Kardiyovasküler Yoğun Bakım Ünitesinde Hemşire-Hasta İletişimi: Deneyimlerin Nitel Çalışması

Yıl 2022, Cilt: 11 Sayı: 3, 1066 - 1075, 27.09.2022

Nazan Turan , Ayşe Gül Yavaş Ayhan , Şahinde Canbulat

https://doi.org/10.37989/gumussagbil.907699

Öz

Bu çalışmada yoğun bakım hemşirelerinin iletişim becerilerine etki eden faktörlerin belirlenmesi amaçlanmıştır Çalışma Aralık 2015 – Mart 2016 tarihleri arasında, Ankara’da özel bir hastanenin kardiyovasküler yoğun bakım ünitesinde nitel araştırma yöntemi ile yürütülmüştür. Örneklem grubu dahil edilme kriterleri içinde yer alan ve araştırmaya katılmayı kabul eden hemşirelerden (n=9) oluşmuştur. Derinlemesine görüşmelerden elde edilen veriler, fenomenolojik veri analizi yöntemi kullanılarak değerlendirilmiştir. Tamamı kadınlardan oluşan (n=9) 4’ü evli 5’i bekar, 5 ile 22 yıl arası yoğun bakım deneyimine sahip katılımcı görüşlerinden elde edilen verilere göre yoğun bakım hemşirelerinin iletişim becerileri duygu tanıma ve anlama, davranışı algılama, iş birliği şeklinde üç ana tema ile ilişkili bulunmuştur. Yoğun bakım hemşireleri hastayı duygu ve davranış açısından tanıma ile onlarla iş birliği yapabilmeyi iletişim başarısı olarak değerlendirmişlerdir. Bu doğrultuda yoğun bakım hemşirelerine yönelik farkındalık eğitimlerinin verilmesi önerilmektedir.

Anahtar Kelimeler

Yoğun Bakım, Hemşirelik, İletişim

Nurse-Patient Communication In The Cardiovascular Intensive Care Unit: A Qualitative Study of Experiences

Öz

The aim of this study was to determine the factors affecting communication skills in intesive care nurses. The study was was conducted with a qualitative research method between December 2015 – March 2016 in the cardiovascular intensive care unit of aprivate hospital in Ankara. The sample included nurses that agreed to be included to the study (n=9) and suitable to the inclusion criteria. The data obtained from the in-depth interviews were evaluated using the phenomenological data analysis method. The data obtained from all women subjects (n=9), 4 married, 5 single, with 5 to 22 years of experience in intensive care nursing were found to be related to three main subjects; emotion recognition and understanding, detecting behaviour and cooperation. Knowing the patient through emotion and behaviour has been evaluated as a success by the intensive care nurses. In this regard, education of awareness should be implemented for intensive care nurses.

Anahtar Kelimeler

Critical care, Nursing, Communication

Kaynakça

• 1. Happ, M.B. (2021). “Giving voice: Nurse-patient communication in the intensive care unit”. American Journal of Critical Care, 30 (4), 256-265. 666.
• 2. Bleukelman, D.R. and Mirenda. P. (2013). Augmentative and Alternative Communication: Supporting Children and Adults with Complex Communication Needs. Baltimore: Paul H. Brookes Pub.
• 3. Slatore, C.G, Hansen, L, Ganzini, L, Press, N, Oborne, M.L, Chesnutt, M.S. and Mularski, R.A. (2012). “Communication by nurses in the intancive care unit: qualitative analysis of domains of patient-centred care”. American Journal of Critical Care, 21 (6), 410-418. doi.org/10.4037/ajcc2012124.
• 4. Paradis, J. (2016). “The development of English as a second language with and without specific language impairment: clinical implications”. Journal of Speech, Lang, and Hearing Research, 59 (1), 171-182. https://doi.org/10.1044/2015_JSLHR-L-15-0008.
• 5. Grant, A. and Goodman, B. (2018). Communication and Interpersonal Skills ın Nursing (Transforming Nursing Practice Series). 6st ed. England: Learning Matters Ltd.
• 6. Falk, A.C, Schandl, A. and Frank, C. (2019). “Barriers in achiving patient participation in the critical care unit”. Intensive Critical Care Nursing, 51, 15-19. doi.org/10.1016/j.iccn.2018.11.008.
• 7. Ijssennagger, C.E, Ten Hoorn, S, Girbes, A.R. and Tuinman, P.R. (2017). “A new speech enhancement device for critically ill patients with communication problems: a prospective feasibility study”. Intencive Care Medicine, 43 (3), 460-462.
• 8. Janson, S, Rivera San Martin, T, Johnson, E. and Nilsson, S. (2019). “Healthcare professionals’ use of augmentative comunication in an intencive care unit: a survey study”. Intencive and Critical Care Nursing, 54, 64-70. doi.org/10.1016/j.iccn.2019.04.002.
• 9. Kourkouta, L. and Papathanasiou, I.V. (2014). “Communication in nursing practice”. Materia Socio-medica, 26 (1), 65. doi: 10.5455/msm.2014.26.65-67.
• 10. Joolaee, S, Joolaei, A. and Tschudin, V. (2010). “Caring relationship: the core component of patients’ rights practice as experienced by patients and their companions”. Journal of Medical Ethics History of Medicine, 3 (4), 2-7.
• 11. Zamanzadeh, V, Rassouli, M, Abbaszadeh, A, Nikanfar, A, Alavi-Majd, H. and Ghahramanian, A. (2014). “Factors influencing communication between the patients with cancer and their nurses in oncology wards”. Indian Journal of Palliative Care, 20 (1), 12–20. doi.org/10.4103/0973-1075.125549.
• 12. Happ, M.B, Garret, K, DiVirgilio Thomas, D, Tate, J, George, E, Houze, M, Radtke, J. and Sereika, S. (2011). “Nurse-patient communication interactions in the intencive care unit”. American Journal of Critical Care, 20 (2), 28-40. doi.org/10.4037/ajcc2011433.
• 13. Creswell, J.W. (2012). Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 3 st ed. New York: SAGE Publications.
• 14. Tong, A, Sainsbury, P. and Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Internatıonal Journal of Quality in Health Care, 6 (19), 349-335.
• 15. Corbin, J. and Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage publications.
• 16. Merriam, S.B. (2015). Qualitative research: A guide to design and implementation: Revised and expanded from qualitative research and case study application in education. San Franscisco: John Wiley & Sons.
• 17. Holm, A. and Dreyer, P. (2018). “Nurse-patient Communication Within the Context of Non Sedated Mechanical Ventilation: A Hermeneutic-Phenomenological Study”. Nursing in Critical Care, 23 (2), 88-94. doi.org/10.1111/nicc.12297.
• 18. Nilsen, M.L, Sereika, S. and Happ, M.B. (2013). “Nurse and patient characteristics associated with duration of nurse talk during patient encounters in ICU”. Heart & Lung, 42, 5–12.
• 19. Chiara, G. and Lucia, G. (2020). “The Patient in Intensive Care: Communication with the Critical Patient and His Family Members - A Narrative Review”. Nursing & Health Care Internatıonal Journal, 2 (1), 000134.
• 20. Cutler, L.R, Hayter, M. and Ryan, T. (2013). “A critical review and synthesis of qualitative research on patient experiences of critical illness”. Intensive Critical Care Nursing, 29, 147- 157.
• 21. Norouzinia, R, Aghabarari, M, Shiri, M, Karimi, M. and Samami, E. (2016). “Communication Barriers Perceived by Nurses and Patients”. Global Journal of Health Science, 6 (8), 65-74.
• 22. Dean, S, Williams, C. and Balnaves, M. (2016). “Living dolls and nurses without empathy”. Journal of Advanced Nursing, 757-759. doi/10.1111/jan.12891/epdf
• 23. Arnold, E. and Boggs, K. (2019). Interpersonal Relationships. Professional Communication Skills for Nurses. 8 st ed. St, Louis MO: WB Saundres.
• 24. Cubaka, V.K, Schriver, M, Cotton, P, Nyirazinyoye, L. and Kallestrup, P. (2018). “Providers' Perceptions of Communication With Patients in Primary Healthcare in Rwanda”. PLoS One, 13 (4), e0195269. doi: 10.1371/journal.pone.0195269.
• 25. Chan, E.A, Wong, F, Yin Cheung, M. and Lam, W. (2014). “Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study”. PLoS ONE, 13 (6), e0199183. doi:10.1371.
• 26. Gorzin, K, Sanagoo, A, Jouybari, L, Pahlavanzadeh, B. and Jesmi, A. (2020). “The effect of education on function and communication skill of nurse with intubated patient in intensive care unit”. Journal of Nursing and Midwifery Sciences, 7 (2), 84-87.
• 27. Fakhr-Movahedi, A, Rahnavard, Z, Salsali, M. and Negarandeh, R. (2016). “Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study”. Journal of Caring Sciences, 5 (4), 267-276 doi:10.15171/jcs.2016.028.
• 28. Ngigi, S. and Busolo, D. (2018). “Behaviour Change Communication in Health Promotion: Appropriate Practices and Promising Approaches”. Internatıonal of Journal Innovative Research Development, 7 (9), 84-93. doı: 10.24940.
• 29. Stephen, M. Rahmani, D, Zeng, C, Rahmani, D. and Sommier, M. (2017). “Religion, Culture, and Communication”. In: J. NUSSBAUM (ED.). Oxford Research Encyclopedia of Communication. Oxford University Press.
• 30. Vatandost, S, Cheraghı, F. and Oshvandı, K. (2020). “Facilitators of Professional Communication Between Nurse and Opposite Gender Patient: A Content Analysis”. MAEDICA – Journal of Clinical Medicine, 15 (1), 45-52. doi:10.26574/maedica.2020.15.1.45.
• 31. Schandl, A, Falk, A.C. and Frank, C. (2017). “Patient participation in the intensive care unit”. Intensive Critical Care Nursing, 42, 105-109.
• 32. Özaras, G. and Abaan, S. (2016). “Investigation of the trust status of the nurse-patient relationship”. Nursing Ethics, 1-12. doi: 10.1177/0969733016664971.