Nurse–patient communication: an exploration of patients’ experiences

McCabe, Catherine

doi:10.1111/j.1365-2702.2004.00817.x

Cited by 411 publications

(398 citation statements)

References 62 publications

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“…But it is only partly a question of time. Person-centered communication does not need to be time consuming [22,26]. Rather, our study indicates that the most important thing was that nurses show willingness to listen rather than to come up with solutions.…”

Section: Critical Interpretation and Reflectionsmentioning

confidence: 84%

“…The nurse's brief words to calm the patient or to clarify information or specific instructions also meant security for the patient. According to McCabe [22] the presence of nurses inspires patient security in a communication when nurses also are aware of what is unspokenwhat is felt, thought, and meant. The acute phase after an MI is a vulnerable situation where the patient is faced with matters of life and death.…”

Section: Critical Interpretation and Reflectionsmentioning

confidence: 99%

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A qualitative study on the role of patient–nurse communication in acute cardiac care

Liljeroos

Snellman

Ekstedt

2011

JNEP

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Background: This study aimed to illuminate the meaning of the patient-nurse communication during a hospital stay as narrated by patients after a myocardial infarction (MI).Methods: Narrative interviews from 10 patients were analyzed, using a phenomenological-hermeneutic method. Results:The nursing dialogue meant a safe mooring point on the trajectory from initial chaos after a MI to a reoriented life. Nurses' presence and availability for non-verbal and verbal communication created a trustful relationship where new knowledge was acquired and motivational strength for life-style changes was mobilized. A person-centered perspective was preferred, where relatives were invited into the conversation. Conclusions:These results highlight that patient-nurse communication based on the patient's view is possible in acute care after MI, and is an issue of attitude rather than time. Trust lays the foundation for a person-centered communication and is developed through the nurse's presence and availability not only in the emergency phase, but throughout hospitalization. Discussions focused on personal action plans with emphasis on the patient's health assets may facilitate a successful rehabilitation.

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Section: Critical Interpretation and Reflectionsmentioning

confidence: 84%

Section: Critical Interpretation and Reflectionsmentioning

confidence: 99%

A qualitative study on the role of patient–nurse communication in acute cardiac care

Liljeroos

Snellman

Ekstedt

2011

JNEP

View full text Add to dashboard Cite

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“…It also entails transmitting feelings, attitudes, values and personality cues either verbally or nonverbally that evidently affect patient understanding and compliance to health information. [9,17] Health outcomes can be affected extensively by the quality of communication between health professionals and patients. When nurses pay attention to patient complaints, understand his/her needs and problems, focus on helpful care, provide guidance and conduct health teaching, patient health improves by a meaning of "proximal outcomes of the interaction" e.g., satisfaction with care, motivation to adhere and trust in the clinician and system.…”

Section: Discussionmentioning

confidence: 99%

Nurse communication in health education: Patients’ perspective

Ibrahim

Tawfik

Akel

2015

Clinical Nursing Studies

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Although nurses have accepted health education as an important role, they are not practicing it in a consistent and structured manner. Several factors have been proposed as an explanation for the discrepancy between expectation and practice of nurses in health education, with ineffective communication being the first. The nurse as a health educator should have appropriate interviewing and communication skills to convey health messages. Nurse should be able to communicate information that helps patients to discover: future or present health problems; more satisfying personal meaning; description about growth and development stages; how to accept or resolve conflict feeling, how to be more creative and become more oriented by self and circumstances. Therefore, this is an exploratory descriptive study, aimed at identifying the perception of patients on nurses' communication during health education. A convenient sample was obtained comprised of 238 patients in medical sections: 100 from Gamal Abd El Naser Hospital and 138 from El Amery University Hospital; both in Alexandria, Egypt. The Health Communication Feedback questionnaire (HCFQ) was used to collect the necessary data. The study revealed that patients at medical section who with chronic medical diseases; generally have a significantly positive perception regarding nurses' communication during health education. Such as: they detected some problems that nurses encountered in this communication; these problems may be in patient him/herself as 46.2% of subjects having pain and can't mutually interact with nurse in health education, or unable to understand nurse's information. In relation to the problems that detected in nurses as perceived by study subjects, lacking of nurse' time and limitation in communication skills. In health settings, the most apparent problems were insufficient facilities or materials for patient teaching and excessive interruptions and crowding. For the perceived problems in relation to health messages, about 45% of patients found jargons in nurses' health messages and 27% of them reported that messages were not attractive or interesting enough. Furthermore, results showed that there is no specific relation between the nature of patients' chronic disease and their perception regarding nurse communication during health education. Conclusion: This study highlighted the importance of patients' views for modifying and improving health professionals' performance, which are utilized to provide guidelines and directions to develop better nurses' communication outcomes in health education. Observing, examining and identifying these perceptions will provide recognition and vision for future effective nurse-patient interactions in the health education paradigm.

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“…[52][53][54][55][56][57][58][59] Few researchers have studied the effects of rapport building between pharmacists and patient. [60][61][62] …”

Section: Building Rapportmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

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Nurse–patient communication: an exploration of patients’ experiences

Cited by 411 publications

References 62 publications

A qualitative study on the role of patient–nurse communication in acute cardiac care

A qualitative study on the role of patient–nurse communication in acute cardiac care

Nurse communication in health education: Patients’ perspective

Hospital pharmacists' perceptions of medication counseling: A focus group study

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