1. Barriers in Communication DR/FATMA AL-THOUBAITY Surgical Consultant & Associate professor.KAUH.

2. Barriers in Communication The common barriers in communication are: 1.E nvironmental barriers 2.p ersonal barriers 3.p atient barriers 4.a dministrative and financial barriers 5.t ime barriers

3. Environmental barriers Crowded,noisy enviroment. People taking,music playing. Privacy. The presence of an assisstant. Telephone call.

4. Personal barriers Lake of confidence. Personal shyness. Internal conversation or internal monologue (self talk). Lack of objectivity. Culture differences. Discomfort in sensitive situations. Values and believe.

5. Patient barriers Patient perception on the health care professional : Perceive the health professional as not being lnowledgeable so they do not ask or listen to the advice. Perceive that you do not want to talk with them.

6. Patient barriers Their belief that the health care is impersonal and considered them as cases. They will make patient less willing to talk.

7. Patient barriers Alter negative patient perceptions by: Teaching them that you sincerely want to communicate with them and by actually doing so.

8. Patient barriers Patient believe and perception of their medical condition. Correct their perceptions about their conditions or medications.

9. Administrative and financial barriers Administrative decisions. Management stratagy. Financial support. Number of staff.

10. Time barriers Lack of time. Inappropriate time to talk.