School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
Med Educ. 2013 Oct;47(10):990-1000. doi: 10.1111/medu.12233.
Communication conflicts are inevitable in nursing homes. Understanding communication conflicts experienced by practising nurses could provide insights to guide the development of sound communication education programmes.
The purpose of this study was to explore the experiences of nurses in nursing homes of communication conflict in encounters with nursing home residents and their families in Taiwan.
Data were collected from April 2010 to December 2011 through audiotaped, individual, in-depth interviews with 26 nurses at five nursing homes in Taiwan. Data were analysed according to van Manen's interpretive phenomenological method.
Data analysis revealed that nurses' experiences of communication conflicts during encounters with nursing home residents and their families could be categorised under three themes: differences in perspectives of nursing home services; differences in views of nurturing health, and mediation between family members and others.
The findings of this study can be considered by clinical educators and policymakers when designing communication education programmes for nurses and other clinicians. These programmes should include ways to increase nurses' independent thinking in settings in which power differences exist, as well as their cultural sensitivity as embodied in Leininger's culture care theory. These programmes should also include education in telephone communication and alternative methods of communication (e.g. videoconferencing).
养老院中不可避免地会出现沟通冲突。了解护士在与养老院居民及其家属的交往中经历的沟通冲突，可以为指导健全的沟通教育计划的制定提供深入的见解。
本研究旨在探讨台湾五家养老院的 26 名护士在与养老院居民及其家属交往中遇到的沟通冲突的经验。
数据收集于 2010 年 4 月至 2011 年 12 月期间，通过录音、个体深入访谈的方式在台湾的五家养老院进行。根据范梅南的解释现象学方法对数据进行分析。
数据分析揭示了护士在与养老院居民及其家属交往中遇到的沟通冲突的经验，可以归纳为三个主题：养老院服务视角的差异；对健康养育的看法的差异，以及在家庭成员和其他人之间的调解。
本研究的结果可被临床教育者和政策制定者在为护士和其他临床医生设计沟通教育计划时考虑。这些方案应包括在存在权力差异的环境中增加护士独立思考的方式，以及他们在莱宁格的文化关怀理论中体现的文化敏感性。这些方案还应包括电话沟通和其他沟通方式（如视频会议）的教育。
