Abstract
Therapeutic communication in intensive rooms was a therapeutic communication initiated by nurses to patients with intensive conditions whichrequired critical thinking, fast and precise measures in coping with each patient's needs. To figure out the nurses’ perceptions of the application of therapeutic communication in Intensive room.The study was qualitative phenomenological study, involving eight intensive care nurses participants from IGD, HCU, ICU and NICU. The inclusion criteria were nurses who had worked at least 1 year in the intensive unit, with a minimum education level of bachelor in nursing, through in-depth interviews. The data were analyzed using the Colaizzi method. There were 4 themes identified in the nurses’ perception of the application of therapeutic communication: communication to help the healing process, adaptation and information, stages, technical and benefits of communication. The communication which had not been widely explored wasthe one to help the patients' adaptation process to illness and the communication in emergency situations. The therapeutic communication model is adjusted to the goals and characteristics of patients. Especially for the patients in emergency condition, the nurses are required to have sensitivity and communication skills which have not been sufficiently explored. The communication tends to be directional, not interactive, while the non-verbal communication has not been carried out optimally.
Highlights
The Therapeutic communication is an aspect that affects the quality of health services, where everyone has the same right to access health services (Health Law No 36 of 2009, Article 5)
This study aims to explore nurses' perceptions about the application of therapeutic communication in the intensive room of Banyumas Regional Hospital
Communication as a Process to help patient’s healing; Adaptation and Information “In my opinion, therapeutic communication is communication made by nurses to help the patient's healing process, where nurses need skills to carry out this therapeutic communication, in general.” (P1). “
Summary
The Therapeutic communication is an aspect that affects the quality of health services, where everyone has the same right to access health services (Health Law No 36 of 2009, Article 5). It is one of the service standards in hospital accreditation, which is the goal of the safety of the patient(National Hospital Accreditation Standards - SNARS, 2018). Communication in the health service team has an important role in achieving good nursing and health service outcomes for patients [2] This is supported by the inclusion of therapeutic communication as an independent intervention that can carried out by each nurse in supporting other interventions in resolving nursing problems in the part of patients. It has beenunderlined that communication is contained in the Indonesian Nursing Intervention Standards (SIKI) (Indonesian National Nurses Association (PPNI, 2018) and Nursing Interventions Classification (NIC) which are 2 basic guidelines in the preparation of nursing interventions used today [3]
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