Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state

Saldaña, Diana Marcela Achury; Alarcón, Maribel Pinilla; Romero, Herly Alvarado

doi:10.17533/udea.iee.v33n1a12

Cited by 16 publications

(12 citation statements)

References 24 publications

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“…In the overall Japanese shift from a hospital- to community-based health care system ( Arai et al, 2015 ), the role of home care nurses in assisting persons with disease and accompanying anxiety should be emphasized. However, we have insufficient understanding of how home care nurses provide support ( Achury Saldana, Pinilla Alarcón, & Alvarado Romero, 2015 ) to clients/families in dealing with anxiety, especially given its very frequent occurrence, and nurses assume they must support clients in this situation.…”

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confidence: 99%

Caring for Clients and Families With Anxiety

Yamamoto‐Mitani

Noguchi‐Watanabe

Fukahori

2016

Global Qualitative Nursing Research

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This study elucidated Japanese home care nurses’ experiences of supporting clients and families with anxiety. We interviewed 10 registered nurses working in home care agencies and analyzed the data using grounded theory to derive categories pertaining to the nurses’ experiences of providing care. We conceptualized nurses’ approaches to caring for anxiety into three categories: First, they attempted to reach out for anxiety even when the client/family did not make it explicit; second, they tried to alter the outlook of the situation; and third, they created comfort in the lives of the client/family. The conceptualizations of nurses’ strategies to alleviate client/family anxiety may reflect Japanese/Eastern cultural characteristics in communication and their view of the person and social care system, but these conceptualizations may also inform the practice of Western nurses by increasing awareness of skills they may also have and use.

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confidence: 99%

Caring for Clients and Families With Anxiety

Yamamoto‐Mitani

Noguchi‐Watanabe

Fukahori

2016

Global Qualitative Nursing Research

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“…Communication with a patient and their family is a basic and transcendental component of healthcare [1]. Frequently there are situations in which healthcare professionals, and therefore nursing professionals, are faced with the difficult task of communicating bad news (CBN) [2].…”

Section: Introductionmentioning

confidence: 99%

“…From the healthcare professional's point of view, the most accepted concept of "bad news" (BN) is that by Buckman, who defines it as "that which will seriously or adversely change a patients perspectives of the future" [5,6]. CBN can result in difficult, aggressive, or emotionally unstable situations; therefore, it is vital that healthcare professionals develop and/or improve the knowledge, attitudes, and skills needed for this difficult task [1,3,4,[7][8][9][10]. The importance of CBN is reflected in the fact that when patients and families receive BN, they find it hard to forget where, when and how the BN was communicated [4,9], highlighting the need for the professional to have excellent proficiency in this skill.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, nurses, who are faced with the difficult and frequent task of CBN in their day-to-day work [7,10,11], do not have these specific type of tools that help, orientate, and evaluate the process of CBN [14]. Various studies highlight these existing gaps in CBN knowledge, attitude and skills, justifying the need to create an instrument that evaluates how BN is communicated and that also identifies the need for continuing education in this area [1,3,4,[8][9][10]. This is further justified when considering that the lack of these skills have important consequences for both the patients and their families, as well as for the healthcare professionals themselves [4,10,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…There are also protocols that propose basic methodologies for CBN such as: Buckman [20], Advance preparation-Build a therapeutic environment/relationship-Commnunicat well-Deal with patient and family reactions-Encourage and validate emotions protocol (ABCDE protocol) [21], Background-Rapport-Explore-Announce-Kindling-Summarize protocol (BREAKS protocol) [22], and the ABCDE protocol adapted for nursing (ABCDEE); however, training in CBN for nursing professionals is scarce, self-directed, unstructured, and generalist [21]. No validated instrument exists to assess CBN skills and knowledge [1,4,[7][8][9][10]23]. For this reason, we aimed to design a valid and reliable tool to evaluate the knowledge and skills in communicating bad news in nursing professionals.…”

Section: Introductionmentioning

confidence: 99%

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Design and Validation of a Questionnaire on Communicating Bad News in Nursing: A Pilot Study

González-Cabrera

Ortega-Martínez

Martínez‐Galiano

et al. 2020

IJERPH

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Communicating bad news (CBN) is a fundamental skill in nursing; nevertheless, few instruments exist for its evaluation. This study presents a questionnaire designed to measure nurses’ knowledge and ability of CBN, as well as the analysis of its psychometric properties. Based on a literature search, the initial dimensions of CBN were identified to construct the questionnaires’ items, which were evaluated by experts for the validity of the items’ contents. Construct validity and reliability of the resulting questionnaire was carried out in a sample of 71 nurses of an Andalusian university hospital. A questionnaire with 25 items was constructed with a high internal consistency (Cronbach’s alpha 0.816). The content validity was evaluated via a literature review and additionally by the assessment of seven experts. The Kaiser-Meyer-Olkin test (KMO) obtained a score of 0.683, and the Bartlett test of sphericity a value of p < 0.001. The principal component analysis supported a construct of four dimensions. This questionnaire was found to be a valid and reliable instrument with a high internal consistency for the evaluation of CBN knowledge and skills of nursing professionals.

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Patterns of communicating care and caring in the intensive care unit

Al-Shamaly¹

2021

Nursing Open

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Aim: To explore the perceptions and experiences of nurses in communicating the care and caring in the intensive care unit (ICU). Design: A focused ethnography.Methods: This study was conducted in an Australian metropolitan hospital, in which data were gathered from multiple sources: participant observations, document reviews, interviews, and participant's additional written information -oversix months (April-September, 2014). The data were analysed thematically. Findings: This study addressed inclusively communicating care and caring to patients, families, nurses and other health professionals in ICU. The findings identified main themes concerning the changing patterns of communicating the care and caring in ICU, various patterns of communication used, enablers and barriers of communicating care and caring, and significant issues in communicating care and caring in ICU. Documentation of patients' psychological and emotional needs, and nurses' caring behaviours are crucial. These findings need further consideration from all stakeholders.

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Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state

Cited by 16 publications

References 24 publications

Caring for Clients and Families With Anxiety

Caring for Clients and Families With Anxiety

Design and Validation of a Questionnaire on Communicating Bad News in Nursing: A Pilot Study

Patterns of communicating care and caring in the intensive care unit

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