Jarrett N, Payne S
Psychology Department, Southampton University, England.
J Adv Nurs. 1995 Jul;22(1):72-8. doi: 10.1046/j.1365-2648.1995.22010072.x.
The literature on nurse-patient communication is selectively reviewed. Previous research has been critical of the quality and quantity of nurse-patient communication, describing it as brief and superficial. Nurses are depicted as controlling and restricting the course and topics of conversations with patients. Communication skills training for nurses has been advocated as a solution for this apparent deficit. In this paper it is argued that research has over-emphasized nurses' roles in nurse-patient communication, particularly their communication skills. The patients' contribution to the content and organization skills. The patients' contribution to the content and organization of nurse-patient communication has been largely ignored. Assumptions have been made about nurses' and patients' intentions and motives during nurse-patient conversations, but the participants, particularly patients, are rarely asked for their views. There has been a tendency to view nurse-patient communication in terms of isolated excerpts of conversation. When environmental and organizational factors are included, it is their effect on nurses' communication capability, not the patients', that are the interest. It is suggested that future research consider both patients' and nurses' contributions to nurse-patient communication.
本文对护士与患者沟通的相关文献进行了选择性回顾。以往的研究对护士与患者沟通的质量和数量提出了批评，认为这种沟通简短且肤浅。护士被描述为控制和限制与患者对话的过程及话题。有人主张对护士进行沟通技巧培训，以解决这一明显的不足。本文认为，研究过度强调了护士在护患沟通中的角色，尤其是他们的沟通技巧。患者对护患沟通内容和组织的贡献在很大程度上被忽视了。人们对护患对话中护士和患者的意图及动机做出了假设，但很少询问参与者，尤其是患者，他们的看法。人们倾向于从孤立的对话片段角度看待护患沟通。当纳入环境和组织因素时，人们关注的是这些因素对护士沟通能力的影响，而非对患者的影响。建议未来的研究同时考虑患者和护士对护患沟通的贡献。
