Nursing communication in nursing care to mastectomized women: a grounded theory

study.

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Authors:
de Almeida Arajo IM ; da Silva RM ; Bonfim IM ; Fernandes AF
Author Address:
Nursing Department, Universidade de Fortaleza, Brazil. ilianama@hotmail.com
Source:
Revista Latino-Americana De Enfermagem [Rev Lat Am Enfermagem] 2010 Jan-Feb;
Vol. 18 (1), pp. 54-60.
Publication Type:
Journal Article
Language:
English
Journal Information:
Publisher: Escola de Enfermagem de Ribeiro Preto, Universidade de So Paulo Country
of Publication: Brazil NLM ID: 9420934 Publication Model: Print Cited Medium: Print
ISSN: 0104-1169 (Print) Linking ISSN: 01041169 NLM ISO Abbreviation: Rev Lat Am
Enfermagem Subsets: Nursing
Imprints:
Original Publication: So Paulo : Escola de Enfermagem de Ribeiro Preto,
Universidade de So Paulo, 1993MeSH Terms:
Communication*
Nurse-Patient Relations*
Nursing Care*
Nursing Theory*
Mastectomy/*nursing
Female ; Humans ; Interviews as Topic ; Male ; Mastectomy/psychology ; Nurse's Role
Abstract:
The goal was to understand the nurse/patient communication process, emphasizing
nursing care to mastectomized women. Symbolic Interactionism and Grounded Theory
were used to interview eight nurses from a referral institution in cancer treatment, using
the guiding question: how do nurses perceive their communication process with
mastectomized women? Data analysis allowed for the creation of a central theory: the
meaning of communication in nursing care to women, constituted by three distinct but
inter-related phenomena: perceiving communication, the relationship
nurse/mastectomized woman and rethinking the communication nurse/mastectomized
woman. With a view to satisfactory communication, professionals need to get involved
and believe that their presence is as important as the performance of technical procedures
that relieve situations of stress.
Entry Dates:

Date Created: 20100429 Date Completed: 20100628

Update Code:
20121129
PMID:
20428697
Database:
MEDLINE Complete
Full Text Database:
Academic Search Complete
Images:

Table 1

Table 2

Table 3

Exploring evidence of the therapeutic relationship in forensic psychiatric nursing.

Authors:
Martin T ; Street AF
Affiliation:
Senior Nurse, Victorian Institute of Forensic Mental Health, Locked Bag 10, Fairfield,
Victoria 3078, Australia, trish.martin@dhs.vic.gov.au
Source:
Journal of Psychiatric & Mental Health Nursing (J PSYCHIATR MENT HEALTH
NURS), 2003 Oct; 10 (5): 543-51. (44 ref)
Publication Type:
journal article - research
Language:
English
Major Subjects:
Charting
Hospitals, Psychiatric
Nurse-Patient Relations
Psychiatric Nursing
Minor Subjects:
Adult ; Audiorecording ; Australia ; Coding ; Convenience Sample ; Funding
Source ; Inpatients ; Male ; Nursing Role ; Record Review ; Semi-Structured
Interview ; Human

Abstract:
While the body of nursing research in forensic psychiatry is growing rapidly, the
therapeutic nurse-patient relationship in secure hospitals needs to be further examined.
This paper reports on a research project that found two representations of the nursepatient relationship in two male acute secure inpatient units. One representation was
formed by the data collected from the unit nurses in semistructured interviews. The
nurses valued the relationship and described their practice as therapeutic, however,
evidence from the interviews would suggest that the nurses operate from a social frame of
reference. Examination of the nurses 'entries in patients' case files formed the other
representation. Through their documentation practices, nursing was represented as being
oriented to custodial care. While neither representation can capture the clinical reality,
these findings are relevant to forensic psychiatric nurses as their entries are a historical
record through which their practice will become known to others, and in some cases,
judged by others.
Journal Subset:
Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed;
Nursing; Peer Reviewed; UK & Ireland
Special Interest:
Psychiatry/Psychology
ISSN:
1351-0126
MEDLINE Info:
PMID: 12956633 NLM UID: 9439514
Grant Information:
Supported by the La Trobe University Collaborative Grants Scheme and the Victorian
Institute of Forensic Mental Health
Entry Date:
20040514
Revision Date:
20120302
DOI:
http://dx.doi.org/10.1046/j.1365-2850.2003.00656.x
Accession Number:
2004072991
Database:
CINAHL Plus with Full Text
Publisher Logo:

Beyond empathy: clinical intimacy in nursing practice.

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Authors:
Kirk TW
Affiliation:
Catherine of Siena Fellow in Ethics, Visiting Assistant Professor of Philosophy, Villanova
University, Villanova, PA, USA
Source:
Nursing Philosophy (NURS PHILOS), 2007 Oct; 8 (4): 233-43. (21 ref)
Publication Type:
journal article - review, tables/charts
Language:
English
Major Subjects:
Empathy
Ethics, Nursing
Intimacy
Nurse-Patient Relations
Nursing Practice -- Ethical Issues
Minor Subjects:
Communication ; Female ; Intention ; Male ; Models, Theoretical ; Nurse
Attitudes ; Patient Attitudes ; Phenomenology ; Self Disclosure
Abstract:
Understanding, shared meaning, and mutual trust lie at the heart of the therapeutic
nurse-patient relationship. This article introduces the concept of clinical intimacy by
applying the interpersonal process model of intimacy to the nurse-patient relationship.
The distinction between complementary and reciprocal behaviours, and between intimate
interactions and intimate relationships, addresses background concerns about the
appropriateness of intimacy in nursing relationships. The mutual construction of meaning
in the interactive process between nurses and patients is seen to lie at the heart of clinical
intimacy as a hermeneutic enterprise. Intimacy is distinguished from empathy based on
intentionality and the status and location of meaning. Reasons for continued investigation
into clinical intimacy as an explanatory model for nursing as a hermeneutic practice are
presented.
Journal Subset:
Europe; Nursing; Online/Print; Peer Reviewed; UK & Ireland
ISSN:
1466-7681
MEDLINE Info:
PMID: 17897167 NLM UID: 100897394
Entry Date:
20080516
Accession Number:
2009680986
Database:
CINAHL Plus with Full Text

Publisher Logo:

Emotional intelligence of mental health nurses.

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Authors:
van Dusseldorp LR ; van Meijel BK ; Derksen JJ
Affiliation:
Loes RLC van Dusseldorp, RN, MSc, Preceptor Nurse Specialist, Mental Health
Care, De Gelderse Roos, Institute for Mental Health Care, Renkum
Source:
Journal of Clinical Nursing (J CLIN NURS), 2011 Feb; 20 (3/4): 555-62. (23 ref)
Publication Type:
journal article - research, tables/charts
Language:
English
Major Subjects:
Emotional Intelligence
Psychiatric Nursing -- Netherlands
Minor Subjects:
Netherlands ; Human ; Cross Sectional
Studies ; Questionnaires ; Male ; Female ; Empathy ; Assertiveness ; Emotions
; Interpersonal Relations ; Social Responsibility ; Sex Factors ; Scales ; Stress
Management ; Descriptive Statistics ; Age Factors ; Job

Experience ; Convenience Sample ; Inpatients ; Outpatients ; T-Tests ; MannWhitney U Test ; Analysis of Variance ; Bivariate Statistics ; Correlation
Coefficient ; Nurse-Patient Relations
Abstract:
The aim of this study is to gain insight into the level of emotional
intelligence of mental health nurses in the Netherlands. The focus in
research on emotional intelligence to date has been on a variety of
professionals. However, little is known about emotional intelligence in
mental health nurses. The emotional intelligence of 98 Dutch nurses
caring for psychiatric patients is reported. Data were collected with the BarOn Emotional Quotient Inventory within a cross-sectional research design.
The mean level of emotional intelligence of this sample of professionals is
statistically significant higher than the emotional intelligence of the
general population. Female nurses score significantly higher than men on
the subscales Empathy, Social Responsibility, Interpersonal Relationship,
Emotional Self-awareness, Self-Actualisation and Assertiveness. No
correlations are found between years of experience and age on the one hand
and emotional intelligence on the other hand. The results of this study
show that nurses in psychiatric care indeed score above average in the
emotional intelligence required to cope with the amount of emotional
labour involved in daily mental health practice. The ascertained large range
in emotional intelligence scores among the mental health nurses
challenges us to investigate possible implications which higher or lower
emotional intelligence levels may have on the quality of care. For instance,
a possible relation between the level of emotional intelligence and the
quality of the therapeutic nurse-patient relationship or the relation between
the level of emotional intelligence and the manner of coping with
situations characterised by a great amount of emotional labour (such as
caring for patients who self-harm or are suicidal).
Journal Subset:
Europe; Nursing; Online/Print; Peer Reviewed; UK & Ireland
Special Interest:
Psychiatry/Psychology
Instrumentation:
Bar-On Emotional Quotient Inventory
ISSN:
0962-1067

MEDLINE Info:
PMID: 20569281 NLM UID: 9207302
Entry Date:
20110211
Revision Date:
20120810
DOI:
http://dx.doi.org/10.1111/j.1365-2702.2009.03120.x
Accession Number:
2010904386
Database:
CINAHL Plus with Full Text
Publisher Logo:

Nurses' communication with patients: examining relational communication dimensions

and relationship satisfaction.
Authors:
Finch LP
Affiliation:
Assistant Professor, Loewenberg School of Nursing, University of Memphis, 100
Newport Hall, Memphis, TN 38152-3740, lfinch@memphis.edu
Source:
International Journal for Human Caring (INT J HUM CARING), 2005; 9 (4): 14-23. (54
ref)
Publication Type:
journal article - research, tables/charts
Language:
English

Major Subjects:
Nurse-Patient Relations
Nurses -- Psychosocial Factors
Minor Subjects:
Adult ; Aged ; Analysis of Variance ; Cross Sectional Studies ; Descriptive
Statistics ; Factor Analysis ; Female ; Male ; Middle Age ; P-Value ; Pearson's Correlation
Coefficient ; Post Hoc Analysis ; Quantitative Studies ; Random Sample ; Research
Instruments ; Summated Rating Scaling ; Survey Research ; Human
Abstract:
Effective communication between nurse and patient is paramount in establishing the
relationship that provides the basis for patient care that influences healthcare outcomes.
This study examined the dimensions of nurse-patient relational communication, identified
the importance of nurses' use of patient-preferred Relational Preference behaviors, and
explored nurses' satisfaction with nurse-patient interactions. The Nurse-Patient
Communication Survey instrument asked nurses to recall a specific communication event
with a patient. Responses implied a two-dimensional model of nurse-patient
communication composed of caring and composure. Nurses had high levels of relational
satisfaction that were positively and significantly associated with the use of Relational
Preference behaviors. Post hoc testing revealed the caring communication dimension
significantly contributed to nurses' overall satisfaction with patient relationships.
Journal Subset:
Blind Peer Reviewed; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert
Peer Reviewed; Nursing; Peer Reviewed; USA
Instrumentation:
Nurse Patient Relationship Communication Assessment Tool (NPR-CAT)
Nurse Interview Satisfaction Scale (NISS)
ISSN:
1091-5710
MEDLINE Info:
NLM UID: 9806969
Entry Date:
20060120
Revision Date:
20091218
Accession Number:
2009053760
Database:
CINAHL Plus with Full Text

Communication in nursing care for patients requesting euthanasia: a

qualitative study.
Authors:
Denier Y ; Gastmans C ; De Bal N ; Dierckx de Casterl B
Affiliation:
Yvonne Denier, PhD, Postdoctoral Researcher, Centre for Biomedical Ethics
and Law, Faculty of Medicine, Catholic University of Leuven
Source:
Journal of Clinical Nursing (J CLIN NURS), 2010 Dec; 19 (23/24): 3372-80. (49
ref)
Publication Type:
journal article - research
Language:
English
Major Subjects:
Euthanasia
Nurse-Patient Relations
Communication
Nurse Attitudes
Minor Subjects:
Human ; Grounded Theory ; Semi-Structured Interview ; Multicenter
Studies ; Belgium ; Hospitals ; Staff Nurses ; Qualitative Studies ; Purposive
Sample ; Adult ; Middle Age ; Female ; Male ; Audiorecording ; Coding ; Data
Analysis Software ; Thematic Analysis ; Diaries
Abstract:
To describe the communication during the euthanasia care process for
mentally competent, terminally ill patients in general hospitals in Flanders, as
seen from the perspective of the nurse. International literature shows that
nurses are involved in the care process surrounding euthanasia, regardless of
the legal status of euthanasia in the country being studied. In particular,

research shows that communication is an important part of good euthanasia

care. However, the actual way nurses' communication contributes to the
quality of the euthanasia care process remains unclear. A Grounded Theory
Design was used. Analysis of 18 in-depth, semi-structured interviews with
nurses from nine different hospitals in Flanders (Belgium). The interviews
took place during a 20-month period in 2005-2006. The euthanasia care
process for mentally competent, terminally ill patients in general hospitals in
Flanders is a complex and dynamic process, the connecting thread of which is
nurses' communication. During this process, nurses perceive that they
communicate often and a lot, with various people, in different contexts, in
different ways and with various purposes. This communicative process is
intensified by the moral and psychological weight of the theme, and its
impact on everyone involved, as well as by the relatively short period of time,
during which it all takes place. This article adds to the growing body of
literature on nursing care for patients requesting euthanasia. The findings
suggest that for nurses, communication is a key instrument for realising
good-quality euthanasia care. Being the essence of nursing care for patients
requesting euthanasia, nurses' communication requires support and guidance
on the level of nursing education, professional guidelines and hospital
context.
Journal Subset:
Europe; Nursing; Online/Print; Peer Reviewed; UK & Ireland
ISSN:
0962-1067
MEDLINE Info:
NLM UID: 9207302
Entry Date:
20110107
Revision Date:
20130315
DOI:
http://dx.doi.org/10.1111/j.1365-2702.2010.03367.x
Accession Number:
2010861804

Database:
CINAHL Plus with Full Text
Publisher Logo:

The content of morning time conversations between nursing home staff and
residents.
Authors:
Wadensten B
Affiliation:
Senior Lecturer, Department of Caring Sciences, rebro University, SE-701 82
rebro, Sweden, barbro.wadensten@ivo.oru.se
Source:
Journal of Clinical Nursing (J CLIN NURS), 2005 Sep; 14 (8b): Suppl: 84-9. (20
ref)
Publication Type:
journal article - research, tables/charts
Language:
English
Major Subjects:
Conversation -- Evaluation
Gerontologic Nursing -- Methods
Gerontologic Nursing -- Psychosocial Factors
Health Status -- Evaluation -- In Old Age
Long Term Care -- Psychosocial Factors
Nurse-Patient Relations -- Evaluation
Nursing Assistants
Nursing Home Patients
Registered Nurses
Minor Subjects:

Adult ; Aged ; Aged, 80 and Over ; Content Analysis ; Convenience

Sample ; Descriptive Research ; Inpatients ; Middle Age ; Nonparticipant
Observation ; Pilot Studies ; Sweden ; Human
Abstract:
AIM: The aim of this paper was to investigate what nursing home staff and
residents converse about when they first meet each other in the morning and
to investigate who starts the conversation. It is a pilot project about
communication in a nursing home in Sweden and a basis for a practice
development programme. BACKGROUND: Studies in Sweden have shown that
nurse assistants working in care of the older people felt they had too little
training in how to communicate. Communicative behaviour influences
patients, but little is known about the content of morning time
communication in nursing homes. METHOD: Non-participant observation of
18 staff was carried out using an observation schema. Content analysis was
performed. RESULTS: The findings were that it was the staff who initiated
conversation and chose the content of conversation. The most common topic
in morning time conversation was residents' health and sickness.
CONCLUSION: Staff in nursing homes, both nurses and nurse assistants need
to reflect on their interaction with residents and be conscious of their
important role because they create the climate on the ward through
conversation. Further studies are needed in order to explore residents'
opinions of what the content of a good communication could be and also to
find out how nurses and other staff members' communication with residents
could be improved. Relevance to clinical practice. Staff need more training
and knowledge about how to communicate with older people.
Journal Subset:
Europe; Nursing; Online/Print; Peer Reviewed; UK & Ireland
Special Interest:
Gerontologic Care
ISSN:
0962-1067
MEDLINE Info:
PMID: 16083489 NLM UID: 9207302
Entry Date:
20051104

Revision Date:
20120302
DOI:
http://dx.doi.org/10.1111/j.1365-2702.2005.01283.x
Accession Number:
2009029739
Database:
CINAHL Plus with Full Text
Defining characteristics of communication quality in culture-changed longterm healthcare facilities.
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Authors:
Huang, Yuan-Han
Garrett, Sandra K.
Source:
Journal of Communication in Healthcare, Dec2012, Vol. 5 Issue 4, p227-238,
12p, 1 Diagram, 5 Charts, 2 Graphs
Document Type:
Article
Subject Terms:
CHI-squared test
COMMUNICATION
CORPORATE culture
INTERPROFESSIONAL relations
LONG-term care of the sick
NONPARAMETRIC statistics
NURSING home patients
NURSING care facilities

ORGANIZATIONAL change
PROBABILITY theory
QUESTIONNAIRES
SCALES (Weighing instruments)
STATISTICS
DATA analysis
OCCUPATIONAL roles
DESCRIPTIVE statistics
Geographic Terms:
SOUTH Carolina
Abstract:
Inter-staff communication plays a significant role on the efficiency of
healthcare delivery and on patients' health outcomes; however, previous
studies focused on communication and its associated effects at facilities,
such as resident-centered long-term care settings, are extremely limited. The
current survey study investigates inter-staff communication characteristics
and patterns based on staff's roles and responsibilities in a culture-changed
nursing home. 'Timeliness', 'accuracy', 'understanding', 'effectiveness', and
'openness', five dimensions of communication quality, are used to evaluate
staff's preferred communication modalities and behaviors. Results found that
28.3% of respondents have more than one role or responsibility. Therefore,
strategies for communication modalities and qualities vary accordingly.
Among different modalities, synchronous communication modalities were
most preferred to achieve the five communication quality dimensions in all
groups, but there were significant differences between roles when using the
asynchronous modalities to achieve understandable and effective
communication. In conclusion, management should serve as a mediator in
setting up a series of communication policies that not only achieve
communication quality within a facility and satisfy staff's communication
preferences, but also maintain efficient operational workflow and residents'
quality of life in the resident-centered long-term care facility. [ABSTRACT
FROM AUTHOR]

Copyright of Journal of Communication in Healthcare is the property of Maney

Publishing and its content may not be copied or emailed to multiple sites or
posted to a listserv without the copyright holder's express written
permission. However, users may print, download, or email articles for
individual use. This abstract may be abridged. No warranty is given about the
accuracy of the copy. Users should refer to the original published version of
the material for the full abstract. (Copyright applies to all Abstracts.)

ISSN:
17538068
DOI:
10.1179/1753807612Y.0000000015
Accession Number:
84354352
Database:
Health Business Elite
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Reliability of standardized patients used in a communication study on

international nurses in the United States of America.
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Authors:
Bolstad, Anne L. ; Xu, Yu ; Shen, Jay J. ; Covelli, Margaret ; Torpey, Miriam
Affiliation:
University of Nevada Las Vegas School of Nursing
University of Nevada Las Vegas School of Community Health Sciences
Spring Valley Hospital Medical Center, Las Vegas, NV, USA
Source:

Nursing & Health Sciences (NURS HEALTH SCI), 2012 Mar; 14 (1): 67-73. (30
ref)
Publication Type:
journal article - research, tables/charts
Language:
English
Major Subjects:
Patient Simulation -- Evaluation
Education, Nursing
International Nursing -- Psychosocial Factors
Professional Competence -- Evaluation
Communication
Minor Subjects:
Human ; Funding Source ; Nevada ; Videorecording ; Summated Rating
Scaling ; Interrater Reliability ; Intraclass Correlation Coefficient ; Data
Analysis Software ; Female ; Male ; Adult ; Middle Age ; Descriptive
Statistics ; Nonverbal Communication -- Methods
Abstract:
As an evaluation method, standardized patients have a long history in
medical education and research yet are less established in nursing. This
paper explores the reliability of using standardized patients as the evaluative
method in a communication competence pilot study with international
nurses. Standardized patients and second raters scored the same encounters.
We examined the scores by intraclass correlation coefficients. Anecdotal
comments by the two types of raters were assessed qualitatively to highlight
similarities and areas of difference between them. The results of reliability
analysis for standardized patients scores for the composite variables of
Establishing Communicative Rapport, Therapeutic Communication, NonVerbal Communication, and Overall Satisfaction ranged from 0.755 ( P <
0.01) to 0.42 ( P = 0.09). In this study, the results showed standardized
patient evaluation has moderate to substantial reliability when compared to
second raters of the same set of clinical encounters. This is similar to the
reliability established over many decades of medical research. Greater use of
this dynamic and interactive technique may be beneficial to nursing
education and research.
Journal Subset:

Asia; Nursing; Peer Reviewed

ISSN:
1441-0745
MEDLINE Info:
PMID: 22321160 NLM UID: 100891857
Grant Information:
This study was supported by the National Council of State Boards of Nursing
(Grant #P18002-1).
Entry Date:
20120518
Revision Date:
20130412
DOI:
http://dx.doi.org/10.1111/j.1442-2018.2011.00667.x
Accession Number:
2011460202
Database:
CINAHL Plus with Full Text
Publisher Logo:

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Medication discussion between nurse prescribers and people with diabetes:

an analysis of content and participation using MEDICODE.
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Authors:
Sibley, Andrew ; Latter, Sue ; Richard, Claude ; Lussier, MarieThrse ; Roberge, Denis ; Skinner, Timothy C. ; Cradock, Sue ; Zinken,
Katarzyna M.
Affiliation:
Andrew Sibley BSc MSc, Senior Research Assistant , Faculty of Health
Sciences, University of Southampton, UK
Sue Latter PhD RN PGDipHV, Professor of Nursing, Faculty of Health Sciences,
University of Southampton, UK
Claude Richard MA PhD, Associate Researcher, Centre de sant et de services
sociaux de Laval, quipe de recherche en soins de premire ligne, Qubec,
Canada
Marie-Thrse Lussier BSc MSc MD, Associate Professor, Dpartement de
Mdecine Familiale, Universit de Montral, Qubec, Canada
Denis Roberge MPs, Project Manager, Entre les lignes Inc., Montreal, Canada
Timothy C. Skinner PhD, Director of Research, Flinders University Rural
Clinical School, Flinders University, South Australia, Australia
Sue Cradock MSc RGN DipN, Nurse Consultant, Portsmouth Hospitals NHS
Trust, UK
Katarzyna M. Zinken BSc MSc PhD, Lecturer in Health Psychology, Warsaw
School of Social Sciences and Humanities, Poland
Source:
Journal of Advanced Nursing (J ADV NURS), 2011 Nov; 67 (11): 2323-36. (51
ref)
Publication Type:
journal article - research, tables/charts
Language:
English

Major Subjects:
Diabetes Mellitus -- Drug Therapy
Prescriptions, Drug
Nursing Practice
Diabetic Patients
Communication
Nurse-Patient Relations
Hypoglycemic Agents -- Therapeutic Use
Diabetes Education
Minor Subjects:
Human ; Funding Source ; England ; Purposive Sample ; Coding ; Patient
Education ; Thematic Analysis ; Glycemic Control ; Nursing Role ; Quantitative
Studies ; Descriptive Research ; Cross Sectional Studies ; Kappa
Statistic ; Descriptive Statistics ; Interrater Reliability ; Test-Retest
Reliability ; Concurrent Validity ; Data Analysis Software ; Medication
Compliance ; Summated Rating Scaling ; Scales ; Female ; Prescriptive
Authority ; Adult ; Middle Age ; Job Experience ; Specialties, Nursing ; Practice
Guidelines ; Outpatients
Abstract:
sibley a., latter s., richard c., lussier m.-t., roberge d., skinner t.c., cradock s.
& zinken k.m. (2011) Medication discussion between nurse prescribers and
people with diabetes: an analysis of content and participation using
MEDICODE. Journal of Advanced Nursing 67(11), 2323-2336. Abstract Aim.
This paper is a report of a study to identify the content of, and participation
in, medicine discussion between nurse prescribers and people with diabetes
in England. Background. Diabetes affects 246 million people worldwide and
effective management of medicines is an essential component of successful
disease control. There are now over 20,000 nurse independent prescribers in
the UK, many of whom frequently prescribe for people with diabetes. With
this responsibility comes a challenge to effectively communicate with
patients about medicines. National guidelines on medicines communication
have recently been issued, but the extent to which nurse prescribers are
facilitating effective medicine-taking in diabetes remains unknown. Methods.
A purposive sample of 20 nurse prescribers working with diabetes patients
audio-recorded 59 of their routine consultations and a descriptive analysis
was conducted using a validated coding tool: MEDICODE. Recordings were
collected between January and July 2008. The unit of analysis was the
medicine. Results. A total of 260 instances of medicine discussion identified
in the audio-recordings were analysed. The most frequently raised themes
were 'medication named' (raised in 888% of medicines), 'usage of

medication' (654%) and 'instructions for taking medication' (485%).

'Reasons for medication' (85%) and 'concerns about medication' were
infrequently discussed (27%). Measures of consultation participation suggest
largely dyadic medicine discussion initiated by nurse prescribers. Conclusion.
MEDICODE discussion themes linked to principles of recent guidelines for
effective medicine-taking were infrequently raised. Medicine discussion was
characterized by a one statement-one response style of communication led
by nurses. Professional development is required to support theoretically
informed approaches to effective medicines management.
Journal Subset:
Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland
Special Interest:
Advanced Nursing Practice
ISSN:
0309-2402
MEDLINE Info:
PMID: 21592189 NLM UID: 7609811
Grant Information:
Diabetes UK
Entry Date:
20111111
Revision Date:
20121109
DOI:
http://dx.doi.org/10.1111/j.1365-2648.2011.05686.x
Accession Number:
2011308764
Database:
CINAHL Plus with Full Text

Publisher Logo:

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Nurses' perception of time availability in patient communication in Hong

Kong.
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Authors:
Chan, Engle A ; Jones, Aled ; Fung, Sylvia ; Wu, Sui Chu
Affiliation:
Authors: Engle A Chan, PhD, RN, Associate Head and Associate Professor,
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
Source:
Journal of Clinical Nursing (J CLIN NURS), 2012 Apr; 21 (7/8): 1168-77. (30 ref)
Publication Type:

journal article - research

Language:
English
Major Subjects:
Nurse-Patient Relations -- Hong Kong
Communication
Time
Nurse Attitudes -- Hong Kong
Minor Subjects:
Human ; Hong Kong ; Nurse Attitudes -- Evaluation ; Focus Groups ; Interview
Guides ; Audiorecording ; Thematic Analysis ; Research Subject
Recruitment ; Convenience Sample ; Communication -- Methods ; Funding
Source
Abstract:
Aims. To explore nurses' perceptions of their patient communication in
practice and to identify their ways of communicating. Background. Nurse
theorists and clinicians are aware of the importance of nurse-patient
communication in providing patient-centred care. However, barriers remain
that prevent nurses from implementing quality/effective communication, and
time is often viewed as a critical variable. Continuous emphasis on efficiency
contravenes patient-centred care, warranting a re-examination of nurses'
perception of time in nurse-patient communication. Design. Focus group
interviews were adopted. Thirty-nine registered nurses participated.
Interviews were tape-recorded, transcribed and translated, and data were
analysed using thematic analysis to identify codes, categories and
themes/patterns. Results. Three themes were identified regarding nurses'
perception of communication with time: (1) Patterns of communication. (2)
Routine scheduled communication vs. meeting individuals' needs. (3) Saving
time through communication. Patterns of communication, based on
participants' criteria such as the purpose, who initiated it, the nature of
communication, expectation to perform, therapeutic value and relation with
time were explicated. By integrating communication into routines as intended
actions, nurses demonstrate that communication and relationship building
with patients take no extra time. Good communication and good relationships
help nurses save time. Conclusions. Nurses' communication behaviour is
closely related to their perception of communication. This study suggests the
need for a paradigm shift in thinking about communication as requiring time.
Additionally, nurses should recognise the value of short, iterative interaction

and chit-chat as quality communication for knowing their patients and

providing patient-centred care. Relevance to clinical practice. Nurses should
think beyond time in the discourse of effective nurse-patient communication,
as it often relates to manpower. An understanding of how nurses perceive
their time availability for nurse-patient communication and their use of time
for this aspect contribute to the discourse regarding how to improve patientcentred care.
Journal Subset:
Europe; Nursing; Online/Print; Peer Reviewed; UK & Ireland
ISSN:
0962-1067
MEDLINE Info:
PMID: 21917032 NLM UID: 9207302
Grant Information:
Central Research Grant from The Hong Kong Polytechnic University under
grant number 1-ZV2W.
Entry Date:
20120330
Revision Date:
20130412
DOI:
http://dx.doi.org/10.1111/j.1365-2702.2011.03841.x
Accession Number:
2011477853
Database:
CINAHL Plus with Full Text
Publisher Logo:

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The use of effective therapeutic communication skills in nursing practice.

Authors:
Jasmine TJX
Affiliation:
Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University
of Singapore
Source:
Singapore Nursing Journal (SINGAPORE NURS J), 2009 Jan-Mar; 36 (1): 35-8, 40. (17
ref)
Publication Type:
journal article
Language:
English
Major Subjects:
Communication Skills
Nurse-Patient Relations
Nursing Practice
Minor Subjects:
Communication Barriers ; Culture ; Listening ; Vignettes
Abstract:
Communication is crucial in fostering and maintaining healthy relationships. It is
absolutely essential especially for nurses, as they not only care for the physically ill, but
also look after the emotional well being of their patients. Unfortunately, it is largely taken
for granted these days, and hence this article is designed to promote a greater
understanding of, and further improve nursepatient communication and interaction. Indepth analysis and discussion will be done on two important skills of therapeutic
communication -listening and exploring. A number of cultural issues and barriers to
communication are also covered and these are done in relation to a short scenario. When
proper therapeutic communication techniques are in place, patient-centred care can then
be emphasised and healthy nurse-patient relationships will slowly but surely be enhanced.
Journal Subset:
Asia; Editorial Board Reviewed; Nursing; Peer Reviewed
ISSN:
0218-0995
Entry Date:

20090403
Revision Date:
20110121
Accession Number:
2010185451
Database:
CINAHL Plus with Full Text