Iacorossi Laura, D'Antonio Giovanna, Condoleo Maria, Guariglia Lara, Petrone Fabrizio, Molinaro Simona, Caruso Anita
Department of Life, Health and Health Professions Sciences, Link Campus University, 00165 Rome, Italy.
Psychology Unit, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Healthcare (Basel). 2024 Dec 30;13(1):50. doi: 10.3390/healthcare13010050.
Communication is an important aspect in making patients competent to define, process, and manage their disease condition as well as to intercept and satisfy psychosocial needs. Communication between patient and nurse is central to the learning and orientating process since the nurse has the greatest frequency and continuity of relationship with patients and their families. This study aims to investigate the quality of communication between patient and nurse and the factors that promote or hinder effective communication from the oncology patient's perspective within an inpatient hospital setting.
A descriptive qualitative study was conducted with one-to-one semi-structured interviews analyzed using the Framework Analysis methodology. The population consisted of oncologic patients admitted to the Medical Oncology Units of the Regina Elena National Cancer Institute in Rome. Data were analyzed using Ritchie and Spencer's Framework Analysis.
The sample comprised 20 patients, with an average age of 61.35, admitted to the Medical Oncology Units of the Regina Elena National Cancer Institute in Rome. Three themes emerged: positive communication as an element of care, factors fostering communication, and factors hindering communication.
The sample interviewed deems the quality of communication satisfactory. Familiar communication style, direct language, and caring are factors fostering communication. In contrast, lack of communication between medical and nursing staff, shortage of staff, and lack of time are considered communication barriers. Advanced communication competencies in nurses are crucial for effectively addressing the emotional and psychosocial needs of cancer patients, fostering a more empathetic and supportive care environment.
沟通是使患者有能力界定、处理和管理自身疾病状况以及满足心理社会需求的一个重要方面。患者与护士之间的沟通对于学习和适应过程至关重要，因为护士与患者及其家属的接触频率最高且关系最为持续。本研究旨在从住院医院环境中肿瘤患者的角度调查患者与护士之间的沟通质量以及促进或阻碍有效沟通的因素。
采用描述性定性研究，通过一对一的半结构化访谈收集数据，并使用框架分析法进行分析。研究对象为罗马雷吉娜·埃琳娜国家癌症研究所医学肿瘤科室收治的肿瘤患者。数据采用里奇和斯宾塞的框架分析法进行分析。
样本包括20名患者，平均年龄61.35岁，均为罗马雷吉娜·埃琳娜国家癌症研究所医学肿瘤科室收治的患者。出现了三个主题：积极沟通作为护理要素、促进沟通的因素以及阻碍沟通的因素。
接受访谈的样本认为沟通质量令人满意。熟悉的沟通方式、直接的语言和关怀是促进沟通的因素。相比之下，医护人员之间缺乏沟通、人员短缺和时间不足被视为沟通障碍。护士具备先进的沟通能力对于有效满足癌症患者的情感和心理社会需求、营造更具同理心和支持性的护理环境至关重要。
