Barriers to effective nurse-patient communication in the emergency department

Kalaldeh, Mahmoud Al; Amro, Nawaf Rn; Qtait, Mohammad; Alwawi, Abdallah

doi:10.7748/en.2020.e1969

Cited by 25 publications

(23 citation statements)

References 19 publications

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“…The system required multiple steps in which the patients downloaded an application to their personal mobile phones and created an account to share ED data on their private mobile phones 39. Previous research on promoting person-centred and family-centred outcomes has highlighted that patients’ personal characteristics and preferences for information, as well as their specific disease, are influencing factors, but the impact of the environment is often overlooked when seeking solutions 40 41. The involvement of consumers as end-users in developing a technological solution to cover identified needs helps towards creating solutions to improve clinical practice 42 43.…”

Section: Discussionmentioning

confidence: 99%

Health professionals’ perspectives of patients’ and family members’ needs in emergency departments and patient pathway improvement: a qualitative study in Denmark

et al. 2022

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ObjectiveBesides working in a fast-paced environment, healthcare professionals (HCPs) in the emergency department (ED) are required to promptly respond to patients’ needs and simultaneously achieve their organisational goals, which can be challenging. This study investigates how HCPs perceive and support the needs of patients discharged after a brief ED stay, as well as their family members.DesignThe study used focus group discussions. The text material was analysed using systematic text condensation.SettingData were collected from two large EDs in Denmark.ParticipantsSixteen HCPs were sampled purposively to participate in three focus group discussions.ResultsThree main themes were condensed: (1) creating a trustful and reassuring relationship; (2) responding to family members: a bother or a benefit; and (3) working as an interdisciplinary team. The study indicated the need for increased interdisciplinary collaboration to reduce discrepancies in information dissemination, to meet patient and family needs and to deliver a holistic approach. A technical solution was suggested to facilitate collaborative teamwork.ConclusionThe study highlighted an existing gap between emergency HCPs’ perceptions of patients’ and family members’ needs and the provision of the current patient and family support. Suggestions for future interventions include focusing on interdisciplinary teamwork, facilitated by a technical solution to support a person-centred and family-centred informative approach.

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Section: Discussionmentioning

confidence: 99%

Health professionals’ perspectives of patients’ and family members’ needs in emergency departments and patient pathway improvement: a qualitative study in Denmark

et al. 2022

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“…In particular, research has shown that negative attitude of medical personnel towards gaining communicative skills is noticeable from patients' viewpoint. It is reflected in the quality of contact with the patient (e.g., their reluctance to talk and devote their time) [10,59,60]. The key factor in stopping this phenomenon, is empowering medical personnel and people who do not yet work in the profession (students) with tools such as soft skills.…”

Section: Discussionmentioning

confidence: 99%

A Model of Factors Determining Nurses’ Attitudes towards Learning Communicative Competences

Iwanow

Jaworski

Gotlib

et al. 2021

IJERPH

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The aim of the study was to assess the empirical model of factors determining the attitude towards acquiring communicative competences among nurses participating in the program of specialist training courses. Research was conducted using a cross-sectional study. A representative group of 1010 Polish registered nurses that took part in the postgraduate education course answered a self-report survey (three instruments: NEO-PI-R questionnaire, Communication Skills Attitude Scale (CSAS), and Empathy Understanding Questionnaire (KRE II)) from the beginning of March to the end of May 2018, which was evaluated using path analysis. The research results conducted confirmed the soundness of the created theoretical model (χ2 = 0.278, p = 0.598, RMSEA < 0.05). It was proved that acquiring communicative competences in nurses is determined by factors such as professional experience, empathic tendency, and the intensity of agreeableness, whereby these factors are bound with each other creating a homogeneous network. The developed model demonstrated that skills can most effectively be shaped in an individual’s attitude based on positive mentoring in work environment.

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“…The age of the nurse can also be of key significance in the proposed model (Hypothesis 3 and 4). The available test results do not allow for stating clearly the extent to which the age or job seniority can condition a positive attitude towards learning communicative competences or the provision of activity-centred spiritual care [15]. stating clearly the extent to which the age or job seniority can condition a positive attitude towards learning communicative competences or the provision of activity-centred spiritual care [15].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice—Empirical Model

Pańczyk

Iwanow

Wawrzuta

et al. 2021

IJERPH

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Decision making using evidence-based practice (EBP) is generally universally accepted by nurses. Such acceptance may affect the personnel’s behaviour towards patients, which is also demonstrated by taking into consideration the patient’s preferences, including the patient’s spiritual needs, in the care plan. The provision of such care requires the development of an attitude of approval and an adequate level of communicative competence, which will enable the actual implementation of the EBP. The purpose of our study was to assess the perception of spirituality and the nurse’s role in providing spiritual care, as well as the perception of the significance of communication skills in the approval of EBP in professional practice. A multi-centre cross-section study was conducted on a population of 1176 participants (459 undergraduate (bachelor’s programme, BP) and 717 postgraduate students (master’s programme, MP)) from 10 medical universities in Poland. Three tools were used in the study to evaluate the participants’ approach: Evidence-Based Practice Competence Questionnaire (EBP-COQ), The Spirituality and Spiritual Care Rating Scale (SSCRS), and Communication Skills Attitude Scale (CSAS). Structural equation modelling was used for the analysis. An analysis of structural equations revealed the presence of positive relationships of the attitude to spiritual care and the role of communicative competences with the approach to EBP regardless of the cohort. A significant difference was found related to the influence of age on the attitude towards learning communicative competences. The approval in this respect was observed to decrease with age in the MP group. Increasing approval of EBP requires strengthening the approach to activity-centred spiritual care, with the simultaneous development of a positive attitude towards learning communicative competences. The model reveals the need to integrate a humanistic approach with EBP, which can be achieved by planning different interventions in different groups of recipients: nurses, academic teachers and students.

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Barriers to effective nurse-patient communication in the emergency department

Cited by 25 publications

References 19 publications

Health professionals’ perspectives of patients’ and family members’ needs in emergency departments and patient pathway improvement: a qualitative study in Denmark

Health professionals’ perspectives of patients’ and family members’ needs in emergency departments and patient pathway improvement: a qualitative study in Denmark

A Model of Factors Determining Nurses’ Attitudes towards Learning Communicative Competences

Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice—Empirical Model

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