Konlan Kennedy Diema, Saah Joel Afram, Doat Abdul-Razak, Amoah Roberta Mensima, Abdulai Juliana Asibi, Mohammed Iddrisu, Konlan Kennedy Dodam
Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Heliyon. 2021 Feb 20;7(2):e06319. doi: 10.1016/j.heliyon.2021.e06319. eCollection 2021 Feb.
The relationship of nurses and patients in healthcare settings has been central in ensuring good and efficient healthcare delivery. The total hospital attendance in the Kwahu Government Hospital have reduced in recent years. The study explored patients' perceptions of the nurse-patient relationship and its influence on hospital attendance at the Kwahu Government Hospital.
A phenomenological qualitative study design, with a purposive sampling technique, was used to interview ten participants from the various wards in the hospital on their perceptions of the nurse patient relationship and its influence on hospital attendance. The data were transcribed and analysed using a thematic content analysis approach that embraces three interrelated stages, namely data reduction, data display, and data conclusion drawing.
Many of the participants had positive perceptions regarding the attitude of nurses, and that influenced hospital attendance while others opined that nurses' attitudes towards them made them attend a private facility. Almost all the participants suggested that patients should exhibit an equally good attitude and behaviour towards nurses, and better communication between patients and nurses as vital ways of improving the nurse-patient relationship. Nurses in the Kwahu Government Hospital are described as friendly, respectful and attend promptly to patient health care needs adequately. The range of perceived respect differed from patient to patient and include the nurse called patient by name, respond promptly to patient needs, helped "helpless patients" to feed and also assisted them change diapers, listen to patient concerns, linked patient to other professionals, work within the cultural context of hierarchy and that the nurse is sociable and interacted with patient positively.
Hospital management should conduct regular evaluations of patients' experiences as well as nurses' experiences to address deficiencies in communication and nurse-patient interactions.
在医疗环境中，护士与患者之间的关系对于确保优质高效的医疗服务至关重要。近年来，夸胡政府医院的总就诊人数有所减少。本研究探讨了患者对护患关系的看法及其对夸胡政府医院就诊人数的影响。
采用现象学定性研究设计，运用目的抽样技术，对医院各病房的10名参与者进行访谈，了解他们对护患关系及其对就诊人数影响的看法。采用主题内容分析法对数据进行转录和分析，该方法包括三个相互关联的阶段，即数据简化、数据展示和数据结论得出。
许多参与者对护士的态度持积极看法，这影响了就诊人数，而其他人则认为护士对他们的态度使他们选择去私立医疗机构就诊。几乎所有参与者都建议患者应该对护士表现出同样良好的态度和行为，患者与护士之间更好的沟通是改善护患关系的重要方式。夸胡政府医院的护士被描述为友好、尊重他人，能够及时充分地满足患者的医疗需求。不同患者所感受到的尊重程度有所不同，包括护士称呼患者姓名、及时回应患者需求、帮助“无助的患者”进食和更换尿布、倾听患者的担忧、将患者转介给其他专业人员、在等级文化背景下工作，以及护士善于社交并与患者积极互动。
医院管理层应定期评估患者和护士的体验，以解决沟通和护患互动方面的不足。
