Poggenpoel M
Curationis. 1997 Sep;20(3):26-32.
In this article the results of research undertaken to explore and describe nurses' responses to patients' communication as a factor in health promotion, maintenance and restoration are discussed. Nurses who have completed their basic course in nursing, question the need for participation in post-basic interpersonal skills courses. In contrast to this, patients, families and communities complained that nurses communicate with them in a poor manner and do not listen to them. The research question arose: "How do nurses respond to patients' communication?". A qualitative, exploratory, descriptive and contextual research design was utilised. The naive sketch method was used to collect data regarding nurses' responses to patients' communication. To ensure trustworthiness Guba's model was implemented. Through data analysis five categories of nurses' responses on patients' communication were identified: reassuring: giving of advise/dictating from own frame of reference; explaining; moralizing; and first level empathy. The first four categories of communication patterns are detrimental to the promotion, maintenance and restoration of the patient's health. Previous interpersonal or communication skills programs completed by nurses, do not guarantee the internalisation of attitudes and effective communication skills that are conducive to the promotion, maintenance and restoration of patients' health.
本文讨论了为探索和描述护士对患者沟通的反应作为健康促进、维持和恢复的一个因素而进行的研究结果。完成基础护理课程的护士质疑参与基础后人际技能课程的必要性。与此形成对比的是，患者、家庭和社区抱怨护士与他们沟通方式不佳且不听他们说话。于是产生了研究问题：“护士如何回应患者的沟通？”采用了定性、探索性、描述性和情境性研究设计。使用朴素素描法收集关于护士对患者沟通反应的数据。为确保可信度，实施了古巴模型。通过数据分析，确定了护士对患者沟通的五类反应：安慰；从自身参照框架给出建议/指示；解释；说教；以及一级同理心。前四类沟通模式不利于患者健康的促进、维持和恢复。护士之前完成的人际或沟通技能项目并不能保证有助于促进、维持和恢复患者健康的态度和有效沟通技能的内化。
