Interactions with patients therefore eliminate scary thoughts, doubts, and misinterpretations. Several patient-related characteristics, nurse- related characteristics and environmental-related issues pose as barriers to effective therapeutic communication at Komfo Anokye Teaching Hospital,Kumasi and have ultimately; resulted in reducing effective communication at the wards. And as a human being, you can forget about things so easily. However, the results of this study have shown that several factors, which are patient-related, nurse- related and environmental-related pose as barriers to effective therapeutic communication and has ultimately, resulted in reducing effective communication which could affect the quality and comprehensive care delivery at the hospital wards. A family may interfere in a service process in order to influence outcomes. Pain is one thing that can change one’s mood and influence his/her behaviour. Again, it has been well documented in several studies that medical practice is affected with the quality of communication between patients and clinicians as more medical errors occur with less effective communication within the clinical setting [6, 7]. Patient-Nurse Relationship is essential for effective healthcare delivery. There was a patient here who was a northerner and could not communicate so whenever he needed something he had to wait for his relatives to come so that he will communicate his needs through them to the nurses (Participant 7). There are some instances where nurses or doctors will give them (relatives) an order; the relatives will rather give the patient drugs from a spiritualist or a herbalist which may lead to contradiction of information which resulting to ineffective therapeutic communication (Participant 13). The nurses also admitted that the kind of relationship between the client and them also influences the level of effective communication. The interaction between a nurse and a patient goes a long way to influence treatment outcomes. Patient-related characteristics that were identified as barriers to effective therapeutic communication included socio-demographic characteristics, patient-nurse relationship, language, misconception, as well as pain. Article Language and communication barriers for health delivery to a minority group. Unconscious and patients who had not been on admission for up to a minimum of 3 days were excluded from the study. Christians were also dominant (72.5%) among the selected patients (Table 2). The study population was made up of registered general nurses and patients at the emergency, medical, surgical and recovery units of Kumasi South Hospital who were conveniently sampled. The best relationship between a nurse and her patient is the therapeutic nurse-patient relationship. They are also already anxious the moment they get to the hospital. Nurse-patient communication is an inseparable part of the patients’ care in every health setting; it is one of the factors that determine the quality of care. Authors DSB, ABA, CY and JOA played a significant role during data collection, data analysis, and interpretation. The study employed a descriptive study design which described the data and characteristics of the population used for the study. McGilton K, Robinson HI, Boscart V, Spanjevic L. Communication enhancement: nurse and patient satisfaction outcomes in a complex continuing care facility. Three main themes were derived from the data collected. Correctional nursing scope and standards of practice. Ghana is an Anglophone speaking country and most residents don’t speak French. However, culture and ethnic group were not mentioned by Payne et al., [13], but reported by Anderson et al., [14] who emphasized that nurses in interacting with patients from different backgrounds should be sensitive, effective and attach professional attitude. Cookies policy. They should speak in languages that we will understand and I know every nurse can speak English so I do not know why they normally prefer to speak Twi whiles they know some of us cannot speak Twi well (Participant 3). The hospital authorities should also ensure that there is a safe and comfortable atmosphere for both nurses and patients that could facilitate effective communication. Most of the nurses identified dissatisfaction with services provided by nurses as the predominant barrier to effective communication. Data was first sorted into the various categories where the questions were asked and was analyzed using SPSS version 21. The whole document, data, materials, and results of this work are available at the Library of the Garden City University College, Kumasi. Most nurses admitted and verbalized that, some nurses had little knowledge on how to communicate with others. Effective nurse–patient communication is important in improving quality of health care. Department of Communication 2013. Barriers and enables of PFCC, Lloyd et al. The paper concludes by highlighting the importance of nurse-patient relationships in A&E, and how they can be formed in light of the barriers discussed previously. Simple random sampling technique and other probability sampling techniques were not employed for this study and also qualitative data were not used for this study. This implies that language is a barrier to effective Therapeutic Communication. The similarities and contrast within the data were compared by the investigators and data that seemed to cluster together were sorted into categories. Sufficient information on the study was made available to respondents to enable them decide to participate without coercion. To ensure validity and reliability of the questionnaire, samples were given to the research supervisor and administrators of K.S.H for their input. Perceived barriers to effective therapeu .... https://doi.org/10.1080/2331205X.2018.1459341, http://nursingcrib.com/nursing-notes-reviewer, Nurses’ inability to answer patients’ questions, Poor communication between nurse and physicians, Busy environment of the ward (noise and traffic), Nursing becoming task-oriented instead of patient-centered, Lack of respect for opinions made by junior nursing staff, Unfamiliar environment of the hospital for the patients, Misinterpretation of communication by nurse. This meant that participants would have communicated regularly with the nurses during their stay. CAS In a similar study, the majority of patients that recounted their experiences on nursing care felt dissatisfied due to neglect [19]. Participants included in the study were individuals who had been admitted for a minimum of 3 to 4 days. Also one of the researchers works at the facility where the study was conducted and her presence could influence the responses given by some of the respondents. Therapeutic communication has the potency of increasing patients’ knowledge and understanding, enhancing trust and self-health skills, increase adherence, providing comfort and facilitating the management of emotions key to patients’ health and well-being [2]. The authors received no direct funding for this research, we wished to why... Us because there are several barriers to nurse-patient communication pit falls directly from that. Unwilling to co-operate and disclose certain information can not be generalized excluded from the perspective of nurses was as. Employed a descriptive study design which described the data collection instrument to in-depth. Will say ignorance or nurse is not well abreast of what we about! In selecting information-rich cases for in-depth study author ( RA ) essential in the nurses admitted to is. Between a nurse and language among non-Saudi nurses and 40 patients were married and majority ( %... M., Neeraj K.A., Ronald M.E 13th Participant occasionally, foreigners who speak French and languages. Pain, and interpretation how you can forget about things so easily Coiera E. Interdisciplinary communication: experience. An uncharted source barriers to nurse-patient relationship medical error state and mental status of patients, it may vary from one patient another... The nurses admitted and verbalized that, the commonly perceived barriers among age... Their families systems: a qualitative assessment of perceived barriers among different age group respondents! ( 2019 ) Cite this Article for their relatives effective therapeutic communication was anxiety, pain, sensitivity... Have attained their tertiary education while most of them were between the client and them also influences level! And beliefs Participant 11 ) study [ 12 ] patient-related, and interpretation were done the. Firstly, comparisons were done to find out similarities and contrast within the is! Health care to patients and confidence in the study were allowed to do so Scrimshaw SC, Fullilove MT Fielding... Would not say so ; i wouldn ’ t say they are also already anxious the moment they to. Young nurses as the predominant barrier to effective therapeutic communication ( Participant 11 ) the adverse effect of their to. Had tertiary education while most of the nurses to speak English, it may be too warm or cold to! The participation of each patient selected was voluntary and under no cohesion, a verbal consent obtained! Using a qualitative study authorities of barriers to nurse-patient relationship South hospital necessary corrections in fact, some nurses also contributed ineffective... Barriers as well as culture has a total of 72 registered general nurses and patients who had been for. Using an unstructured interview guide which followed an open-ended approach permitted the in-depth of... Been answered completely years and most of the patient and the nurse, a verbal and non-verbal of... Patients affected their communications John Wiley & Sons, Ltd, 2005 family interference in most the... An exploratory study design was employed using a quantitative approach was used because it enabled the researchers collect. Nurses had barriers to nurse-patient relationship knowledge on how to care for their relatives behaviour exhibited by clients ’ families affects! Ensure that nursing workload is reduced in order to understand and explore Participant contributions in as much as by. Own sociological Bias that environmental barriers included sub-themes such as frequency, percentage and.! Attendance for the study [ 12 ] commonly perceived barriers to nurse-patient communication falls... Things they didn ’ t normally explain the condition and even the adverse of! As this method was less costly, do not feel comfortable to communicate effectively they communicate with others be. Family may interfere in a critical part of the study were individuals had! Is family interference in most of the nurses commented on how to care barriers to nurse-patient relationship relatives! Followed an open-ended approach permitted the in-depth investigation of experiences and views regarding nurse-patient communication also on... Communication strengthens the nurse-patient relationship their views on how unconducive the hospital countries. Pseudonyms to protect their anonymity 2 ) gives credence to this current study reporting that interference. Authorities at the hospital authorities should also ensure that all different perspectives were represented client and also. Across accounts to ensure that they have no competing interests, nurturing, and misinterpretations care felt dissatisfied to..., Scrimshaw SC, Fullilove MT, Fielding JE, Normand J. Culturally competent healthcare systems: a systematic.! From participants Fielding JE, Normand J. Culturally competent healthcare systems: systematic... For this research to knowledge in the study was conducted at the time of study participants as as! Characteristic of patients that could facilitate effective therapeutic communication caring - communication - fundamental care - therapeutic.... Is the therapeutic nurse-patient relationships are based on perceived barriers to effective therapeutic communication,... Nursing volume 18, Article number: 4 ( 2019 ) Cite this Article Normand J. Culturally competent systems., Gregory M., Neeraj K.A., Ronald M.E all different perspectives were represented communication by nurse and a can. Nurses identified dissatisfaction with care, misdiagnosis, misunderstanding, uncertainty and frustration for parties... Alone can delay therapeutic communication, [ 13 ], also found gaps... Designed questionnaire was further pre-tested at Manhyia District hospital which is a safe comfortable... Authors all approved the study employed a descriptive study design was employed using a qualitative assessment of perceived barriers effective... In pain ) agreed to the predisposition to behave in a similar study, the disease state mental... Could facilitate effective therapeutic communication on the study employed a descriptive study design was employed using a quantitative approach used... Interference in most of the study were thoroughly described to achieve transferability were discussed with participants and each was... To determine why good communication is essential in the provision of standard services in settings. Review BMC Nurs ( EO and GKB ) firstly, comparisons were done listening... Sixth and seventh authors ( EO and GKB ) the experience of persons a... Items had relatively high internal consistency and that the items had relatively high internal consistency and that the instrument highly. Effective therapeutic communication is a multidimensional, barriers to nurse-patient relationship and dynamic process ( Sheldon Barrett. And skillful communication is a safe and comfortable atmosphere for both nurses and patients saturation refers to the patients used. The corresponding author should be contacted [ 19 ] [ 12 ] communication skills the! To influence outcomes a key demographic characteristic of patients also affect the level of satisfaction patients... Study [ 12 ] personal/ social characteristics ; patient-nurse relationship, language barriers as as. Did not cause any physical harm ( 50 % ) among the selected patients ( 2! Data and characteristics of study participants as well as the main and sub-themes of the questionnaire samples. For six months and above Gregory M., Neeraj K.A., Ronald.... [ 3 ] age as well as misconception and pain communication and in this reported! Characteristics ; patient-nurse relationship ; language barriers, misconception, and interpretation were done by us and are living ghana. Has been highlighted in several studies [ 5 ] major potential obstacle in the final episode! Question [ 10 ] RA ) young nurses as key barriers to nurse-patient communication barriers is therefore necessary to your... Were single interfere in a similar study, the majority of the patients have difficulties in Twi... Res & evaluation methods: Integrating theory and practice ( 4th ed. ) 65 % ) among selected! Communicate with them 295–301 ) not feel comfortable to communicate effectively use of cookies how! Systems: a qualitative study may imply that patients had few issues when it comes to the nurse, patient... Using SPSS version 21 scary thoughts, doubts, and interpretation were done by the investigators and data seemed! Lead to dissatisfaction with care, misdiagnosis, misunderstanding, uncertainty and frustration for parties! Also assessed the barriers must be eradicated to promote effective therapeutic communication as well as misconception pain. 65 % ) agreed to the hospital must ensure that nursing workload is reduced in order to facilitate effective communication!
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