Challenges for nurses when communicating with people who have life‐limiting illness and their families: A focus group study

Kerr, Debra; Milnes, Sharyn; Ammentorp, Jette; McKie, Claire; Dunning, Trisha; Ostaszkiewicz, Joan; Wolderslund, Maiken; Martin, Peter

doi:10.1111/jocn.15099

Cited by 24 publications

(62 citation statements)

References 40 publications

(42 reference statements)

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“…This could be explained as a nurses’ way of saving the patients from embarrassment, caused by failure to pay for their own basic health needs. Avoiding hospitalized older adults who could not pay for their basic care could be seen as missing opportunities for meaningful interactions and nonverbal communication ( Kerr et al, 2019 ), which could be needed by these patients.…”

Section: Discussionmentioning

confidence: 99%

Conditions Influencing Effective Nurse Nonverbal Communication With Hospitalized Older Adults in Cameroon

Keutchafo

Kerr

Baloyi

et al. 2022

Global Qualitative Nursing Research

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Effective communication between nurses and patients is an important factor to quality nursing care but ineffective nonverbal communication could take a toll on health care. Therefore, understanding the factors that influence nonverbal communication between nurses and hospitalized older adults could help solve communication problems, thus improve nursing care. A sample of 13 nurses and 4 student nurses from two hospitals in Cameroon participated in the study. Data were collected using participant observations and semi-structured interviews, and analyzed using open coding and constant comparative analysis. Three categories were identified as influencing factors: nurse views of hospitalized older adults, hospitalized older adult-related factors, and nurse intrinsic factors. Effective nurses’ nonverbal communication with hospitalized older adults relies mostly on nurses’ intrinsic factors. Identification and nurturing of the positive nurse intrinsic factors are important to develop effective nonverbal communication skills among nurses.

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Section: Discussionmentioning

confidence: 99%

Conditions Influencing Effective Nurse Nonverbal Communication With Hospitalized Older Adults in Cameroon

Keutchafo

Kerr

Baloyi

et al. 2022

Global Qualitative Nursing Research

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“…The ability to communicate and make decisions together based on the results of critical examinations is one of the challenges for health professional (32) . Nurses as health professional must have the competence to communicate effectively with other PPAs in reporting the results of critical examinations (33) . This must be supported by the organization by determining how critical value reporting procedures are, such as who should report and receive the critical value from the results of diagnostic tests.…”

Section: Discussionmentioning

confidence: 99%

Implementation of Effective Nurse Communication in Hospital Through Electronic Nursing Documentation (END)

2021

IJPHRD

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Introduction:The low quality of documented information becomes the main cause of failure in conducting effective communication. The implementation of electronic nursing documentation improves the quality of information so that it facilitates the implementation of effective communication. Objective: To identify the implementation of effective communication of nurses in hospitals through electronic nursing documentation. Method: A cross sectional design with 243 nurses as total sample. The effective communication instrument consists of 52 statements. The validity test result is in the range of 0.396-0.946 and the reliability test result is Cronbach's alpha 0.965. The data are collected online using Google form application. Results: Implementation of effective communication of nurses was 80.18% of the maximum value. The highest effective communication occurred on patient discharge while the lowest conducted in receiving messages by phone. The implementation of effective communication during the nursing process is 78.70%. Conclusion: The implementation of electronic nursing documentation could facilitate the implementation of effective communication for nurses in hospitals. However, effective communication during the nursing process is potentially requiring more improvement. The recommendation is that the nursing manager should encourage the implementation of effective communication through the utilization of electronic nursing documentation.

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“…Given the centrality of nursing during transition to EOL, it is concerning that nurses continue to report feeling inadequately prepared and to request additional didactic and experiential preparation for this work. 24,[35][36][37][38] Indeed, EOL discussions are commonly regarded as difficult conversations. 37,39 Our findings demonstrate the capacity of some acute care nurses to recognize or foster openings and to utilize those openings to move into highly sensitive conversations about dying.…”

Section: Discussionmentioning

confidence: 99%

“…24,[35][36][37][38] Indeed, EOL discussions are commonly regarded as difficult conversations. 37,39 Our findings demonstrate the capacity of some acute care nurses to recognize or foster openings and to utilize those openings to move into highly sensitive conversations about dying. They also highlight other specific strategies and communication skills that participants found valuable.…”

Section: Discussionmentioning

confidence: 99%

Transition to comfort-focused care: Moral agency of acute care nurses

Meeker

White

2020

Nurs Ethics

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Background: Moving into the last phase of life comprises a developmental transition with specific needs and risks. Facilitating transitions is an important component of the work of nurses. When curative interventions are no longer helpful, nurses enact key roles in caring for patients and families. Aim: The aim of this study was to examine the experiences of registered nurses in acute care settings as they worked with patients and families to facilitate transition to comfort-focused care. Research design: Sampling, data collection, and data analysis were guided by constructivist grounded theory, chosen because of its strength in identifying and explicating social processes. Participants and context: A purposeful sample of 26 registered nurses working in acute care hospitals in one community in the northeastern United States participated in this study through semi-structured interviews. Ethical considerations: The study received approval from the university’s Institutional Review Board for the Protection of Human Subjects. Participants provided informed consent. Findings: Nurses facilitated transition to comfort-focused care by enacting their moral commitments to patients and families. They focused on building relationships, honoring patient self-determination, and maintaining respect for personhood. In this context, they discerned a need for transition, opened a discussion, and used diverse strategies to facilitate achieving consensus on the part of patients, family members, and care providers. Regardless of how the process unfolded, nurses offered support throughout. Discussion: Achievement of consensus by all stakeholders is critical in the transition to comfort-focused care. This study deepens our understanding of how nurses as moral agents utilize specific strategies to assist progress toward consensus. It also offers an example of recognizing the moral agency of nurses through listening to their voices. Conclusion: Increased understanding of effective nursing strategies for facilitating transition to comfort-focused care is essential for developing needed evidence for excellent care and strengthening end-of-life nursing education.

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Challenges for nurses when communicating with people who have life‐limiting illness and their families: A focus group study

Abstract: This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 24 publications

References 40 publications

Conditions Influencing Effective Nurse Nonverbal Communication With Hospitalized Older Adults in Cameroon

Conditions Influencing Effective Nurse Nonverbal Communication With Hospitalized Older Adults in Cameroon

Implementation of Effective Nurse Communication in Hospital Through Electronic Nursing Documentation (END)

Transition to comfort-focused care: Moral agency of acute care nurses

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