barriers to effective communication in nursing pdf

Effective communication in nursing practice: a literature review; 2017. Similarly, Hammoudi, BM et al. Suliman WA, Welmann E, Omer T, Thomas L. Applying Watson’s nursing theory to assess patient perceptions of being cared for in a multicultural environment. Article  Keele, Keele University 2004, 33(2004):1–26. Cultural competence in nursing: new meanings. In addition, some patients may need more attention from nurses in the process of treatment. BMC Nursing 2010;33(3):48–55. 2011;32(5):539–40. Whittemore R, Knafl K. The integrative review: updated methodology. One study proposes that a deep understanding of some elements of the religious-cultural attributes – such as Muslim lifestyle, hygienic practices, ways of dressing, and gender segregation by nurses – is necessary to improve the quality of care and safety of patients [40]. High-quality patient-centered communication has been shown to help patients strengthen their relationship with nurses, handle their emotions, understand important information regarding their illness, deal with uncertainty, and participate more fully in decisions regarding their health [2, 4]. 2008;28(1–2):149–61. 2013;20(3):187–94. Mukhlid Alshammari. Alshammari, M., Duff, J. Part of Article  Res Theory Nurs Pract. In addition, some religious-cultural practices, which lead female patients to have a preference for female practitioners when seeking health care, are sometimes seen as irrational by non-Saudi nurses. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Further research from the perspective of the patient and family is needed. For example, both translators and family members have been shown to deliver an incomplete or unclear rendering of the conversation to the patient, which could adversely influence health-care practice [32]. Perceived Barriers to Effective Therapeutic Communication between Pediatric Nurses and Mothers of Hospitalized Children at Alexandria University Children Hospital. The concept of communication is a complex process of exchanging information, thoughts and feelings between individuals using a common system of signs, symbols or behaviors. Google Scholar. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Six studies have shown that there are numerous interpersonal therapeutic communication barriers existing between nurses and patients as well as family caregivers [17,18,19,20,21, 27]. As described by Almutairi, AF et al. arise in the communication process., DOI: As well as the in-service training programs noted above, the health authorities have employed several strategies to overcome these challenges, particularly at the health facility level. 3. Nurse-patient communication is a challenge in the Saudi Arabia health system because many of the nurses are expatriates and don’t speak Arabic. J Public Health. Peer-reviewed articles containing any of a series of specific key terms were identified from sources such as CINAHL, EMBASE, Medline, PubMed and PsychINFO. 0 The theory of interpersonal relations applied to the preceptor–new graduate relationship. Moreover, the findings of this review indicate a need to improve communication between patients and health-care providers in order to provide safety and high-quality practice in Saudi Arabia, which will contribute to higher quality of care and patient satisfaction. DOI:10.3912/OJIN.Vol24No03PPT63 Key Words:Nurse, advocacy, policy, change, practice gap, research, motivators, barriers Despite the frequent call for nurses to advocate, there is evidence of a nursing practice gap in the policy arena.Despite the frequent call for nurses to advocate, there is eviden… Patient Centered Outcomes Res. The problem with communicating with others is that we all see the world differently. This article highlights the importance of effective communication skills for nurses. The inter-professional communication barriers are the barriers occurring at the health provider level, mostly between nurses from Saudi Arabia and non-Saudi expatriate nurses. Given the complexity of modern healthcare environments it can be challenging to isolate the causative factors that inhibit workflow OOH [ 4 ]. MA conducted the data extraction. 2014;22(4):326–32. 2013;3(12):67–74. The challenges of cultural competency among expatriate nurses working in Kingdom of Saudi Arabia. 2017;38(7):715–20. Finally, future research should aim at designing interventional studies to examine the effectiveness of the nurse-patient communication strategies on patient satisfaction and health outcomes. Effective communication practices both within and between clinical professions are essential to minimize risk in hospital settings and improve patient care, especially during the OOH period [3, 4]. Adelaide: The Joanna Briggs Institute; 2014. p. 5–34. 2019;4(2):105–10. Silbermann M, Fink RM, Min S-J, Mancuso MP, Brant J, Hajjar R, Al-Alfi N, Baider L, Turker I, ElShamy K. Evaluating palliative care needs in middle eastern countries. 2012;49(1):47–53. Five studies highlighted that patients exhibit different levels of perceived satisfaction from different aspects of health care in Saudi Arabia [26, 30, 35, 37, 39]. 2013;36(3):200–12. 2015;18(1):18–25. In fact, a recent systematic review [13] suggested that such communication barriers are common to many countries and they adversely affect the overall quality of health services. This ought to carry through at least the first year of employment for all nurses, include a formal evaluation component, and be reviewed regularly by the Saudi Ministry of Health for quality and effectiveness. The data extraction form was developed using relevant methodological standards and criteria. PubMed Google Scholar. endstream endobj 1307 0 obj <>/Metadata 102 0 R/Pages 1304 0 R/StructTreeRoot 161 0 R/Type/Catalog>> endobj 1308 0 obj <>/MediaBox[0 0 595.32 841.92]/Parent 1304 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1309 0 obj <>stream First, because current studies on nurse–patient communication issues largely use the perspective of nurses, with limited studies focusing on patients, particularly those with complex needs, future research should aim at investigating the perspectives of patient and family members on nurse-patient communication issues. Kitchenham B: Procedures for performing systematic reviews. Effective communication takes time: time to determine the patient’s condition, … 2017;10(1):93–103. Further, 15 of the included studies targeted nurses’ perspectives of the communication and five focused on patients’ perspectives of communication. (2014) have suggested that language barriers could account for an increase in medication errors [31]. Washington GT. Attitudes: emotions like anger or sadness can taint objectivity. 1. Senn JF. Int J Nurs Pract. Soc Sci Med. For example, cultural and traditional practices including the use of herbal medicine, preference for breastfeeding and practice of burying the placenta are believed to improve health and prevent illness of both baby and mother. In particular, patients may require attention in therapeutic communication to make complex and significant medical decisions. This integrative review aims to identify and synthesize quantitative and qualitative evidence on the communication practices among nurses and patients in Saudi Arabia and their effect on patient satisfaction, quality of care and safety. The final stage of the selection process involved screening the full text articles to agree on those to include in the final synthesis. PDF | On Mar 16, 2018, Radhika Kapur published Barriers to Effective Communication | Find, read and cite all the research you need on ResearchGate A two-stage search approach was utilized to facilitate the search process. Client outcomes Apker, J., Propp, K.M., Ford, W.S.Z., & Hofmeister, N. (2006). In particular, nurses providing health care in Saudi Arabia are largely expatriate and tend to have limited knowledge about Saudi language, religion and culture. 2000;7(3):37–45. Saudi Med J. Consequently, to improve access to treatment for patients, it is important not only to understand the burden of their conditions but also to address the therapeutic communication issues with service providers, particularly nurses. expression of ideas in the idealistic manner. Further, the study was limited to papers focusing on Saudi Arabian health care, and so cannot be generalized to other settings. CINAHL, EMBASE, PubMed, Medline and PsychINFO databases as well as Google Scholar were searched for articles published between 2000 and 2018. Along with strong family bonds, these factors have historically played a significant role in delivery of Saudi Arabian health care. Cookies policy. effective nursing communication skills are a critical element of patient care (Candlin & Candlin 2003). Nurse Perceived Barriers to Effective Nurse-Client Communication @inproceedings{Brandenburg2017NursePB, title={Nurse Perceived Barriers to Effective Nurse-Client Communication}, author={Sara J Brandenburg}, year={2017} } Although most current interpreters are competent in the English language, their skills are limited to the understanding of medical terms and jargon. Communication: the process, barriers, and improving effectiveness. An integrative review based on Whittemore and Knafl’s approach (Whittemore and Knafl, J Adv Nurs 52:546–553, 2005) was used to conduct the review. By using this website, you agree to our All of the included studies were checked on the basis of data relevance as well as methodological rigor. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. From this, 124 titles and abstracts were assessed against the inclusion criteria, with 79 excluded. & Guilhermino, M. Barriers to nurse–patient communication in Saudi Arabia: an integrative review. 2019; 7(5):802-810. doi: 10.12691/ajnr-7-5-13. 30 6.3 Means to improve effective communication in nursing settings 32 7. 1319 0 obj <>/Filter/FlateDecode/ID[<32C42E4A92A90846897FD9003F39BCE1><3556FC401CAD9F44A791CD058782D5AA>]/Index[1306 21]/Info 1305 0 R/Length 69/Prev 757431/Root 1307 0 R/Size 1327/Type/XRef/W[1 2 1]>>stream Continuous ambulatory peritoneal dialysis: Nurses’ experiences of teaching patients. Consequently, the limited Arabic language, culture and religion knowledge have negatively impacted on the delivery of health care, particularly by limiting the communication processes between non-Saudi expatriate nurses and patients [17, 18, 20].

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