A comparison of the nurse–patient interaction criteria among geriatric clients in home health care and community settings: a trade-off analysis

Abstract

ABSTRACTWhile the nurse–patient relationship plays a vital role in enhancing a client’s well-being, in this study, it was observed that most nurses only communicate with their clients when dealing with administrative or functional activities. Although previous studies had been conducted involving the nature of nurse–patient interaction, none has yet investigated the potential of conjoint or trade-off analysis in understanding elderly patients’ preferences in home care and community settings. This study contributes to the gap in such knowledge about the nurse–patient relationship. A total of 238 Filipino elderly patients were recruited from home health care and community settings to participate in the research. A set of 36 choice bundles with 4 holdouts were extracted from a pool 144 orthogonal array. In this quantitative study, respondents were asked to sort and rank each card based on its importance and utility value. All data gathered were analyzed using SPSS version 20. Notably, the analysis found that the most important factor for elderly clients in home health care is non-verbal communication followed by verbal, gender and type of care provider while for elderly clients in community settings, gender is the most important consideration in nurse–patient interaction and this was followed by non-verbal cues, care provider and verbal cues. Findings of the study provide valuable inputs that could inform guidelines in implementing nurse professional development programs specifically in matters that relate to the effective communication between the nurse and patient in all health-care settings.