The Impact of Communication Barriers on Diagnostic Confidence and Ancillary Testing in the Emergency Department

Garra, Gregory; Albino, H.; Chapman, Heather; Singer, Adam J.; Thode, Henry C.

doi:10.1016/j.jemermed.2009.01.004

Cited by 20 publications

(14 citation statements)

References 9 publications

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“…Nevertheless, according to Garra et al (2010) the most commonly reported barrier for an effective communication between nurses and patients was language in the emergency setting.…”

Section: Discussionmentioning

confidence: 99%

“…Such a language barrier is causing inability in exchange of information and therefore a potential for misdiagnosis and maltreatment, especially in the case of patients with acute conditions. Moreover, this results in increased workload and dissatisfaction of the caring staff and possible more communication problems ( David & Rhee, 1998 ; Garra et al, 2010 ), though negligence and lack of support of the nurses’ should not be ignored and must be addressed by the healthcare authorities ( Manongi, et al, 2009 ). Therefore, recognition of communication barriers is the first step in improving nurse-patient communication ( David & Rhee, 1998 ).…”

Section: Introductionmentioning

confidence: 99%

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

Shafipour¹,

Mohammad²,

Ahmadi³

2014

GJHS

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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.

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“…Nevertheless, according to Garra et al (2010) the most commonly reported barrier for an effective communication between nurses and patients was language in the emergency setting.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Shafipour¹,

Mohammad²,

Ahmadi³

2014

GJHS

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“…6,7 Optimal care in the complex system of the pediatric ED requires effective communication between the parent of a child and multiple care providers. 8 The best global predictor of satisfaction with ED care is the quality of interpersonal interactions with ED providers.…”

Section: Importancementioning

confidence: 99%

A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children

Hoppa

Porter²

2011

Pediatric Emergency Care

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“…Emergency departments (EDs) in hospitals are critical and high-risk environments due to the urgency of care needs and the complexity of communication [2,4]. The ED is inherently vulnerable to errors that can result in patient harm [5].…”

Section: Introductionmentioning

confidence: 99%

Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

et al. 2020

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Background The purpose of patient safety is to prevent harm occurring in the healthcare system. Patient safety is improved by the use of a reporting system in which healthcare workers can document and learn from incidents, and thus prevent potential medical errors. The present study aimed to determine patient safety challenges facing clinicians (physicians and nurses) in emergency medicine and to assess barriers to using e-OVR (electronic occurrence variance reporting). Methods This cross-sectional study involved physicians and nurses in the emergency department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. Using convenience sampling, a self-administered questionnaire was distributed to 294 clinicians working in the ED. The questionnaire consisted of items pertaining to patient safety and e-OVR usability. Data were analyzed using frequencies, means, and percentages, and the chi-square test was used for comparison. Results A total of 197 participants completed the questionnaire (67% response rate) of which 48 were physicians (24%) and 149 nurses (76%). Only 39% of participants thought that there was enough staff to handle work in the ED. Roughly half (48%) of participants spoke up when something negatively affected patient safety, and 61% admitted that they sometimes missed important patient care information during shift changes. Two-thirds (66%) of the participants reported experiencing violence. Regarding e-OVR, 31% of participants found reporting to be time consuming. Most (85%) participants agreed that e-OVR training regarding knowledge and skills was sufficient. Physicians reported lower knowledge levels regarding how to access (46%) and how to use (44%) e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a quarter of the staff did not receive timely feedback after reporting. Regarding overall satisfaction with e-OVR, only 25% of physicians were generally satisfied compared to nearly half (52%) of nurses. Conclusion Although patient safety is well emphasized in clinical practice, especially in the ED, many factors hinder patient safety. More awareness is needed to eliminate violence and to emphasize the needs of additional staff in the ED. Electronic reporting and documentation of incidents should be well supported by continuous staff training, help, and feedback.

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The Impact of Communication Barriers on Diagnostic Confidence and Ancillary Testing in the Emergency Department

Cited by 20 publications

References 9 publications

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

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

A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children

Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

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