Abstract

Introduction: Recognition the nurses’ communicative roles can influence quality of patient’s care. Therefore, this study was aimed to explore nurse’s role in nurse-patient relations. Methods: This study was a qualitative research in which collected data was analyzed by content analysis method. The participants were 23 nurses, patients and their families in medical and surgical wards of a referral hospital in Tehran, Iran. Data were collected by semi-structured interview and observation. Results: Data analysis was led to the emergence of a main conceptual category: The patient's need-based communication. This category was derived from two categories: 1) Identifying the patient’s needs; and 2) Communicative behavior in the face of the patient’s needs. "Identifying the patient’s needs" was related to "type of the patient’s problem", "patients’ inquiring about their health status" and "monitoring the patient’s health status". "Communicative behavior in the face of the patient’s needs" was composed of four subcategories: "caring attention", "informal education of the patient", "inducing calmness to the patient", and "obtaining the trust of the patient". Conclusion: The nurse’s role in relationship with patients is designed according to patients’ needs. Therefore, if the patients’ needs in clinical settings are defined and clarified appropriately, the nurse-patient relations will be enhanced and thereby the quality of care will be improved.

Highlights

  • Recognition the nurses’ communicative roles can influence quality of patient’s care

  • Positive nurse-patient relationship includes a wide range of behaviors in multiple domains of nursing practice and it is an essential factor in high quality nursing care.[3]

  • Data analysis was led to emergence of a main conceptual category: “The patient's need-based communication”

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Summary

Introduction

Recognition the nurses’ communicative roles can influence quality of patient’s care. this study was aimed to explore nurse’s role in nurse-patient relations. Results: Data analysis was led to the emergence of a main conceptual category: The patient's need-based communication. This category was derived from two categories: 1) Identifying the patient’s needs; and 2) Communicative behavior in the face of the patient’s needs. Bridges et al, concluded that supportive organizational settings influenced the emotional engagement of nurses with patients.[2] Kim et al, conducted a study to explore enabling factors for nurses in communication effectively with patients. They concluded that the manager should consider a set of clinic-based strategies for improving the

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