Document Type : Original Article

Authors

1 Faculty Member, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.

2 M.Sc in Nursing, Department of Nursing, Saveh Faculty of Nursing and Midwifery, Saveh, Iran.

Abstract

Making a good relationship between nurses and patients with communicational problems is difficult; however, insufficient studies are available in this regard. Hence,this cross-sectional study was conducted to evaluate the nurses' opinions on their knowledge and practice about communicating with patients having communicational problems in Kashan hospitals in 2012.. In total 200 nurses participated in the study and completed a questionnaire to evaluate their knowledge and performance. In addition, the questionnaire had 4 parts and was consisted of 22 questions on demographics, knowledge, and self-rating of knowledge and performance in communicating between the nurses and patients with communicational problems, and questions on common ways of communicating, common problems and reasons for insufficient skills in this regard. Data analysis was done using 11.5th-version SPSS software and descriptive statistics, t-test and ANOVA. The mean score of nurses’ knowledge on communicating with patients was 3.56±1.04 out of 5; moreover, no significant difference was observed between the mean of knowledge in female (3.55±1.05) and male nurses (3.62±1.03) (p=0.7). Subsequently, no significant difference was indicated between the mean of knowledge of nurses in medical-surgical (3.55±1.04), emergency (3.48±1.09) and critical care (3.72±0.98) units (p=0.69); furthermore, 79.5% of nurses mentioned their knowledge and performance on communicating with the patients having communicational problems as undesirable. Nurses’ knowledge on communicating with those patients having communication problems was at the moderate level; they also evaluated their performance in this regard as unfavorable.Therefore, it is recommended that courses on special communicational skills should be established for nurses and also these topics be added to the curriculum of nursing at Bachelor of sciences degree. 

Keywords

Adib-Hajbaghery, M, Karbasi-Valashani, K, Heidari-Haratmeh, A 2012, Correlation of Clinical Skills Self-Assessment of
Nursing Internship Trainees with Their Teachers’ Evaluation, Nurs Midwifery Stud, Vol.1, No.2, Pp.94-99.
Balandin, S, Hemsley, B, Sigafoos, J, et al 2007, Communicating with nurses: The experiences of 10 adults with cerebral palsy and complex communication needs, Appl Nurs Res, Vol.20, No.2, Pp.56-62.
Bartlett, G, Blais, R, Tamblyn, R, et al 2008, Impact of patient communication problems on the risk of preventable adverse events in acute care settings, Can Med Assoc J, Vol.178, No.12, Pp.155–162.
Berry, JA, Stewart, AJ 2006, Communicating With the Deaf During the Health Examination Visit, J Nurse Pract , Vol.2, No.8, Pp.509–515.
Beckstrand, R, Callister, L, Kirchhoff, K 2006, Providing a ‘good death’: critical care
nurses’ suggestions for improving end-oflife care, Am J Crit Care, Vol.15,
No.1,Pp.38-46.
Charlton, CR, Dearing, KS, Berry, J, et al 2008, Nurse practitioners' communication
styles and their impact on patient outcomes: An integrated literature review, J Am Acad
Nurse Pract , Vol.20, No.7, Pp.382-388.
Davies, MC, Channon, BT 2004, Deaf patients in the medical imaging department: a qualitative study, J Diagn Radiogr Imaging, Vol.5, No.2, Pp.99-106.
Fakhr-Movahedi, A, Salsali, M,Negarandeh, R 2011, Exploring contextual
factors of the nurse-patient relationship: A
qualitative study, Journal of Semnan
university of medical sciences, Vol.13,
No.1, Pp.23-34. (In Persian)
Farajzadeh, S, Noohi, E, Mortazavi, H
2006, Interns’ Communication with
Patients during Interview: the Perspectives
of Patient and Observer, Iranian Journal of
Medical Education, Vol.6, No.2, Pp.79-85.
(in Persian)
Finke EH, Light J, Kitko L 2008, A
systematic review of the effectiveness of
nurse communication with patients with
complex communication needs with a focus
on the use of augmentative and alternative
communication, J Clin Nurs, Vol.17,
No.16, Pp.2102-2115.
Harmer, L 1999, Health care delivery and deaf people: practice, problems, and recommendations for change, J Deaf Stud Deaf Educ, Vol.4, No.2, Pp.73-110.
Hemsley, B, Balandin, S 2004, Without
AAC: the stories of unpaid carers of adults
with cerebral palsy and complex
communication needs in hospital,
Augmentative and Alternative
Communication, Vol.20, No.4, Pp.243-258.
Hemsley, B, Balandin, S, Togher, L 2008a,
Family caregivers discuss roles and needs
in supporting adults with cerebral palsy and
complex communication needs in the
hospital setting, J Dev Phys Disabil,
Vol.20, No.3, Pp. 257-274.
Hemsley, B, Sigafoos, J, Balandin, S, et al
2001a, Nursing the patient with severe
communication impairment, Journal of
Advanced Nursing, Vol.35, No.6, Pp.827-
835.
Hemsley, B, Sigafoos, J, Balandin, S, et al
2001b, Nursing the patient with severe communication impairment, Journal of
Advanced Nursing, Vol.35, No.6, Pp.827- 835.
Hoffman, JM, Yorkston, KM, ShumwayCook, A, et al 2005, Effect of
Communication Disability on Satisfaction
With Health Care: A Survey of Medicare
Beneficiaries, AJSLP, Vol.14, No.3,
Pp.221-228.
Iezzoni, LI, O’Day, BL, Killeen, M, et al
2004, Communicating about health care:
observations from persons who are deaf or
hard of hearing. Ann Intern Med, Vol.140,
No.5, Pp. 356-363.
Klingbeil, H, Baer, H, Wilson, P 2004,
Aging with a disability, Arch Phys Med
Rehabil, Vol.85, No.3, Pp.68-73.
National Association of the Deaf 2010,
Obligations of hospitals and nursing homes
to provide interpreters and auxiliary aids
for deaf and hard-of-hearing patients ,
Available at: https:// www. wvdhhr. org/
wvcdhh/directories/07TOC/HospNursHms.
300 &

Royal Blind Society 2009, Communication
guidelines to asist people with vision
impairment, Available at: http:// www.
addc.org.au/documents/resources/20090415
-communication-guidelines-for-visionimpairment-2009_344.pdf
Sabzevari, S, Soltani, A, Shekarabi, R, et al
2006, Nursing Students’ Communication
with Patients in Hospitals Affiliated to
Kerman University of Medical Sciences,
Iranian Journal of Medical Education ,
Vol.6, No.1, Pp.43-48. (in Persian)
Sharon, Caserta 2008, Providing Effective
Communication for Clients who are Deaf,
Hard of Hearing, or Deaf/Blind, A
Handbook for Florida Attorneys, Available
at: http:// www. addc. org. au/ documents/
resources/ 20090415- communicationguidelines-for-vision-impairment2009_344.pdf
Sowney, M, Barr, O 2007, The challenges
for nurses communicating with and gaining
valid consent from adults with intellectual
disabilities within the accident and
emergency care service, J Clin Nurs,
Vol.16, No.9, Pp.1678-1686.
Walsh, K, Hammerman, S, Josephson, F, et al 2000, Caring for people with developmental disabilities: Survey of  nurses about their education and experience, Ment Retard, Vol.38, No.1, Pp.33-41.