Difficult Communication in Nursing

Sheldon, Lisa Kennedy; Barrett, Roseann; Ellington, Lee

doi:10.1111/j.1547-5069.2006.00091.x

Cited by 106 publications

(94 citation statements)

References 25 publications

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“…[1][2][3][4][5] Their conversations often relate to (health-related) goals, activity choices, medical treatment, and the evaluation of treatment. Such conversations between clients and health-care professionals are often complicated and multidimensional; this is partly due to the complexity of communication itself, but is also due to time constraints, emotions, different expectations and factors in the social and physical environment.…”

Section: Introductionmentioning

confidence: 99%

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Stans

Dalemans

Witte

et al. 2016

Disability and Rehabilitation

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Purpose: The role of the physical environment in communication between health-care professionals and persons with communication problems is a neglected area. This study provides an overview of factors in the physical environment that play a role in communication during conversations between people who are communication vulnerable and health-care professionals. Method: A scoping review was conducted using the methodological framework of Arksey and O'Malley. The PubMed, PsycINFO, CINAHL and Cochrane Library databases were screened, and a descriptive and thematic analysis was completed. Results: Sixteen publications were included. Six factors in the physical environment play a role in conversations between people who are communication vulnerable and health-care professionals: (1) lighting, (2) acoustic environment, (3) humidity and temperature, (4) setting and furniture placement, (5) written information, and (6) availability of augmentative and alternative communication (AAC) tools. These factors indicated barriers and strategies related to the quality of these conversations. Conclusions: Relatively small and simple strategies to adjust the physical environment (such as adequate lighting, quiet environment, providing pen and paper) can support people who are communication vulnerable to be more involved in conversations. It is recommended that health-care professionals have an overall awareness of the potential influence of environmental elements on conversations. ä IMPLICATIONS FOR REHABILITATIONThe physical environment is an important feature in the success or disturbance of communication. Small adjustments to the physical environment in rehabilitation can contribute to a communicationfriendly environment for conversations with people who are communication vulnerable. Professionals should consider adjustments with regard to the following factors in the physical environment during conversations with people who are communication vulnerable: lighting, acoustic environment, humidity and temperature, setting and furniture placement, written information, and availability of AAC (augmentative and alternative communication tools). ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Stans

Dalemans

Witte

et al. 2016

Disability and Rehabilitation

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“…Similarly, a study examined nurses' difficulties with communication, suggesting that communication is a central aspect of nursing practice. [3] This study indicated that the quality of nursing care is improved through effective communication skills in Studies of key communication barriers to providing culturally and linguistically appropriate care found that language and cultural differences remain the greatest impediments to effective communication. Nurses from different cultures to the patients' cultural background may experience communication incongruence that could lead to misdiagnosis, misunderstanding and, above all, the inability of the nurse to articulate the needs of patients, resulting in breakdown of effective patient care.…”

Section: Introductionmentioning

confidence: 99%

Quantitative exploration of the barriers and facilitators to nurse-patient communication in Saudia Arabia

Albagawi

Jones

2016

JHA

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Nurses with effective communication skills play a critical role in minimising the stress associated with hospitalisation for both patients and their families. Effective communication has become increasingly reported as a key component in effective health care outcomes, which is even more crucial in countries such as Saudi Arabia with a large foreign healthcare workforce. The presence of a large expatriate workforce with a different language from the host society and the ensuing complexity of sociocultural linguistic and heath beliefs systems has been poorly researched. This study aimed to investigate barriers and facilitators of nurse-patient communication in Saudi Arabia using the Nurses' Self-Administered Communication Survey. The survey was distributed to a random sample of 291 nurses working in medical and surgical departments at five hospitals in Saudi Arabia. The results indicate that the Philippine and Saudi Arabian nurses perceived greater barriers to communication with respect to personal/social characteristics, job specifications and environmental factors then nurses of other nationalities. In addition, nurses with shorter experience in Saudi Arabia perceived greater barriers to communication with respect to the clinical situation of patient and environmental factors than the nurses with longer experience. Lastly, nurses who had not attended specialist courses on communication skills acquisition perceived greater barriers to communication with respect to personal characteristics and job specifications than nurses who had attended such courses. This study highlights the need to better prepare expatriate nurses before they enter the workforce in Saudi Arabia on cultural competence and language skills.

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“…Communication is also seen as a dynamic, complex, and context-related ongoing multivariate process in which the experiences of the participants are shared (Daubenmire et al 1978;Edberg et al 1995;Hansebo and Kihlgren 2002;Harding 1987;Sheldon et al 2006). Mutuality and simultaneity are central aspects in communication (Daubenmire et al 1978;Davies 1994;Harding 1987;Shattell 2004;Turnock 1991), too.…”

Section: Definitions Of Communicationmentioning

confidence: 99%

Nurse-patient interaction and communication: A systematic literature review

et al. 2009

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Aim The purpose of this review is to describe the use and definitions of the concepts of nurse-patient interaction and nurse-patient communication in nursing literature. Furthermore, empirical findings of nurse-patient communication research will be presented, and applied theories will be shown. Method An integrative literature search was executed. The total number of relevant citations found was 97. The search results were reviewed, and key points were extracted in a standardized form. Extracts were then qualitatively summarized according to relevant aspects and categories for the review. Results The relation of interaction and communication is not clearly defined in nursing literature. Often the terms are used interchangeably or synonymously, and a clear theoretical definition is avoided or rather implicit. Symbolic interactionism and classic sender-receiver models were by far the most referred to models. Compared to the use of theories of adjacent sciences, the use of original nursing theories related to communication is rather infrequent. The articles that try to clarify the relation of both concepts see communication as a special or subtype of interaction.The main intention of communication and interaction in the health setting is to influence the patient's health status or state of well-being. Identified important structural factors of communication were: role allocation, different use of language and registers, and the nursing setting. The process of communication is often described with a phase model; communication often happens during other interventions and tasks. In general, influencing factors can be organized into the categories of provider variables, patient variables, environmental and situational variables. Conclusion The included citations all conclude that communication skills can be learned to a certain degree. Involvement of patients and their role in communication often is neglected by authors. Considering the mutual nature of communication, patients' share in conversation should be taken more into consideration than it has been until now. Nursing science has to integrate its own theories of nursing care with theories of communication and interaction from other scientific disciplines like sociology.

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Difficult Communication in Nursing

Abstract: The groups described five major themes in difficult communication. They also identified the heavy emotional component of nurse-patient communication and the difficulties arising in work relationships that complicated communication.

Cited by 106 publications

References 25 publications

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Quantitative exploration of the barriers and facilitators to nurse-patient communication in Saudia Arabia

Nurse-patient interaction and communication: A systematic literature review

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