مقاله کوتاه: خودارزیابی دانش و عملکرد پرستاران در برقراری ارتباط با بیماران دارای اختلال ارتباطی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، گروه داخلی جراحی، دانشکده پرستاری،دانشگاه علوم پزشکی کاشان، کاشان، ایران.

2 کارشناسی ارشد پرستاری، گروه پرستاری، دانشکده پرستاری ساوه، ساوه، ایران.

چکیده

برقراری ارتباط بین پرستار با بیماران دارای مشکلات ارتباطی سخت است. با وجود این مطالعات کافی در این زمینه در دسترس نیست. این مطالعه به منظور بررسی خود_ارزیابی دانش و عملکرد پرستاران در برقراری ارتباط با بیماران دارای اختلال در ارتباط انجام شد. این مطالعه ی مقطعی در بیمارستان های دانشگاه علوم پزشکی کاشان در سال 1391 انجام شد. تعداد 200 پرستار در مطالعه شرکت کردند و پرسشنامه ی محقق ساخته مربوط به خود_ارزیابی بررسی دانش و عملکرد را تکمیل نمودند. پرسشنامه مشتمل بر چهار بخش و دارای 22 سوال بود که در بردارنده ی خصوصیات دموگرافیک، سوالاتی در مورد دانش پرستاران و خود_ارزیابی دانش و عملکرد در ارتباط با بیماران دارای مشکلات ارتباطی و نیز سوالاتی در زمینه ی روش های رایج برقراری ارتباط، مشکلات رایج در برخورد با این بیماران، و علت مهارت ناکافی پرستاران در برقراری ارتباط با این بیماران بود. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS نسخه ی 11.5 و به کمک آمار توصیفی و آزمون های تی و آنالیز واریانس انجام شد. میانگین نمره ی دانش پرستاران در زمینه ی برقراری ارتباط با بیماران دارای مشکل ارتباطی .56±1.04 (از 5) بود. بین میانگین نمره ی دانش پرستاران زن (3.55±1.05) و مرد (3.62±1.03) تفاوت معناداری مشاهده نشد (p=0.7). همچنین، بین میانگین نمره ی دانش پرستاران بخش های داخلی_جراحی (3.55±1.04)، اورژانس (3.48±1.09) و مراقبت ویژه (3.72±0.98) تفاوت معناداری مشاهده نشد (0/69=P). همچنین 79/5% از پرستاران دانش و عملکرد خود در ارتباط با این بیماران را مطلوب نمی دانستند. دانش پرستاران در زمینه ی ارتباط با بیماران دارای مشکلات ارتباطی، در حد متوسط است. آن ها عملکرد خود در این زمینه را نیز مطلوب ارزیابی نمی کنند. پیشنهاد می شود که موضوع ارتباط با بیماران دارای مشکل ارتباطی به پرستاران آموزش داده شود و نیز در برنامه ی درسی دوره ی کارشناسی پرستاری گنجانده شود.

کلیدواژه‌ها


عنوان مقاله [English]

Nurses’ Self-Assessment of Knowledge and Performance about Communicating with Patients Having Communication Problems

نویسندگان [English]

  • Mohsen Adib-Hajbaghery 1
  • Zahra Rezaie Shahsavarloo 2
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.
چکیده [English]

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. 

کلیدواژه‌ها [English]

  • Knowledge
  • Practice
  • communication
  • Nurses

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.