient
    • Encourage him to express ideas and feelings, both positive and negative
    • Use questions and feedback to increase the clarity of verbal and nonverbal messages
    • Praise the improvement of your communication
    • Help you plan occasions to practice communication techniques

    At home

    • See deterioration of verbal communication.

    Older people

    • Take into account the possibility that there are vision and hearing problems that could prevent communication improvement. Channel for correction, if necessary
    • Use techniques to improve self -esteem and self -care
    • Take into account the incidence of depression in the elderly; value mood.
    • Contact the patient with touch, if appropriate and accept it