ABSTRACT
Introduction: Communication between nurses and patients’ families has an impact on patient well-being as well as the quality and outcome of nursing care. The purpose of this study was to identify the facilitators and barriers that influence the role of communication among Iranian nurses and family members in ICU. Methods: This is a qualitative study that includes content analysis. Eight registered nurses and ten patients’ families took part in the study. Patients were admitted to the intensive care units of two major university hospitals in Kerman, Iran. For data collection, we used unstructured interviews. All interviews were transcribed verbatim, while the audio tapes were constantly compared. Help with Writing a Communication Paper According to data analysis, the facilitators of communication between nurses and families were spiritual care, emotional support, participation, notification, and consultation, and the barriers were misunderstandings about treatment, job, and patient difficulties. Conclusion: The findings led to the identification of important communication barriers and facilitators between the ICU team and the patients’ families. We can achieve effective communication by identifying communication barriers and facilitators, establishing new rules, and using creative methods in education and establishing communication of the ICU team, particularly using a patient-centered approach.
Introduction
Exceptional family The art and science of nursing are built on communication. It has a significant impact on patient well-being as well as the quality and outcome of nursing care2, and it is related to patients’ and their families’ overall satisfaction with their care. 3 Maintaining high nurse-patient family communication is also dependent on the nurse and the patient’s family. Assistance Composing a Communication Paper Several factors have been shown to influence the quality of care in an ICU, including insufficient nursing staff, excessive nursing documentation, excessive waiting time, and a lack of specialized nurses. 4 Evidence from four sources indicates difficulties in nurse-patient family communication. These are personal observations, client and family narratives, media reports, and official health reports. The behavior of nurses in ICU communication with their patients’ families has sparked public outrage. 5 Despite public, Iran ministry of health, Iran health service, and Kerman nurses and midwives council concerns, the issue of nursepatients family communication remains a problem in Kerman. 6 It is important to understand that doctors make ward rounds once a day and are only available to see seriously ill patients on an as-needed basis, so some of these poor nurse-patient family communication may occur during their absence. 7 It’s unclear whether those * Fariba Borhani (PhD), e-mail: fborhani@msn.com, is the corresponding author.
This research was taken from a PhD thesis at Kerman University of Medical Sciences ( No: 1032) Tabriz University of Medical Sciences owns the copyright. Loghmani et al. training activities and programs are producing the desired results, particularly in the area of nursepatient family interactions. Identifying factors that are thought to facilitate positive interactions between nurses and their patients’ families, as well as barriers to these positive interactions, will go a long way toward promoting the well-being of those seeking health care. 8 This study’s increased understanding of nurse-patient family experiences should assist nurses and other health care workers in establishing positive and appropriate therapeutic relationships with patients’ families. The study’s findings can also be used to inform health and nursing decision makers about what needs to be done to improve communication patterns between health providers and patients’ families.
Areas for future research in nurse- patient‟s family communication were also identified. It would also be of help to other educational institutions especially those involved in health education, health research and health training programs. Since the relationship of a nurse and patients‟ family is the essential and effective prerequisite on the successful care results; therefore, this issue was not yet evaluated and the elements of relation in its interactive, psychic, intellectual and dynamic components were ignored.9 By considering the lack of standard pattern for patients‟ family -nurse relationship and its different communicating methods, study about the interactions of patients‟ family -nurse can increase the knowledge of nurses toward how to communicate with the patients, especial during an interaction with them, and how to understand the patients via a communication between patient family and nurse10 in Iranian context. Based on the view of mohammadzadeh et al., it is necessary to
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