PATIENT-CENTERED COMMUNICATION BARRIERS: EXPERIENCES OF PATIENTS WITH CANCER, THEIR FAMILY MEMBERS AND NURSES

Rasouli, M and Nikanafar, AR and Abbaszadeh, A and Zamanzadeh, V and Alavi Majd, H and Ghahramanian, A and Mirza Ahmadi, F (2013) PATIENT-CENTERED COMMUNICATION BARRIERS: EXPERIENCES OF PATIENTS WITH CANCER, THEIR FAMILY MEMBERS AND NURSES. The Journal of Urmia Nursing and Midwifery Faculty, 11 (10). pp. 753-764.

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Abstract

It is suggested that nurses unable to communicate with patients based on the needs and preferences and to individualize relationship with their patients so that dissatisfaction of patient is the most important outcome of this issue. This study was conducted for detecting patientcentered communication barriers based on experiences of patients with cancer, their family members and nurses. Materials & Methods: This study was conducted with a conventional content analysis approach with nine patients, three family members and five nurses in oncology wards of Tabriz hospitals. Data was collected through purposive sampling by semi-structured deep interviews and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. Results: Despite the willingness of patients and nurses for patient-centered communication, there are barriers that limit it. At the organizational context, workload and time imbalance, organizational culture: neglecting to nurses and patients needs, routine-based instead of patient-centeredness, extra shifts and lack of supervision; and at the psychological context, emotional problems of patients due to cancer diagnosis and invasive treatments and sense of vulnerability in nurses resulted from emotionally and physically perilous sense of working with cancer patient was introduced. At the sociocultural context, language and gender differences, illiteracy, poor health literacy and misconceptions about therapeutic intimacy were identified. Conclusion: In order to communicate with cancer patients, change in philosophy and culture of care environment is essential. Nurses must receive proper trainings conform to their needs which focus on holistic and patient-centered approach. Nursing administrators must monitor the communication functions of the nurses and pay attention to the personal and emotional needs of them.

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