Nurse-client Interaction Research Articles

Living experiences of people living with HIV-AIDS from the client's perspective in nurse-client interaction in Indonesia: A qualitative study.

Nurse-client interaction when providing nursing services is limited to optimizing treatment and self-care, with limited focus on the psychological problems of people living with HIV-AIDS. However, psychological problems manifest more often than the health risks of the disease itself. This study aimed to determine the emotional response of people living with HIV-AIDS who received limited attention from nurses from the perspective of nurse-client relationship. A phenomenological qualitative design was used through in-depth face-to-face interviews in a semi-structured manner, in an effort to obtain complete data. This research used purposive sampling with Participatory Interpretative Phenomenology analysis, involving 22 participants (14 males and 8 females). This research produces several themes, with six subcategories: 1) Difficulty of social access, 2) Forcing to accept their situation and suppressing their will, 3) Wanting to be recognized like other people in general, 4) Social stigma and self-stigmatization affecting surroundings, 5) Lacking enthusiasm for life expectancy, 6) Always lingering under the shadow "when death picks up." The results showed that mental stress was experienced more than physical problems by people living with HIV-AIDS, thus prompting new changes to nursing services for HIV-AIDS patients that emphasize psychosocial aspects, in addition to clinical features, facilitated by satisfying relationships between nurses and clients to provide quality services.

RELATIONSHIP BETWEEN VERBAL AND NON-VERBAL COMMUNICATION OF NURSES WITH COMMUNICATION BARRIERS TO FAMILIES OF PRE-SURGERY PATIENTS IN THE INTENSIVE CARE ROOM AT THE ACEH GENERAL HOSPITAL IN 2020

Background: The nurse's verbal and non-verbal communication greatly affects the readiness of the patient and the patient's family to undergo surgery. Unclear communication causes misperceptions and the emergence of communication barriers in the nurse-client interaction process. The limited time and information provided are the causes of communication barriers in the client care process. This of course greatly affects patient care, especially in conditions that require intensive care. Methods: This study aims to determine the relationship between verbal and non-verbal communication between nurses and perceptions of communication barriers in families of pre-surgery patients in the intensive care unit, with a correlation design using a Cross Sectional study approach. The number of samples was 95 families of preoperative patients in the intensive care unit using purposive sampling technique. Results: 51.6% of nurses' verbal communication was good, and 50.5% of nurses' nonverbal communication was good, and there were no communication barriers between nurses and patients' families (54.7%). There was a significant relationship between nurses' verbal communication with perceptions of family communication barriers in pre-surgery patients in the intensive room (P=0.001) and there was a correlation between nurses' nonverbal communication with perceptions of family communication barriers in pre- surgery patients in the intensive room (P=0.002). Recommendation: Nurses are expected to continue to communicate effectively verbal and non-verbal with patients and families to prevent barriers in communication

Telehealth for Pregnant Women With Opioid Use Disorder: A Theory-Based Approach.

Pregnant women with opioid use disorder (OUD) face barriers to receiving substance use treatment and prenatal care, which can lead to adverse health outcomes. The purpose of the current article is to inform practice through the design of an innovative, nurse-led approach derived from King's Theory of Goal Attainment to care for pregnant women with OUD using telehealth technologies. The practice model encompasses King's theory using telehealth by addressing perceptions in the nurse-client interaction, establishing effective communication in nurse-client interactions, building mutual goal setting and decision making, and promoting clients' goal attainment using nurses' knowledge and skills. This theory-based approach using telehealth technologies can provide nurses the opportunity to increase effectiveness in nurse-client interactions, use evidence-based communication strategies for expanded access, and deliver safe care for pregnant women with OUD. [Journal of Psychosocial Nursing and Mental Health Services, 58(12), 13-20.].

Exegesis on the Integral-Interaction: a Conceptual Foundation in Nursing

Caring nurses fulfill the relation among other health professionals in the pursuit of quality and valuable attention towards people across the walks of life. Hence, an adequate interaction among stakeholders must transpire as central in the nursing practice. This manuscript clarify concepts on integral interactive based on reviews of published literature and to further explain the components of integral interaction as nursing concept. The study utilized pragmatic utility as an approach in analyzing reviewed literature concepts. A prism is also employed during systematic literature review. Keywords used such as caring, interaction, integral and the like to extract significant articles as unit of analysis. The nursing profession is not possible without nurse-client interaction as this serves as the backbone to which practice has relied on. This concept analysis is focused on the idea that an integral interaction must occur in every nurse-client interaction. On the event of clarifying what is integral to nursing where a more comprehensive view is elaborated that is very useful in the delivery of nursing care not only towards the client but in collaboration with other health care team in the attainment of client’s well-being. Integral-interaction explain that nurse-patient relationship only exists when the three components are experienced simultaneously. It is also recommended to further the investigation by applying the conceptual model to practice in clinical or community settings therefore strengthening the claim of studied concepts.

Compassionate Knowing: Building a Concept Grounded in Watson's Theory of Caring Science.

Compassionate knowing is the practice of intentional presence to relieve suffering. Inspired by Carper's patterns of knowing, it is an additional form of knowing grounded in caring science. Likewise, the concept of compassionate knowing is framed by tenets of Buddhist philosophy and George's emancipatory theory of compassion. Intentional presence is defined as a conscious and altruistic choice, born of moral virtue and selflessness, to act in a thoughtful, empathetic, and humanistic way that honors and gives meaning to the uniqueness of each patient and caring-healing nurse-client interaction. Relieving suffering is defined as the nurse responding to the needs of the patient with loving-kindness to alleviate a perceived or real threat to self-integrity.

Identifying the Nurse-Client Interaction Patterns in Problem-Solving Situations

Identifying the Nurse-Client Interaction Patterns in Problem-Solving Situations

Toward a Mid-Range Theory of Nursing Presence

Presence is widely accepted as a core relational skill within the nursing profession. Nurse educators are challenged to ensure that the humanistic aspects of client care are included in the Bachelor of Science in Nursing (BSN) curriculum. Introducing and teaching presence skills early in the BSN curriculum will ensure the essential value of relational engagement with clients. Nursing literature, however, notes presence is a challenging concept for BSN students. Articulating a mid-range theory of nursing presence will facilitate students' conceptual understanding of presence and guide nurse educators to teach presence skills. To propose a mid-range theory of nursing presence. Within the theoretical model, identify development opportunities to improve student nurse use of presence as a relational skill. An extensive literature review was conducted. Materials were synthesized and the mid-range theory was developed. Kim's nurse-client domain provided the perspective that guided the parameters of the theory. Professional nursing presence is dependent upon the combination of five variables: individual nurse characteristics, individual client characteristics, shared characteristics within the nurse-client dyad, an environment conducive to relational work, and the nurse's intentional decisions within the practice domain. The variables are described and the relationships among variables depicted in the model. Specific nurse-sensitive points during a nurse-client interaction determine or influence the nurse presence intervention and dose. Areas designed to teach or improve relational skills are identified for the BSN educator. A mid-range theory of presence contributes to our understanding of the relational aspects of nursing practice within the contemporary healthcare environment. Identifying strategies to teach BSN students presence skills will facilitate the incorporation of the humanistic aspects of client care in the undergraduate curriculum.

Nurses’ stories about their interactions with patients at the Holy Family Hospital, Techiman, Ghana

Factors, which induced positive nurse-client interac-tions and barriers to positive nurse-client interactions from the perspective of nurses at Holy Family Hos-pital, were explored. In all, twelve State Registered Nurses participated in semi-structured interviews. Factors which induced positive nurse-client interac-tion included availability of adequate time, showing empathy, giving prompt care, considering nursing as a call (spiritual interpretation) and rendering holistic care. Factors which induced negative nurse-client interaction included differences in beliefs between the nurse and the client, perceptions of unfair treatment, payment requirement and processes, issues with clients’ relatives, client issues, miscommunications and misunderstandings about treatment needs, coer-cion, forced dependence, human resource issues, professional nursing issues, issues with work envi-ronment, nurse issues, lack of communication and good interaction, and dropping of professional ethics. Suggestions for nursing education, practice and ad-ministration have been outlined. Among them is the need to use role-play as a major teaching method for nursing students to develop empathic behaviours so that they can put themselves in clients’ situations. This understanding will allow them to practise quality nursing after completing their educational programs. There is also the need for policy makers in nursing to institute measures to hold nurses accountable if they abuse clients or clients’ relatives. Lastly, as an important tool, nurses and other health care workers can make use of reflective practice to evaluate their professional interactions with clients and their relatives. This will foster positive nurse-client interaction in future.

Analysis of nurse conversation: methodology of the process recording

Analysis of nurse conversation: methodology of the process recording The study explored elements of effective nurse-client interaction between a nurse and a nursing home resident on the third day of the client's recovery from surgery. The interaction was recorded from memory in the form of a process recording then divided into unique conversation segments. Two nurses independently used seven typologies to classify segments of the conversation. Cohen's coefficient kappa for inter-rater reliability of the classifications was 0.98. Findings from the study revealed that two-thirds of the nurse's conversation was effective and consistent with the orientation phase of the nurse-client relationship. The nurse communicated her role through the provision of leadership, resources and help, and technical expertise. Her approaches were rather evenly divided between making requests, giving information, and affirming the client's experience. One-third of the conversation was oriented toward assessment and diagnosis, one half toward treatment of the client's experiences, and the rest toward planning and evaluation. Themes identified in the client's conversation included issues of dependency, disorientation to time, unresolved grief, separation anxiety, and the client's need for validation. These findings are valuable for illuminating the contribution that nurse conversation makes to evidence-based clinical practices. They also have implications for further refinements in the use of the process record and multiple coding schemes for the study of the nurse-client relationship.

Using critical thinking vignettes to evaluate student learning.

Nursing skills have traditionally been evaluated using laboratory demonstration. The reality, however, is that skill performance does not occur in isolation in the practice setting. Nurses demonstrate skills while functioning within several nursing roles. Following an examination of the relationship of educational outcomes focusing on critical thinking, communication ability, and therapeutic nursing interventions, faculty at a two-year associate degree nursing program formulated Critical Thinking Vignettes as a method of assessing student outcomes. Students role-play a nurse-client interaction using a case study prompt. Student performance outcomes in skills demonstration, communication, teaching, problem solving, critical thinking, identification of resources, and response to environmental cues are evaluated. Preliminary reliability and inter-rater reliability studies suggest that this method provides a controlled method of assessing nursing outcomes reflective of actual practice.

Clients' Perceptions of Distinctive Aspects in Nursing Care Received Within a Congregational Setting

Over the past 15 years, a growing number of nurses have been working with congregations as parish nurses and in other community health nursing roles. The majority of related research has focused on describing nursing activities in congregational settings. This qualitative research study1 sought to understand the client's experience of receiving nursing care in the context of a congregation. Eleven individuals, who utilized nursing services provided in 2 urban Catholic churches, were interviewed. Content analysis revealed distinctive attributes participants experienced in the nurse-client interaction, including the manner of care, the focus of care, and the outcomes achieved. The ambiance, convenience, time for interaction, and reflection of the connection between faith and health were seen as distinctive characteristics of the congregational setting. Community health nurses need to be aware of the impact of setting on clients and the potential synergistic effect achieved through providing health services in a congregation.

Clients' Perceptions of Distinctive Aspects in Nursing Care Received Within a Congregational Setting

Over the past 15 years, a growing number of nurses have been working with congregations as parish nurses and in other community health nursing roles. The majority of related research has focused on describing nursing activities in congregational settings. This qualitative research study1 sought to understand the client's experience of receiving nursing care in the context of a congregation. Eleven individuals, who utilized nursing services provided in 2 urban Catholic churches, were interviewed. Content analysis revealed distinctive attributes participants experienced in the nurse-client interaction, including the manner of care, the focus of care, and the outcomes achieved. The ambiance, convenience, time for interaction, and reflection of the connection between faith and health were seen as distinctive characteristics of the congregational setting. Community health nurses need to be aware of the impact of setting on clients and the potential synergistic effect achieved through providing health services in a congregation.

Factors Associated with Clients Not Keeping Their Initial Home Health Visit

Public health nursing home visits are one strategy used by health care providers and communities to improve the health of pregnant women and families with young children. This study investigates the influence of client characteristics, nurse characteristics, and nurse-client interaction on clients keeping or not keeping their initial maternal and child health promotion home visit appointments with a public health nurse. Results of the study suggest the hiring decisions for nurse home visitors should give priority to the nurse's experience and education, as well as his/her practice style of handling maternal/child health visits.

Expectativas dos clientes hospitalizados frente ao relacionamento com a equipe de enfermagem

São levantadas as expectativas dos clientes hospitalizados frente ao relacionamento com a equipe de enfermagem num setor de doenças infectoparasitárias num hospital universitário do município do Rio de Janeiro no 1º semestre de 1995. Foi elaborado um roteiro de entrevista aplicado a cinco (05) clientes, internados por mais de uma semana, de ambos os sexos e adultos. Os dados foram coletados, organizados e analisados através da construção de categorias descritivas, cuja denominação foi: a) Categoria 1: Sentimentos e Expectativas e; b) Categoria 2: Comunicação e Relacionamento. Os resultados encontrados na categoria 1 foram: 1) Carência afetiva; 2) Angústia, medo e ansiedade; 3) Solidão e depressão; 4) Reflexão; 5) Insegurança; 6) Preocupação com equipamento, de ser manipulado, cortado, tratado impessoalmente, perder o autocontrole, de dar trabalho às pessoas e dependência física. Na categoria 2 identificou-se: 1) Dúvidas e necessidade de informação acerca da sua doença, evolução do seu quadro de saúde e tempo de permanência no hospital; 2) Oportunidade de expressar sentimentos e idéias;3) Compreensão do significado da mensagem transmitida pelo enfermeiro. Enfatizou-se o fortalecimento do intercâmbio recíproco de informações, idéias, crenças, sentimentos e atitudes na interação enfermeiro-clieipte para o desenvolvimento do relacionamento terapêutico, com o objetivo de ajudar o cliente a satisfazer suas necessidades básicas.

A Review of Prayer within the Role of the Holistic Nurse

Prayer is an integral component of the spiritual life of mankind. It is a two-way dialogue with God. Clients in crisis may need prayer for encouragement, comfort, and support. Holistic nurses may use prayer with clients to positively influence how they cope with anxiety relative to illness. Addressing the spiritual needs of clients is an important element of care and the use of prayer is supported by both informal client responses and scientific research. Additionally, the active use of prayer may provide added value and enrichment to the holistic nurse-client interaction.

Determining client satisfaction with home health care

A 33-item scale to measure client satisfaction with home health care was developed and tested. It was organized by the three dimensions of the nurse-client interaction. Items were generated from literature review and reviewed by 32 graduate nursing students. Content validity was based on expert opinions. One hundred and twenty-eight clients selected by their home care nurses from five participating agencies participated in the testing of the scale. Cronbach's alpha for internal consistency of the scale was 0.95. Confirmatory factor analysis failed to confirm the three dimensions of the scale. Instead, it suggested a unidimensional concept of client satisfac tion. Further testing of the scale is recommended. Key words: client satisfaction, home health care, indicator of quality of care, instrument development, evaluation measure

Assessment of anxiety, depression, and suspiciousness in the home care setting.

Home care nurses who are not trained as psychiatric nurses can meet the challenge of caring for clients with anxiety, depression, or suspiciousness. The home care setting provides more opportunity for prolonged periodic nurse-client interaction in the client's usual surroundings. Home care nurses have a further advantage over acute care nurses in that they tend to have a more developed concept of cultural and environmental influence. Assessing psychosocial issues requires nontangible tools, the most crucial of which is the ability to listen--to listen with ears and heart. Although test instruments may be useful, most assessment involves interview and observation. Drawing on these special opportunities and skills, the home care nurse can objectively collect and evaluate data to determine the presence of anxiety, depression, or suspiciousness in preparation for appropriately intervening.

Health promotion and disease prevention: an individual responsibility or social responsibility

This article is about some theoretical assumptions that have guided health promotion and disease prevention strategies. Some questions are raised in relation to the professional's interventions that consider health promotion as an individual responsibility. It is suggested that the focus should be on social changes through the professionals' consciousness in social, political, behavioral and economic aspects that exert influences over the population's health. These ideas ought to be incorporated to the nurse-client interaction.

Nurse‐Client Interactions in Community‐Based Practice: Creating Common Ground

Although research activity is increasingly aimed at examining health outcomes of community health nursing care, little empirical literature systematically describes the nurse-client interaction. In this pilot study nurse-client interactions were evaluated to describe their detailed elements. Nineteen such interactions occurring in a Canadian public health department were videotaped by a professional filming crew. The clinical situations included home visits, school health interviews and screening, health classes, and clinic work. The audio portion of the nurse-client exchanges were transcribed from the videotapes onto a computer and analyzed using content analysis. Semi-structured interviews were conducted with nurses and clients after the filming to elicit their perceptions of the interactions. Field notes describing nonverbal and contextual data were also collected and analyzed. The central process identified during the interactions was called "creating common ground." This integrating conceptual schema captured the give and take as each participant defined territory and revealed information. The process varied depending on care context, process skills of the nurse, and willingness of the client to engage.

Nurse-Client Interaction: Implementing the Nursing Process

Nurse-Client Interaction: Implementing the Nursing Process