جستجوی مقالات مرتبط با کلیدواژه "ارتباط پرستار" در نشریات گروه "پزشکی"

Effective communication is one of the basic elements in nursing. Nursing theories are among the sources of guidance in this area. Peplau’s theory is one of the nursing theories which emphasize the importance of the nurse - patient relationship. The objective of this study was to investigate the application of the Peplau’s theory in clinical nursing practice.
The present study was a systematic review in which the keywords " Peplau, Interpersonal Theory, Peplau Nursing Theory" were searched in English in Web of Science, PubMed, and Scopus and in Persian in SID, Magi Ran and Iran Doc between January 2007 and August 2017. The initial comprehensive search resulted in 592 articles in all databases and after considering the inclusion criteria nine articles were finally chosen.
The results showed the positive effect of the application of Peplau’s theory of interpersonal relations in reducing the stress of hemodialysis patients, increasing the satisfaction of patients in the cardiac care unit, reducing the anxiety of patients undergoing coronary artery bypass graft surgery, gaining the trust of patients with sexual and emotional abuse, promoting the health of pregnant women, reducing the harms of children with a parent in jail and increase patients’ cooperation in care.
considering of positive outcomes of the use of Peplau Nursing Theory in practice, it is suggested to consider the promotion of nurses’ awareness of this theory and its training and application in nursing.

Quality of patient care is enhanced by effective communication between nurses and patients. One of the most important management practices to improve the quality of nursing care is applying nursing care delivery systems by nurse managers; especially by head nurses effectively.
Aim: This study was done for comparing the effectiveness of primary nursing care and case method on quality of nursepatient interaction in CCU.
Methods and materials: This study was a quasi-experimental study that was done in four CCU in two teaching in Mashhad in 2014. Two units for case method (n=26 patients) and two units for primary nursing (n=33patients) randomly selected. In implementation, at first all of the nurses trained with two nursing care delivery systems by workshops. And then, in primary system allocated (3) patients to primary nurse who was responsible to their discharge. In other shifts sh/he supervised him/her associate nurse. Also, in case method, head nurse allocate (3) patients to nurses in the shift, only they were here. All of the policies established thatwere needed by head nurse mutually. Both of two nursing care delivery systems implemented for (2) months. Data were gathered by standardized questioner QUAL PAC) Quality of patient care) that its reliability was measured by α-Chronbach (0.89). Data were analyzed by SPSS16 and statistical tests such as Mann-Whitney, 2 and others were used. Applying descriptive statistics (mean and standard deviation) and inferential statistics (Pearson moment correlation coefficient and stepwise multiple regression analysis) data were analyzed by SPSS16.
findings showed that there is a significant difference between two group (case method and primary nursing) in quality of interaction between nurses- patients (p In order to effectiveness primary nursing care in promotion in quality of interaction between nurse- patients, it is suggests to nurse managers that they apply its model in CCU.

Focus on patient safety in intensive care units is a major issue, and one of the most important factors related to patient safety is communication skills of the nurse – patient. This study aimed to determine the relationship between the communication skill of nurse - patient with patient safety in the critical care units of Urmia based on nurses point of view. In correlational descriptive study, 167 nurses working in intensive care unit educational and non-educational hospitals of Urmia, participated with census sampling method. Data were gathered using valid and reliable questionnaires including communication skills of the nurse-patient and patient safety and was evaluated communication skills of the nurse-patient and patient safety. The majority nurses working in educational and non-educational hospitals, respectively (97.5, 97.8) evaluated their communication skills in good level. The majority nurses working in educational and non-educational hospitals, respectively (87.6, 84.8) evaluated patient safety in good level. The study results showed that there is statistically a significant relationship between communication skills of the nurse-patient and patient safety (P>0.001). Regarding to the result of this study, nurses can use suitable communication skills with patients that hospitalized in intensive care unit to maintain and promote patient safety.

Nurses are informed from patients needs using effective mutual communications. This study aimed to explore the communication strategies between nurses and patient. Methods & Materials: This study had a qualitative approach with the content analysis method. Participants included 23 nurses، patients and their families in medical and surgical wards of Imam Khomeini hospital of Tehran University of Medical Sciences. Data were collected using interviews and observations. The first and second interviews were conducted unstructured. The semi-structured interviews were then conducted according to the derived concepts from the first and second interviews. We used observation in order to gain a deeper understanding and verifying data from interviews. The observations focused on the interactions between nurses and patients during mutual communications. A final theme was emerged through the data analysis: adaptation of nurses'' attitudes and performances. This theme derived from three main categories: caring according to acute needs of patients، creating a professional realm، and participation. The caring according to acute needs of patients included subcategories such as identifying patients'' acute needs and nurses'' communication behavior. Creating the professional realm implicated on the clarifying roles and maintaining of privacy communication. Participation was defined as the audience and content. The findings showed that nurses، in response to the underlying conditions of nursing care، assimilate their attitudes and performances to be able to meet their professional needs and their patients'' needs. In fact، the main character of nurse-patient communication is nurses'' active role and patients'' passive role.

Empathy appears to be an important concept in the interpersonal repertoire of nurses. A number of definitions and models of empathy are available in the literature. The aim of this paper was to analyze the concept of empathy using Rodger's evolutionary concept analysis Keywords of empathy and nursing were searched in Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, PsycINFO, Social Sciences Index, ScienceDirect, Scopus, and Medline databases. Articles published during the last 15 years in any of these databases were examined. Rodger's evolutionary concept analysis was used to identify major themes, areas of agreement and disagreement across disciplines, changes in the concept over time, and emerging trends. Five conceptualizations of empathy including empathy as a human trait, empathy as a professional state, empathy as a communication process, empathy as caring, and empathy as a special relationship were revealed. Nursing, as a profession, must have an independent analysis of empathy in its context.

The ability to communicate effectively is one of the main problems of modern societies. Quality of services is powerfully related to effective communication skills. Studies showed that lack of effective communication is the main cause of dissatisfaction in health centers. This study aimed to investigate verbal and nonverbal communicational skills between nurses and patients in health and treatment centers of Tabriz University of Medical Sciences. This descriptive-analytical study was performed in treatment and educational centers of Tabriz University of Medical Sciences in 2002. After considering variables such as number of beds, occupancy rate, and average length of stay per patient, the estimated sample size was 383. Data were collected with a questionnaire and analyzed by SPSS. From 383 cases, 53.8% were female and 46.2% were male. 40.3% of cases were illiterate and 1.3% were graduate. Nonverbal communication skills in 12.6% of nurses were low, in 50.8% middle and in 36.6% were good. Verbal communication skills in 39.6% of nurses were low, in 46.1% middle and in 14.3% were good. Finding of this study showed that patients expect nurses to communicate more. In this study only 14.3% of nurses had good verbal communicational skills. Designing educational courses, regular watching for communication status, performing extensive investigations and evaluation of communication obstacles are mandatory.

Establishing an effective communication with patients is an essential aspect of nursing care. However, most of studies described the nurse-patient relationship as weak. Recognition of barriers in nurse-patient’s effective communication from their point of view could facilitate the actions need to be taken for removing such barriers. The study aimed at assessing barriers of nurse-patient’s effective communication from nurses and patients’ viewpoints and to compare them. This descriptive – analytic study was undertaken in 2008, with a sample of 80 nurses and 80 patients drawn from three educational hospitals in Ahvaz city. They were selected by convenience sampling. Data were gathered through a questionnaire with 30 questions for nurses and 15 questions for patients on a 5-points Likert rating scale. It was found that "nursing works overload"(77.5%), "hardship of nursing tasks" (73.75%), " deficiency of welfare facilities for nurses"(67.5%), "physical and emotional fatigue" (66.25%) and "not appreciating nurses" (62.5%) were reported by nurses as the main barriers of effective communication. Patients considered "nurses’ unfamiliarity with local language" (40%), "Nurses’ bad temper" (33.75%), "sex difference with nurses" (32.5%), "Patients’ transmitted diseases" (28.75%) and "lack of therapeutic and welfare facilities for patients" (25%) main barriers of effective communication. The study revealed there are some congruency and discrepancy between nurse’s and patient's viewpoints in ranking barriers. Thus health manager should put their attempts on eliminating or modifying the most important barriers announced by nurses and patients, especially on factors which both groups reported.

Parents have been used to staying with their sick children in hospital for more than a decade. Nowadays, parents are inevitable elements of child care in hospitals. The parent-nurse relationship is considered to be a cornerstone of high quality pediatric nursing care, however there is little knowledge on the quality of nurse-parent communication in internal pediatric wards. The study, therefore, was designed to explore experiences of parents and nurses regarding parent–nurse communication in hospitals. Using inductive thematic analysis method, face-to-face interviews were conducted with 14 parents and 10 nurses drawn from two pediatric hospitals in Tehran. Five major themes were identified namely: downgrading the communication with parent or child, restricting informing parents, taking lessons from parent-nurse relationships, parent-to-parent emotional support and factors contributing in communication downgrading. The results showed that lack of time and high-load work due to imbalance between human resource's demand and supply, nurses’ insufficient interpersonal skills and the nature of physician-nurse relationship are the factors contributing in downgrading the parents-nurses communication. The study revealed that time shortage due to understaffing and nurses’ insufficient interpersonal competences led to downgrading the communication between parents and nurses and consequently, not meeting parents’ supportive and informative needs. Given that parents are usually their child’s bedside presented and enormous contacts of nursing staffs and parents are unavoidable, developing nurses’ communication skills through continued education and role models have vital importance.