genel tıp derg Genel Tıp Dergisi 2602-3741 Selcuk University 10.54005/geneltip.1441344 Psychiatry Psikiyatri Hemşirelerin Terapötik İletişim Algısı: Bir Metafor Çalışması Nurses’ Perception of Therapeutic Communication: A Metaphor Study https://orcid.org/0000-0003-0168-2747 Uslu Esra Eskişehir Osmangazi Üniversitesi Sağlık Bilimleri Fakültesi Ruh Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı https://orcid.org/0000-0002-6959-4674 Peşkirci Türkan SAKARYA ÜNİVERSİTESİ https://orcid.org/0000-0002-8739-8829 Özsaban Aysel KARADENİZ TEKNİK ÜNİVERSİTESİ Kendirkıran Gülcan HALİÇ ÜNİVERSİTESİ 06 30 2024 34 3 380 385 02 22 2024 04 01 2024 Copyright © 1990, Genel Tıp Dergisi 1990 Genel Tıp Dergisi

Giriş ve Amaç: Hasta merkezli bakım için hayati önem taşıyan terapötik iletişimi tanımlamak hemşireler için çoğu zaman zordur. Metaforlar bu önemli hususu anlamak için değerli bir araç sunar. Bu çalışmanın amacı hemşirelerin terapötik iletişim algılarını metaforlar aracılığıyla tanımlamaktır.Yöntemler: Çalışma fenomenolojik yaklaşım temelli metafor analizi tekniği kullanılarak 189 hemşirenin katılımı ile gerçekleştirilmiştir. Veri toplama, 2023 yılında katılımcıların 'Terapötik iletişim ... gibidir. Çünkü...' cümlesini tamamladığı çevrimiçi bir anket aracılığıyla gerçekleştirildi. Nitel verilerin analizinde Braun & Clarke'ın altı adımlı tematik analiz yöntemi kullanılmıştır.Bulgular: Araştırmada üç ana tema ve dokuz alt tema belirlendi; (i)Özellikler: büyülü, karmaşık, sürekli, temel, (ii)Faydalar: destek sunma, iyileştirme, rehberlik etme, iyileştirme (iii)Engeller: farkındalık eksikliği.Sonuç: Hemşireler terapötik iletişimi olumlu algılamaktadır ancak engeller daha fazla farkındalığa ihtiyaç duyulduğunu göstermektedir. Bu bulgular hemşirelerin terapötik iletişim konusundaki beceri ve tutumlarını geliştirmeye yönelik çalışmaların gerekliliğini vurgulamaktadır.

Background and Aim: Therapeutic communication, vital for patient centered care, is often challenging for nurses to define. Metaphors offer a valuable tool for understanding this crucial aspect. This study was conducted to explain nurses' perceptions of therapeutic communication through metaphors.Methods: This study was conducted with metaphor analysis technique based on phenomenological approach with 189 nurses as participants. Data collection occurred via an online survey in 2023, where participants completed the sentence, “Therapeutic communication is like ... because ...' The qualitative data were analyzed using Braun & Clarke’s six-step thematic analysis method.Results: The study identified three main themes and nine subthemes. (i)Traits: magical, complex, continuous, essential, (ii)Benefits: offering support, healing, guidance, improving (iii)Obstacles: lack of awareness. Conclusions: Nurses perceived therapeutic communication positively, yet obstacles indicate a need for greater awareness. These findings underscore the necessity of studies to enhance nurses' skills and attitudes in therapeutic communication.

 Metaphor nurses therapeutic communication Hemşireler metafor terapötik iletişim. Amoah VMK, Anokye R, Boakye DS, et al. A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nurs, 2019;18(4). doi:10.1186/s12912-019-0328-0 Rider EA, Kurtz S, Slade D, et al. The International Charter for Human Values in Healthcare: an interprofessional global collaboration to enhance values and communication in healthcare. Patient Educ Couns. 2014;96(3):273-280. doi:10.1016/j.pec.2014.06.017 Fite RO, Assefa M, Demissie A, Belachew T. Predictors of therapeutic communication between nurses and hospitalized patients. Heliyon, 2019;5(10):e02665. doi:10.1016/j.heliyon.2019.e02665 Younis, J. R., Mabrouk, S. M., & Kamal, F. F. (2015). Effect of the planned therapeutic communication program on therapeutic communication skills of pediatric nurses. Journal of Nursing Education and Practice, 5(8), 109. doi:10.5430/jnep.v5n8p109 Mirhaghi A, Sharafi S, Bazzi A, Hasanzadeh F. Therapeutic Relationship: Is It Still Heart of Nursing? Nursing Reports. 2017; 7(1):6129. doi:10.4081/nursrep.2017.6129 Blake T, Blake T. Improving therapeutic communication in nursing through simulation exercise. Teach Learn Nurs, 2019;14(4):260-264. doi:10.1016/j.teln.2019.06.003 Peplau HE. Peplau's theory of interpersonal relations. Nurs Sci Q, 1997;10(4):162-167. doi:10.1177/089431849701000407 Finset A. 50 years of research on the effect of physician communication behavior on health outcomes. Patient Educ Couns. 2014;1(96), 1-2. doi:10.1016/j.pec.2014.05.018 Lotfi M, Zamanzadeh V, Valizadeh L, Khajehgoodari M. Assessment of nurse–patient communication and patient satisfaction from nursing care. Nurs Open, 2019, 26;6(3):1189-1196. doi:10.1002/nop2.316 Campbell SH, Aredes ND. Global interprofessional therapeutic communication scale (GITCS): Development and validation. Clin Simul Nurs, 2019;34:30-42. doi:10.1016/j.ecns.2021.12.006 Kirca N, Bademli K. Relationship between communication skills and care behaviors of nurses. Perspect Psychiatr Care, 2019;55(4):624-631. doi:10.1111/ppc.12381 Arkorful VE, Hammond A, Basiru I. et al. A Cross-Sectional Qualitative Study of Barriers to Effective Therapeutic Communication among Nurses and Patients. International Journal of Public Administration, 2020;44(6):500-512. doi:10.1080/01900692.2020.1729797 Sulina A, Meliala SA, Najihah K. Relationship Between Nurse Therapeutic Communication with Patient Satisfaction in Outpatient Installation of Special Eye Hospital. Journal of Asian Multicultural Research for Medical and Health Science Study, 2023;4(2):28-35. doi:10.47616/jamrmhss.v4i2.389 Kwame A, Petrucka PM. Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. Int J Af Nurs Sci, 2020;12:100198. doi:10.1016/j.ijans.2020.100198 Xue W, Heffernan C. Therapeutic communication within the nurse–patient relationship: A concept analysis. Int J Nurs Pract. 2021;27(6):e12938. doi:10.1111/ijn.12938 Appiah EO, Oti-Boadi E, Ani-Amponsah M, et al. Barriers to nurses’ therapeutic communication practices in a district hospital in Ghana. BMC Nurs. 2023;22(1):1-11. doi:10.1186/s12912-023-01191-2 Dalcali BK, Kaya H. Mental images of nursing students regarding nursing profession: A metaphoric study. Int J Caring Sci. 2020;13(3):1621-1628. Parsi K. War metaphors in health care: What are they good for? Am J Bioeth. 2016;16(10):1–2. doi:10.1080/15265161.2016.1221245 Woodside JM. Organizational health management through metaphor: a mission-based approach. J Health Organ Manag. 2018;21;32(3):374-393. doi:10.1108/JHOM-05-2017-0098 Kuntz AM, Presnall MM. Wandering the tactical: From interview to intraview. Qualitative Inquiry, 2012;18(9):732–744. doi:10.1177/1077800412453016 Tanrıverdi H, Kahraman O. C. Metafor Analizi. Sosyal Bilimlerde Araştırma Yöntemleri, Eğitim Yayınevi, Konya, 1st ed. 2018, pp.275-286. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol, 2006;3(2):77-101. doi:10.1191/1478088706qp063oa Cypress BS. Rigor or reliability and validity in qualitative research: Perspectives, strategies, reconceptualization, and recommendations. Dimens Crit Care Nurs. 2017;36(4):253-263. doi:10.1097/DCC.0000000000000253 Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57. doi:10.1093/intqhc/mzm042 Abdolrahimi M, Ghiyasvandian S, Zakerimoghadam M, Ebadi A. Therapeutic communication in nursing students: A Walker & Avant concept analysis. Electron Physician, 2017;9(8):4968. doi:10.19082/4968 Hurley J. A qualitative study of mental health nurse identities: many roles, one profession. Int J Ment Health Nurs, 2009;18(6), 383-390. doi:10.1111/j.1447-0349.2009.00625.x Sherko E, Sotiri E, Lika E. Therapeutic communication. JAHR-European Journal of Bioethics. 2013;4(7):457–66. Kourkouta L, Papathanasiou IV. Communication in nursing practice. Mater Sociomed. 2014;26(1):65-67. doi:10.5455/msm.2014.26.65-67 Rezende LCM, Costa KNFM, Martins KP et al. Therapeutic communication between nurses and patients in pre-operative during an admission in a medical surgical unit. J Nurs UFPE on line., Recife, 2013;7(8):5280-7. doi.org/10.5205/1981-8963-v7i8a11804p5280-5287-2013 Street RL Jr, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient Educ Couns. 2009;74(3):295-301. doi: 10.1016/j.pec.2008.11.015 Martin CT, Chanda N. Mental health clinical simulation: Therapeutic communication. Clin Simul Nurs. 2016;12(6):209-214. doi:10.1016/j.ecns.2016.02.007. Özcan A. Nurse-patient relationship and communication, Sistem Offset, Ankara. 2012 Travelbee, J. To find meaning in illness. Nursing, 1972;2(12), pp.6-8. doi:10.1097/00152193-197212000-00002 Association for Evaluation and Accreditation of Nursing Education Programs (HEPDAK). 2023. Accessed: 1 July 2023 https://www.hepdak.org.tr/