Gheshlagh Reza Ghanei, Nemati Syede Mona, Negarandeh Reza, Bahramnezhad Fatemeh, Saqqezi Pershang Sharifi, Mahmoodi Hassan
Social Determinants of Health Research Center Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
BMC Nurs. 2024 Jul 5;23(1):458. doi: 10.1186/s12912-024-02136-z.
Effective communication is essential for high-quality healthcare, yet barriers often impede meaningful connection between nurses and patients. This study aimed to prioritize communication barriers between nurses and patients in Iranian hospitals, exploring nurses' perspectives.
Thirty-one nurses participated in a six-step Q methodology study to identify different perspectives on communication barriers. Participants sorted a set of statements based on their own experiences and beliefs.
The average age of participants was 38.07 (SD = 6.49), with 70% being women. Four distinct factors emerged, explaining 47% of the total variance in perspectives: Organizational factors and work conditions (20%), Emotional distress and psychological barriers (11%), Lack of mutual understanding and awareness (7%), and declining professional motivation and engagement among nurses (9%).
These findings highlight the multi-faceted nature of communication barriers between nurses and patients in this context. Interventions should address organizational factors, emotional well-being of nurses, cultural awareness, and professional motivation to improve communication and ultimately, patient care. This study provides valuable insights for Iran and other developing countries that are facing similar challenges.
有效的沟通对于高质量医疗保健至关重要，但障碍常常阻碍护士与患者之间有意义的联系。本研究旨在确定伊朗医院中护士与患者之间沟通障碍的优先级，并探索护士的观点。
31名护士参与了一项六步Q方法研究，以确定对沟通障碍的不同观点。参与者根据自己的经验和信念对一组陈述进行排序。
参与者的平均年龄为38.07岁（标准差=6.49），70%为女性。出现了四个不同的因素，解释了观点总方差的47%：组织因素和工作条件（20%）、情绪困扰和心理障碍（11%）、缺乏相互理解和认识（7%）以及护士职业动机和参与度下降（9%）。
这些发现凸显了在这种情况下护士与患者之间沟通障碍的多面性。干预措施应解决组织因素、护士的情绪健康、文化意识和职业动机，以改善沟通并最终提高患者护理质量。本研究为伊朗和其他面临类似挑战的发展中国家提供了宝贵的见解。
