Nursing communication in nursing care to mastectomized women: a grounded theory study.Images

Authors:de Almeida Arajo IM ;da Silva RM ;Bonfim IM ;Fernandes AFAuthor Address:Nursing Department, Universidade de Fortaleza, Brazil. ilianama@hotmail.comSource:Revista Latino-Americana De Enfermagem [Rev Lat Am Enfermagem] 2010 Jan-Feb; Vol. 18 (1), pp. 54-60.Publication Type:Journal ArticleLanguage:EnglishJournal Information:Publisher: Escola de Enfermagem de Ribeiro Preto, Universidade de So Paulo Country of Publication: Brazil NLM ID: 9420934 Publication Model: Print Cited Medium: Print ISSN: 0104-1169 (Print) Linking ISSN: 01041169 NLM ISO Abbreviation: Rev Lat Am Enfermagem Subsets: NursingImprints:Original Publication: So Paulo : Escola de Enfermagem de Ribeiro Preto, Universidade de So Paulo, 1993-MeSH Terms:Communication*Nurse-Patient Relations*Nursing Care*Nursing Theory*Mastectomy/*nursingFemale ;Humans ;Interviews as Topic ;Male ;Mastectomy/psychology ;Nurse's RoleAbstract:The goal was to understand the nurse/patient communication process, emphasizing nursing care to mastectomized women. Symbolic Interactionism and Grounded Theory were used to interview eight nurses from a referral institution in cancer treatment, using the guiding question: how do nurses perceive their communication process with mastectomized women? Data analysis allowed for the creation of a central theory: the meaning of communication in nursing care to women, constituted by three distinct but inter-related phenomena: perceiving communication, the relationship nurse/mastectomized woman and rethinking the communication nurse/mastectomized woman. With a view to satisfactory communication, professionals need to get involved and believe that their presence is as important as the performance of technical procedures that relieve situations of stress.Entry Dates:Date Created: 20100429 Date Completed: 20100628 Update Code:20121129PMID:20428697Database: MEDLINE CompleteFull Text Database: Academic Search CompleteImages: Table 1 Table 2 Table 3

Exploring evidence of the therapeutic relationship in forensic psychiatric nursing.

Authors:Martin T ;Street AFAffiliation:Senior Nurse, Victorian Institute of Forensic Mental Health, Locked Bag 10, Fairfield, Victoria 3078, Australia, trish.martin@dhs.vic.gov.auSource:Journal of Psychiatric & Mental Health Nursing (J PSYCHIATR MENT HEALTH NURS), 2003 Oct; 10 (5): 543-51. (44 ref)Publication Type:journal article - researchLanguage:EnglishMajor Subjects:ChartingHospitals, PsychiatricNurse-Patient RelationsPsychiatric NursingMinor Subjects:Adult ;Audiorecording ;Australia ;Coding ;Convenience Sample ;Funding Source ;Inpatients ;Male ;Nursing Role ;Record Review ;Semi-Structured Interview ;HumanAbstract:While the body of nursing research in forensic psychiatry is growing rapidly, the therapeutic nurse-patient relationship in secure hospitals needs to be further examined. This paper reports on a research project that found two representations of the nurse-patient relationship in two male acute secure inpatient units. One representation was formed by the data collected from the unit nurses in semistructured interviews. The nurses valued the relationship and described their practice as therapeutic, however, evidence from the interviews would suggest that the nurses operate from a social frame of reference. Examination of the nurses 'entries in patients' case files formed the other representation. Through their documentation practices, nursing was represented as being oriented to custodial care. While neither representation can capture the clinical reality, these findings are relevant to forensic psychiatric nurses as their entries are a historical record through which their practice will become known to others, and in some cases, judged by others.Journal Subset:Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & IrelandSpecial Interest:Psychiatry/PsychologyISSN:1351-0126MEDLINE Info:PMID: 12956633 NLM UID: 9439514Grant Information:Supported by the La Trobe University Collaborative Grants Scheme and the Victorian Institute of Forensic Mental HealthEntry Date:20040514Revision Date:20120302DOI:http://dx.doi.org/10.1046/j.1365-2850.2003.00656.xAccession Number:2004072991Database: CINAHL Plus with Full TextPublisher Logo:

Beyond empathy: clinical intimacy in nursing practice.Images

Authors:Kirk TWAffiliation:Catherine of Siena Fellow in Ethics, Visiting Assistant Professor of Philosophy, Villanova University, Villanova, PA, USASource:Nursing Philosophy (NURS PHILOS), 2007 Oct; 8 (4): 233-43. (21 ref)Publication Type:journal article - review, tables/chartsLanguage:EnglishMajor Subjects:EmpathyEthics, NursingIntimacyNurse-Patient RelationsNursing Practice -- Ethical IssuesMinor Subjects:Communication ;Female ;Intention ;Male ;Models, Theoretical ;Nurse Attitudes ;Patient Attitudes ;Phenomenology ;Self DisclosureAbstract:Understanding, shared meaning, and mutual trust lie at the heart of the therapeutic nurse-patient relationship. This article introduces the concept of clinical intimacy by applying the interpersonal process model of intimacy to the nurse-patient relationship. The distinction between complementary and reciprocal behaviours, and between intimate interactions and intimate relationships, addresses background concerns about the appropriateness of intimacy in nursing relationships. The mutual construction of meaning in the interactive process between nurses and patients is seen to lie at the heart of clinical intimacy as a hermeneutic enterprise. Intimacy is distinguished from empathy based on intentionality and the status and location of meaning. Reasons for continued investigation into clinical intimacy as an explanatory model for nursing as a hermeneutic practice are presented.Journal Subset:Europe; Nursing; Online/Print; Peer Reviewed; UK & IrelandISSN:1466-7681MEDLINE Info:PMID: 17897167 NLM UID: 100897394Entry Date:20080516Accession Number:2009680986Database: CINAHL Plus with Full TextPublisher Logo:

Emotional intelligence of mental health nurses.Images

Authors:van Dusseldorp LR ;van Meijel BK ;Derksen JJAffiliation:Loes RLC van Dusseldorp, RN, MSc, Preceptor Nurse Specialist, Mental Health Care, De Gelderse Roos, Institute for Mental Health Care, RenkumSource:Journal of Clinical Nursing (J CLIN NURS), 2011 Feb; 20 (3/4): 555-62. (23 ref)Publication Type:journal article - research, tables/chartsLanguage:EnglishMajor Subjects:Emotional IntelligencePsychiatric Nursing -- NetherlandsMinor Subjects:Netherlands ;Human ;Cross Sectional Studies ;Questionnaires ;Male ;Female ;Empathy ;Assertiveness ;Emotions ;Interpersonal Relations ;Social Responsibility ;Sex Factors ;Scales ;Stress Management ;Descriptive Statistics ;Age Factors ;Job Experience ;Convenience Sample ;Inpatients ;Outpatients ;T-Tests ;Mann-Whitney U Test ;Analysis of Variance ;Bivariate Statistics ;Correlation Coefficient ;Nurse-Patient RelationsAbstract:The aim of this study is to gain insight into the level of emotional intelligence of mental health nurses in the Netherlands. The focus in research on emotional intelligence to date has been on a variety of professionals. However, little is known about emotional intelligence in mental health nurses. The emotional intelligence of 98 Dutch nurses caring for psychiatric patients is reported. Data were collected with the Bar-On Emotional Quotient Inventory within a cross-sectional research design. The mean level of emotional intelligence of this sample of professionals is statistically significant higher than the emotional intelligence of the general population. Female nurses score significantly higher than men on the subscales Empathy, Social Responsibility, Interpersonal Relationship, Emotional Self-awareness, Self-Actualisation and Assertiveness. No correlations are found between years of experience and age on the one hand and emotional intelligence on the other hand. The results of this study show that nurses in psychiatric care indeed score above average in the emotional intelligence required to cope with the amount of emotional labour involved in daily mental health practice. The ascertained large range in emotional intelligence scores among the mental health nurses challenges us to investigate possible implications which higher or lower emotional intelligence levels may have on the quality of care. For instance, a possible relation between the level of emotional intelligence and the quality of the therapeutic nurse-patient relationship or the relation between the level of emotional intelligence and the manner of coping with situations characterised by a great amount of emotional labour (such as caring for patients who self-harm or are suicidal).Journal Subset:Europe; Nursing; Online/Print; Peer Reviewed; UK & IrelandSpecial Interest:Psychiatry/PsychologyInstrumentation:Bar-On Emotional Quotient InventoryISSN:0962-1067MEDLINE Info:PMID: 20569281 NLM UID: 9207302Entry Date:20110211Revision Date:20120810DOI:http://dx.doi.org/10.1111/j.1365-2702.2009.03120.xAccession Number:2010904386Database: CINAHL Plus with Full TextPublisher Logo:

Nurses' communication with patients: examining relational communication dimensions and relationship satisfaction.Authors:Finch LPAffiliation:Assistant Professor, Loewenberg School of Nursing, University of Memphis, 100 Newport Hall, Memphis, TN 38152-3740, lfinch@memphis.eduSource:International Journal for Human Caring (INT J HUM CARING), 2005; 9 (4): 14-23. (54 ref)Publication Type:journal article - research, tables/chartsLanguage:EnglishMajor Subjects:Nurse-Patient RelationsNurses -- Psychosocial FactorsMinor Subjects:Adult ;Aged ;Analysis of Variance ;Cross Sectional Studies ;Descriptive Statistics ;Factor Analysis ;Female ;Male ;Middle Age ;P-Value ;Pearson's Correlation Coefficient ;Post Hoc Analysis ;Quantitative Studies ;Random Sample ;Research Instruments ;Summated Rating Scaling ;Survey Research ;HumanAbstract:Effective communication between nurse and patient is paramount in establishing the relationship that provides the basis for patient care that influences healthcare outcomes. This study examined the dimensions of nurse-patient relational communication, identified the importance of nurses' use of patient-preferred Relational Preference behaviors, and explored nurses' satisfaction with nurse-patient interactions. The Nurse-Patient Communication Survey instrument asked nurses to recall a specific communication event with a patient. Responses implied a two-dimensional model of nurse-patient communication composed of caring and composure. Nurses had high levels of relational satisfaction that were positively and significantly associated with the use of Relational Preference behaviors. Post hoc testing revealed the caring communication dimension significantly contributed to nurses' overall satisfaction with patient relationships.Journal Subset:Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USAInstrumentation:Nurse Patient Relationship Communication Assessment Tool (NPR-CAT)Nurse Interview Satisfaction Scale (NISS)ISSN:1091-5710MEDLINE Info:NLM UID: 9806969Entry Date:20060120Revision Date:20091218Accession Number:2009053760Database: CINAHL Plus with Full Text

Communication in nursing care for patients requesting euthanasia: a qualitative study.Authors:Denier Y ;Gastmans C ;De Bal N ;Dierckx de Casterl BAffiliation:Yvonne Denier, PhD, Postdoctoral Researcher, Centre for Biomedical Ethics and Law, Faculty of Medicine, Catholic University of LeuvenSource:Journal of Clinical Nursing (J CLIN NURS), 2010 Dec; 19 (23/24): 3372-80. (49 ref)Publication Type:journal article - researchLanguage:EnglishMajor Subjects:EuthanasiaNurse-Patient RelationsCommunicationNurse AttitudesMinor Subjects:Human ;Grounded Theory ;Semi-Structured Interview ;Multicenter Studies ;Belgium ;Hospitals ;Staff Nurses ;Qualitative Studies ;Purposive Sample ;Adult ;Middle Age ;Female ;Male ;Audiorecording ;Coding ;Data Analysis Software ;Thematic Analysis ;DiariesAbstract:To describe the communication during the euthanasia care process for mentally competent, terminally ill patients in general hospitals in Flanders, as seen from the perspective of the nurse. International literature shows that nurses are involved in the care process surrounding euthanasia, regardless of the legal status of euthanasia in the country being studied. In particular, research shows that communication is an important part of good euthanasia care. However, the actual way nurses' communication contributes to the quality of the euthanasia care process remains unclear. A Grounded Theory Design was used. Analysis of 18 in-depth, semi-structured interviews with nurses from nine different hospitals in Flanders (Belgium). The interviews took place during a 20-month period in 2005-2006. The euthanasia care process for mentally competent, terminally ill patients in general hospitals in Flanders is a complex and dynamic process, the connecting thread of which is nurses' communication. During this process, nurses perceive that they communicate often and a lot, with various people, in different contexts, in different ways and with various purposes. This communicative process is intensified by the moral and psychological weight of the theme, and its impact on everyone involved, as well as by the relatively short period of time, during which it all takes place. This article adds to the growing body of literature on nursing care for patients requesting euthanasia. The findings suggest that for nurses, communication is a key instrument for realising good-quality euthanasia care. Being the essence of nursing care for patients requesting euthanasia, nurses' communication requires support and guidance on the level of nursing education, professional guidelines and hospital context.Journal Subset:Europe; Nursing; Online/Print; Peer Reviewed; UK & IrelandISSN:0962-1067MEDLINE Info:NLM UID: 9207302Entry Date:20110107Revision Date:20130315DOI:http://dx.doi.org/10.1111/j.1365-2702.2010.03367.xAccession Number:2010861804Database: CINAHL Plus with Full TextPublisher Logo:

The content of morning time conversations between nursing home staff and residents.Authors:Wadensten BAffiliation:Senior Lecturer, Department of Caring Sciences, rebro University, SE-701 82 rebro, Sweden, barbro.wadensten@ivo.oru.seSource:Journal of Clinical Nursing (J CLIN NURS), 2005 Sep; 14 (8b): Suppl: 84-9. (20 ref)Publication Type:journal article - research, tables/chartsLanguage:EnglishMajor Subjects:Conversation -- EvaluationGerontologic Nursing -- MethodsGerontologic Nursing -- Psychosocial FactorsHealth Status -- Evaluation -- In Old AgeLong Term Care -- Psychosocial FactorsNurse-Patient Relations -- EvaluationNursing AssistantsNursing Home PatientsRegistered NursesMinor Subjects:Adult ;Aged ;Aged, 80 and Over ;Content Analysis ;Convenience Sample ;Descriptive Research ;Inpatients ;Middle Age ;Nonparticipant Observation ;Pilot Studies ;Sweden ;HumanAbstract:AIM: The aim of this paper was to investigate what nursing home staff and residents converse about when they first meet each other in the morning and to investigate who starts the conversation. It is a pilot project about communication in a nursing home in Sweden and a basis for a practice development programme. BACKGROUND: Studies in Sweden have shown that nurse assistants working in care of the older people felt they had too little training in how to communicate. Communicative behaviour influences patients, but little is known about the content of morning time communication in nursing homes. METHOD: Non-participant observation of 18 staff was carried out using an observation schema. Content analysis was performed. RESULTS: The findings were that it was the staff who initiated conversation and chose the content of conversation. The most common topic in morning time conversation was residents' health and sickness. CONCLUSION: Staff in nursing homes, both nurses and nurse assistants need to reflect on their interaction with residents and be conscious of their important role because they create the climate on the ward through conversation. Further studies are needed in order to explore residents' opinions of what the content of a good communication could be and also to find out how nurses and other staff members' communication with residents could be improved. Relevance to clinical practice. Staff need more training and knowledge about how to communicate with older people.Journal Subset:Europe; Nursing; Online/Print; Peer Reviewed; UK & IrelandSpecial Interest:Gerontologic CareISSN:0962-1067MEDLINE Info:PMID: 16083489 NLM UID: 9207302Entry Date:20051104Revision Date:20120302DOI:http://dx.doi.org/10.1111/j.1365-2702.2005.01283.xAccession Number:2009029739Database: CINAHL Plus with Full TextDefining characteristics of communication quality in culture-changed long-term healthcare facilities. Images

Go to all 8 images >>Authors:Huang, Yuan-HanGarrett, Sandra K.Source:Journal of Communication in Healthcare, Dec2012, Vol. 5 Issue 4, p227-238, 12p, 1 Diagram, 5 Charts, 2 GraphsDocument Type:ArticleSubject Terms:CHI-squared testCOMMUNICATIONCORPORATE cultureINTERPROFESSIONAL relationsLONG-term care of the sickNONPARAMETRIC statisticsNURSING home patientsNURSING care facilitiesORGANIZATIONAL changePROBABILITY theoryQUESTIONNAIRESSCALES (Weighing instruments)STATISTICSDATA analysisOCCUPATIONAL rolesDESCRIPTIVE statisticsGeographic Terms:SOUTH CarolinaAbstract:Inter-staff communication plays a significant role on the efficiency of healthcare delivery and on patients' health outcomes; however, previous studies focused on communication and its associated effects at facilities, such as resident-centered long-term care settings, are extremely limited. The current survey study investigates inter-staff communication characteristics and patterns based on staff's roles and responsibilities in a culture-changed nursing home. 'Timeliness', 'accuracy', 'understanding', 'effectiveness', and 'openness', five dimensions of communication quality, are used to evaluate staff's preferred communication modalities and behaviors. Results found that 28.3% of respondents have more than one role or responsibility. Therefore, strategies for communication modalities and qualities vary accordingly. Among different modalities, synchronous communication modalities were most preferred to achieve the five communication quality dimensions in all groups, but there were significant differences between roles when using the asynchronous modalities to achieve understandable and effective communication. In conclusion, management should serve as a mediator in setting up a series of communication policies that not only achieve communication quality within a facility and satisfy staff's communication preferences, but also maintain efficient operational workflow and residents' quality of life in the resident-centered long-term care facility. [ABSTRACT FROM AUTHOR]Copyright of Journal of Communication in Healthcare is the property of Maney Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)ISSN:17538068DOI:10.1179/1753807612Y.0000000015Accession Number:84354352Database: Health Business EliteImages: Show all 8 images

Reliability of standardized patients used in a communication study on international nurses in the United States of America.Images

Authors:Bolstad, Anne L. ;Xu, Yu ;Shen, Jay J. ;Covelli, Margaret ;Torpey, MiriamAffiliation:University of Nevada Las Vegas School of NursingUniversity of Nevada Las Vegas School of Community Health SciencesSpring Valley Hospital Medical Center, Las Vegas, NV, USASource:Nursing & Health Sciences (NURS HEALTH SCI), 2012 Mar; 14 (1): 67-73. (30 ref)Publication Type:journal article - research, tables/chartsLanguage:EnglishMajor Subjects:Patient Simulation -- EvaluationEducation, NursingInternational Nursing -- Psychosocial FactorsProfessional Competence -- EvaluationCommunicationMinor Subjects:Human ;Funding Source ;Nevada ;Videorecording ;Summated Rating Scaling ;Interrater Reliability ;Intraclass Correlation Coefficient ;Data Analysis Software ;Female ;Male ;Adult ;Middle Age ;Descriptive Statistics ;Nonverbal Communication -- MethodsAbstract:As an evaluation method, standardized patients have a long history in medical education and research yet are less established in nursing. This paper explores the reliability of using standardized patients as the evaluative method in a communication competence pilot study with international nurses. Standardized patients and second raters scored the same encounters. We examined the scores by intraclass correlation coefficients. Anecdotal comments by the two types of raters were assessed qualitatively to highlight similarities and areas of difference between them. The results of reliability analysis for standardized patients scores for the composite variables of Establishing Communicative Rapport, Therapeutic Communication, Non-Verbal Communication, and Overall Satisfaction ranged from 0.755 ( P < 0.01) to 0.42 ( P = 0.09). In this study, the results showed standardized patient evaluation has moderate to substantial reliability when compared to second raters of the same set of clinical encounters. This is similar to the reliability established over many decades of medical research. Greater use of this dynamic and interactive technique may be beneficial to nursing education and research.Journal Subset:Asia; Nursing; Peer ReviewedISSN:1441-0745MEDLINE Info:PMID: 22321160 NLM UID: 100891857Grant Information:This study was supported by the National Council of State Boards of Nursing (Grant #P18002-1).Entry Date:20120518Revision Date:20130412DOI:http://dx.doi.org/10.1111/j.1442-2018.2011.00667.xAccession Number:2011460202Database: CINAHL Plus with Full TextPublisher Logo:

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Medication discussion between nurse prescribers and people with diabetes: an analysis of content and participation using MEDICODE.Images

Authors:Sibley, Andrew ;Latter, Sue ;Richard, Claude ;Lussier, Marie-Thrse ;Roberge, Denis ;Skinner, Timothy C. ;Cradock, Sue ;Zinken, Katarzyna M.Affiliation:Andrew Sibley BSc MSc, Senior Research Assistant , Faculty of Health Sciences, University of Southampton, UKSue Latter PhD RN PGDipHV, Professor of Nursing, Faculty of Health Sciences, University of Southampton, UKClaude Richard MA PhD, Associate Researcher, Centre de sant et de services sociaux de Laval, quipe de recherche en soins de premire ligne, Qubec, CanadaMarie-Thrse Lussier BSc MSc MD, Associate Professor, Dpartement de Mdecine Familiale, Universit de Montral, Qubec, CanadaDenis Roberge MPs, Project Manager, Entre les lignes Inc., Montreal, CanadaTimothy C. Skinner PhD, Director of Research, Flinders University Rural Clinical School, Flinders University, South Australia, AustraliaSue Cradock MSc RGN DipN, Nurse Consultant, Portsmouth Hospitals NHS Trust, UKKatarzyna M. Zinken BSc MSc PhD, Lecturer in Health Psychology, Warsaw School of Social Sciences and Humanities, PolandSource:Journal of Advanced Nursing (J ADV NURS), 2011 Nov; 67 (11): 2323-36. (51 ref)Publication Type:journal article - research, tables/chartsLanguage:EnglishMajor Subjects:Diabetes Mellitus -- Drug TherapyPrescriptions, DrugNursing PracticeDiabetic PatientsCommunicationNurse-Patient RelationsHypoglycemic Agents -- Therapeutic UseDiabetes EducationMinor Subjects:Human ;Funding Source ;England ;Purposive Sample ;Coding ;Patient Education ;Thematic Analysis ;Glycemic Control ;Nursing Role ;Quantitative Studies ;Descriptive Research ;Cross Sectional Studies ;Kappa Statistic ;Descriptive Statistics ;Interrater Reliability ;Test-Retest Reliability ;Concurrent Validity ;Data Analysis Software ;Medication Compliance ;Summated Rating Scaling ;Scales ;Female ;Prescriptive Authority ;Adult ;Middle Age ;Job Experience ;Specialties, Nursing ;Practice Guidelines ;OutpatientsAbstract:sibley a., latter s., richard c., lussier m.-t., roberge d., skinner t.c., cradock s. & zinken k.m. (2011) Medication discussion between nurse prescribers and people with diabetes: an analysis of content and participation using MEDICODE. Journal of Advanced Nursing 67(11), 2323-2336. Abstract Aim. This paper is a report of a study to identify the content of, and participation in, medicine discussion between nurse prescribers and people with diabetes in England. Background. Diabetes affects 246 million people worldwide and effective management of medicines is an essential component of successful disease control. There are now over 20,000 nurse independent prescribers in the UK, many of whom frequently prescribe for people with diabetes. With this responsibility comes a challenge to effectively communicate with patients about medicines. National guidelines on medicines communication have recently been issued, but the extent to which nurse prescribers are facilitating effective medicine-taking in diabetes remains unknown. Methods. A purposive sample of 20 nurse prescribers working with diabetes patients audio-recorded 59 of their routine consultations and a descriptive analysis was conducted using a validated coding tool: MEDICODE. Recordings were collected between January and July 2008. The unit of analysis was the medicine. Results. A total of 260 instances of medicine discussion identified in the audio-recordings were analysed. The most frequently raised themes were 'medication named' (raised in 888% of medicines), 'usage of medication' (654%) and 'instructions for taking medication' (485%). 'Reasons for medication' (85%) and 'concerns about medication' were infrequently discussed (27%). Measures of consultation participation suggest largely dyadic medicine discussion initiated by nurse prescribers. Conclusion. MEDICODE discussion themes linked to principles of recent guidelines for effective medicine-taking were infrequently raised. Medicine discussion was characterized by a one statement-one response style of communication led by nurses. Professional development is required to support theoretically informed approaches to effective medicines management.Journal Subset:Core Nursing; Europe; Nursing; Peer Reviewed; UK & IrelandSpecial Interest:Advanced Nursing PracticeISSN:0309-2402MEDLINE Info:PMID: 21592189 NLM UID: 7609811Grant Information:Diabetes UKEntry Date:20111111Revision Date:20121109DOI:http://dx.doi.org/10.1111/j.1365-2648.2011.05686.xAccession Number:2011308764Database: CINAHL Plus with Full TextPublisher Logo:

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Nurses' perception of time availability in patient communication in Hong Kong.Images

Authors:Chan, Engle A ;Jones, Aled ;Fung, Sylvia ;Wu, Sui ChuAffiliation:Authors: Engle A Chan, PhD, RN, Associate Head and Associate Professor, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, ChinaSource:Journal of Clinical Nursing (J CLIN NURS), 2012 Apr; 21 (7/8): 1168-77. (30 ref)Publication Type:journal article - researchLanguage:EnglishMajor Subjects:Nurse-Patient Relations -- Hong KongCommunicationTimeNurse Attitudes -- Hong KongMinor Subjects:Human ;Hong Kong ;Nurse Attitudes -- Evaluation ;Focus Groups ;Interview Guides ;Audiorecording ;Thematic Analysis ;Research Subject Recruitment ;Convenience Sample ;Communication -- Methods ;Funding SourceAbstract:Aims. To explore nurses' perceptions of their patient communication in practice and to identify their ways of communicating. Background. Nurse theorists and clinicians are aware of the importance of nurse-patient communication in providing patient-centred care. However, barriers remain that prevent nurses from implementing quality/effective communication, and time is often viewed as a critical variable. Continuous emphasis on efficiency contravenes patient-centred care, warranting a re-examination of nurses' perception of time in nurse-patient communication. Design. Focus group interviews were adopted. Thirty-nine registered nurses participated. Interviews were tape-recorded, transcribed and translated, and data were analysed using thematic analysis to identify codes, categories and themes/patterns. Results. Three themes were identified regarding nurses' perception of communication with time: (1) Patterns of communication. (2) Routine scheduled communication vs. meeting individuals' needs. (3) Saving time through communication. Patterns of communication, based on participants' criteria such as the purpose, who initiated it, the nature of communication, expectation to perform, therapeutic value and relation with time were explicated. By integrating communication into routines as intended actions, nurses demonstrate that communication and relationship building with patients take no extra time. Good communication and good relationships help nurses save time. Conclusions. Nurses' communication behaviour is closely related to their perception of communication. This study suggests the need for a paradigm shift in thinking about communication as requiring time. Additionally, nurses should recognise the value of short, iterative interaction and chit-chat as quality communication for knowing their patients and providing patient-centred care. Relevance to clinical practice. Nurses should think beyond time in the discourse of effective nurse-patient communication, as it often relates to manpower. An understanding of how nurses perceive their time availability for nurse-patient communication and their use of time for this aspect contribute to the discourse regarding how to improve patient-centred care.Journal Subset:Europe; Nursing; Online/Print; Peer Reviewed; UK & IrelandISSN:0962-1067MEDLINE Info:PMID: 21917032 NLM UID: 9207302Grant Information:Central Research Grant from The Hong Kong Polytechnic University under grant number 1-ZV2W.Entry Date:20120330Revision Date:20130412DOI:http://dx.doi.org/10.1111/j.1365-2702.2011.03841.xAccession Number:2011477853Database: CINAHL Plus with Full TextPublisher Logo:

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The use of effective therapeutic communication skills in nursing practice.Authors:Jasmine TJXAffiliation:Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of SingaporeSource:Singapore Nursing Journal (SINGAPORE NURS J), 2009 Jan-Mar; 36 (1): 35-8, 40. (17 ref)Publication Type:journal articleLanguage:EnglishMajor Subjects:Communication SkillsNurse-Patient RelationsNursing PracticeMinor Subjects:Communication Barriers ;Culture ;Listening ;VignettesAbstract:Communication is crucial in fostering and maintaining healthy relationships. It is absolutely essential especially for nurses, as they not only care for the physically ill, but also look after the emotional well being of their patients. Unfortunately, it is largely taken for granted these days, and hence this article is designed to promote a greater understanding of, and further improve nursepatient communication and interaction. In-depth analysis and discussion will be done on two important skills of therapeutic communication -listening and exploring. A number of cultural issues and barriers to communication are also covered and these are done in relation to a short scenario. When proper therapeutic communication techniques are in place, patient-centred care can then be emphasised and healthy nurse-patient relationships will slowly but surely be enhanced.Journal Subset:Asia; Editorial Board Reviewed; Nursing; Peer ReviewedISSN:0218-0995Entry Date:20090403Revision Date:20110121Accession Number:2010185451Database: CINAHL Plus with Full Text