Barriers to Nurse-Patient Communication in Cardiac Surgery Wards: A Qualitative Study

Abstract

Background:An appropriate and effective nurse-patient communication is of the most important aspect of caring. The formation and continuation of such a relationship depends on various factors such as the conditions and context of communication and a mutual understanding between the two. A review of the literature shows that little research is carried out on identification of such barriers in hospital wards between the patients and the healthcare staff.Objectives:The present study was therefore conducted to explore the experiences of nurses and patients on communication barriers in hospital cardiac surgery wards.Design and Methods:This qualitative research was carried out using a content analysis method (Graneheim & Lundman, 2004). The participants were selected by a purposeful sampling and consist of 10 nurses and 11 patients from the cardiac surgery wards of three teaching hospitals in Tehran, Iran. Data was gathered by unstructured interviews. All interviews were audio-taped and transcribed verbatim.Results:Findings were emerged in three main themes including job dissatisfaction (with the sub-themes of workload tension and decreased motivation), routine-centered care (with the sub-themes of habitual interventions, routinized and technical interventions, and objective supervision), and distrust in competency of nurses (with the sub-themes of cultural contrast, less responsible nurses, and their apathy towards the patients).Conclusions:Compared to other studies, our findings identified different types of communication barriers depending on the nursing settings. These findings can be used by the ward clinical nursing managers at cardiac surgery wards to improve the quality of nursing care.

Workplace violence against nursing staff in a Saudi university hospital

“…Patients, relatives, healthcare workers, and visitors are common sources of WPV (Angland et al 2014;Esmaeilpour et al 2011). Communication barriers can also result in an increased risk of WPV (Shafipour et al 2014). In this context, Shafipour et al (2014) stated that effective and appropriate communication is necessary between nurses and patients for the delivery of health care.…”

“…Communication barriers can also result in an increased risk of WPV (Shafipour et al. ). In this context, Shafipour et al.…”

Hambatan Komunikasi Efektif Perawat Dengan Keluarga Pasien Dalam Perspektif Perawat

“…Hasil penelitian tersebut sesuai dengan penelitian lain di Iran yang menyebutkan tekanan pekerjaan berlebih sebagai salah satu yang menjadi hambatan dalam komunikasi selain penurunan motivasi perawat, dan ketidakpercayaan terhadap kompetensi perawat yang berhubungan dengan perbedaan budaya, perawat yang kurang tanggap, dan sikap apatis perawat terhadap pasien (Shafipour, Mohammad, & Ahmadi, 2014). Idealnya perawatan di ruang intensif memiliki perbandingan 1:1 dimana satu orang perawat menangani satu orang pasien.…”

Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study

“…Shafipour et al, in a qualitative study on nurse-patient communication, found that job dissatisfaction, routine-centered care and lack of trust to nurses from patients’ views were the major barriers for achieving effective communication. 9 Also, other factors such as heavy nursing workload, hard nursing tasks, nurses’ fatigue, little time to speak with patients, fast rate of nurses’ speech, a lack of welfare facilities for nurses and some problems with the patients such as weak memory and auditory and visual disorders were considered as a barrier for communication between nurses and patients. 1,8 Norouzinia et al, concluded that difference in conversional languages between patients and nurse, overload of works and emergency situation of patients were the most barriers in nurse-patient communication.…”