Nursing the patient with complex communication needs: time as a barrier and a facilitator to successful communication in hospital

Abstract

Time is perceived by nurses as both an enemy and friend for improving communication. Nurses who perceive that communication takes too long may avoid communication and miss opportunities to improve communication through increased familiarity with the person's communication methods. Those who take time to communicate narrate applying a range of strategies to achieve success in basic needs communication.

Relación de ayuda de enfermería a pacientes y familiares en la unidad de cuidados intensivos = Relationship of nursing for patients and relatives in the intensive care unit

“…Otro factor con el que los profesionales pueden encontrar dificultades es la percepción o interpretación de la comunicación no verbal; lo que puede llevar a que la comunicación con el paciente se omita (Batista et al, 2011). En este proceso comunicativo, también influyen la normativa de la unidad de trabajo y la falta de formación (Achury et al, 2015;Hemsley, Balandin & Worrall, 2012;Happ et al, 2011). Estos resultados se encuentran recogidos en la tabla 2.…”

“…Por tanto, la falta de formación de los profesionales es una barrera crucial en la comunicación con los pacientes de la unidad de cuidados intensivos. Hemsley et al (2012) exponen que la falta de formación en habilidades comunicativas lleva a las enfermeras a comunicarse con sus pacientes haciendo uso del ensayo-error y de la imitación de conductas de sus compañeros sanitarios.…”

Staff attitudes towards inpatients with borderline personality disorder

“…A key aspect of good health care is communication between nurse and patient (Hemsley et al 2011). It is also essential for there to be an excellent level of communication between members of the multidisciplinary team in order for practice to remain safe and consistent.…”

“…Despite this study focusing solely on a general ward, the same principles apply to a mental health ward. Hemsley et al (2011) identified time as both a barrier and facilitator of effective communication.…”

The validity and reliability of a new scale to measure patient-determined communication barriers in hospitals

“…As far as environmental factors are concerned, lack of technical capabilities as well as failure to provide sufficient privacy at healthcare facilities where encounters between healthcare personnel and patients occur 24,28,29,31 , crowded and noisy environment 28,32 , time spent to diagnose and treat patients' problems and behaviors of security staff working at a hospital other than healthcare staff are major influential factors 16,24,29,33,34 . On the other hand, in addition to the prolonged waiting time for patients both before and after treatment, insufficient security level, crowded hospital settings and long working hours, use of medical terminology with patients, prejudice and misunderstanding, and low educational level of patients and their relatives and individual factors such as psychological problems have been reported as the causes of workplace violence observed in healthcare settings in Turkey [35][36][37][38][39] .…”