Therapeutic Communication Research Articles

Therapeutic Communication Skills of Nursing Students in Clinical Practice

Communication in nursing is called therapeutic communication which is a way of fostering a therapeutic relationship between nurses and patients that has the aim of helping in the patient's healing process. This study aims to determine therapeutic communication skills for nursing students in clinical practice. The type and design used in this study is a type of quantitative research. Fisher's Exact Test results obtained p value (0.000) < α value (0.05). It can be concluded that there is a relationship of knowledge with therapeutic communication skills in the clinical practice of nursing students. Therapeutic knowledge and communication skills are essential in the clinical practice of student nursing. Therapeutic communication knowledge and skills are key elements in a student's nursing clinical practice. This is at the core of effective and empathetic patient care

Explore Gaps in Therapeutic Communication and Therapeutic Nurse - Patient Relationship at Tertiary Care Hospital

Background: Effective communication in nursing is fundamental to quality patient care. The nurse-patient relationship is a vital aspect of healthcare, particularly in tertiary care hospitals, where the complexity of care is higher. Previous studies have highlighted gaps in therapeutic communication, impacting patient satisfaction and care outcomes. Objective: This study aimed to explore the gaps in therapeutic communication and the therapeutic nurse-patient relationship at a tertiary care hospital from the nurses' perspective. Methods: A cross-sectional, descriptive study was conducted at Liaquat University Hospital Hyderabad/Jamshoro. The study involved 116 nurses, selected through non-probability convenient sampling. Participants were included based on criteria such as willingness to participate, age between 25-60 years, and at least one year of work experience. Data was collected using structured questionnaires, focusing on demographic details and perceived communication gaps. SPSS version 21 was utilized for data analysis, with frequency, percentage, and mean ± SD calculated for categorical and numerical variables. Chi-square tests were applied to determine significance. Results: The mean age of the participants was 38.92 ± 9.672 years. Work experience ranged widely, with 21.9% having 2-5 years, and 2.1% having 31-35 years of experience. The major work areas included the Cardiac Ward (20.8%) and Gynea Ward (14.4%). Significant barriers identified were workload (87.5%), lack of respect (56.9%), and unfamiliar hospital environment for patients (55.5%). The study also found gaps in nurses' knowledge regarding therapeutic communication (33.4%), age difference barriers (31.9%), and lack of interest (22.3%). Conclusion: The study reveals substantial gaps in therapeutic communication and nurse-patient relationships in a tertiary care setting. Addressing these gaps requires targeted interventions to enhance nurses' communication skills, reduce workload, and improve the hospital environment.

Effect of Therapeutic Communication on Anxiety Levels in Preoperative Patients

Therapeutic communication towards decreasing anxiety levels in preoperative patients. Through a deeper understanding of the role of therapeutic communication in caring for preoperative patients, we can improve the quality of health care and patient well-being. The purpose of the study was to determine the effect of therapeutic communication on anxiety levels in preoperative patients. This research design uses quasi-experiments with the Non-Equivalent Control Group research design which in this design consists of a control group and an experimental groupThe Wilcoxon test shows that the p-value obtained is 0.001, and the Z value is -3.256. A P-value of 0.317, Mann Whitney U-Test statistical test with computerized assistance and obtained a Z value of -3.867 with Asymp Sig of 0.000It can be concluded that the provision of therapeutic communication has an effect on reducing anxiety levels in preoperative patients. Providing therapeutic communication in preoperative patients with an empathetic, informative, and supportive communication approach can have a positive effect on reducing anxiety levels in patients. By listening, providing clear information, providing emotional support, providing questioning opportunities, and teaching relaxation techniques, medical personnel can help patients feel calmer, overcome uncertainty, and feel better prepared for surgical procedures. This can contribute to patient comfort and minimize the negative impact of anxiety on the surgical process and postoperative recovery

Non-Contact Nursing Education in Communication and Group Counseling: Current Status and Future Directions

Background: In nursing, the utilization of diverse therapeutic communication and counseling techniques is crucial for effective nursing care. This study critically evaluated the present state of therapeutic communication and counseling education for nurses so as to explore the applications of non-face-to-face educational methods and to propose potential future directions for nursing education.Methods: This study targeted academic research published in either English or Korean between 2019 to August 2023 on the topics of communication and counseling education in nursing education.Results: There were eight studies of non-contact education in communication or counseling published between 2019 and 2023. The review identified various educational interventions currently in use, such as online-based, blended learning, simulation, and role-play education.Conclusions: Among the various non-contact educational approaches, education based in the Metaverse shows promise due to its ability to offer real-time supervision and a wide range of virtual scenarios. Therefore, we suggest the incorporation of the Metaverse in group counseling education to enrich the learning experience.

Therapeutic Communication In Counseling Guidance At SMAN 01 Bengkulu City (Study On Class X Science 3 Students)

This research aims to determine the therapeutic communication process in counseling guidance at SMAN 01 Bengkulu City. The theory used is Northouse's theory of therapeutic communication (in Suryani, 2005). This research is qualitative research in exploring data from the field, namely through in-depth interviews, direct observation and documentation. The research results stated that at the preparation stage (pre-interaction), initially before conducting counseling the teacher knew the problems the students were experiencing. Introductory stage (orientation), talk first about the problem, if it is not efficient, take it straight to the guidance room. Work stage, thinking about further understanding students' willingness to solve the problems they face. Next is the initiation stage, in counseling guidance there has been a change in the student.

Palliative Care for Infants in the Neonatal Intensive Care Unit: A Scoping Review.

This scoping review aimed to explore the characteristics of neonatal palliative care in the neonatal intensive care unit, including the features, contents, and experiences of infants, parents, and nurses during palliative care. Five databases (PubMed, Cochrane, CINAHL, Research Information Sharing Service, and Korean Studies Information Service System) were searched to identify relevant articles published between 2011 and 2020. From the systematic search and review process, 13 studies that met the eligibility criteria were selected for the analysis. From the literature review, 2 key principles were found to facilitate neonatal palliative care: family-centered care and integrative care in the neonatal intensive care unit. In addition, the themes found in this review included (1) providing comfortable care to dying infants with respect to infants and offering parents choices, (2) therapeutic communication, (3) support with respect, and (4) bereavement care for parents of dying infants in the neonatal intensive care unit. Caregivers require effective communication, manpower support, emotional support, educational programs, and well-defined protocols. The evidence mapped and synthesized in this review indicates the need to facilitate the provision of palliative care in the neonatal intensive care unit in line with the unique needs of infants, parents, and nurses.

Peran Perawat dalam Mengatasi Diabetes Distress

This research aims to guide nurses in therapeutic communication with patients with diabetes distress. The method used in this writing is a literature review through several databases, namely Pubmed, ClinicalKey, Proquest, and Science Direct. The research results show that diabetes distress is a common thing experienced by patients with diabetes mellitus. In conclusion, treating diabetes distress is part of comprehensive diabetes management.
 Keywords: Diabetes Distress, Nurse's Role

FACTORS RELATED TO THERAPEUTIC COMMUNICATION ABILITY IN THE PROFESSIONAL STUDENTS OF INDONESIAN MEDICAL NERS STIKES IN 2022

Communication in a nursing setting is called therapeutic communication. Therapeutic communication is the basic foundation of all nurse interactions with clients and is the main method of implementing the nursing process. The stages of therapeutic communication include the pre-interaction phase, the orientation phase, the work phase, the termination phase. Factors influencing therapeutic communication include perception, emotion, value, level of knowledge, age, gender and cultural background. The research used is quantitative by using Descriptive Analytics with a cross sectional approach. The population in this study was 91 students of the Indonesian Ners STIKes Medistra Profession in 2022, the sample of this study was 91 students. Data collection method using non probability sampling with purposive sampling technique. Data collection is carried out with questionnaire sheets. The research analysis was carried out by means of univariate and bivariate statistical tests with the Fisher's Exact test and the Chi-Square test. Based on the results of the study, there was no sex relationship with p-value therapeutic communication ability (0.087), there was no age relationship with p-value therapeutic communication ability (0.297), no tribal relationship with p-value therapeutic communication ability (0.326). And there is a relationship of knowledge with the therapeutic communication ability of the p-value (0.000).

THE RELATIONSHIP BETWEEN MOTIVATION AND APPLICATION OF THERAPEUTIC COMMUNICATION BY NURSING STUDENTS OF STIKES MEDISTRA INDONESIA DURING CLINICAL PRACTICE IN 2022

Motivation is an impulse from within students to improve their performance and fulfill their needs. One of the basic nursing skills that must be mastered by nursing students is therapeutic communication. Therapeutic communication is a consciously planned communication with its goals and activities focused on healing the patient. There are still many nursing students in taking action the nurse does not introduce themselves first, when measuring vital signs the nurse does not ask the patient's identity first, in administering medication the nurse does not explain what drug will be given to the patient, unless the patient asks. This study aims to determine the relationship between motivation and the application of therapeutic communication by nursing students at STIKes Medistra Indonesia in 2022. The research used is quantitative with cross sectional. The population is 8th semester nursing students of STIKes Medistra Indonesia in 2022 totaling 131 students. Data collection technique using simple random sampling. It was found that with a significant level of 95% or a value of 5% (0.05) the p value (0.004) < value (0.05). There is a Relationship between Motivation and Application of Therapeutic Communication by Nursing Students of STIKes Medistra Indonesia in 2022. There is a Relationship between Motivation and Application of Therapeutic Communication by Nursing Students of STIKes Medistra Indonesia in 2022. Therapeutic communication, motivation and application of therapeutic communication.

Hubungan komunikasi terapeutik terhadap pelayanan kesehatan gigi dan mulut

Background: Patient dissatisfaction is caused by the care and services provided not being able to meet the patient's needs. Therapeutic communication in dental and oral health services at the Batoh Health Center in Banda Aceh is often discussed by patients who visit daily.Objective: The study aims to determine the relationship between the therapeutic communication of dental health workers and patient satisfaction with oral health services.Method: The research design used cross-sectional, conducted at the Batoh Health Center, Banda Aceh City in December 2021. The sample was 32 patients who visited the Batoh Health Center Dental Clinic, taken by accidental sampling. Data collection by observation and interview using a questionnaire instrument. Bivariate data analysis through Chi-Square statistical test, at 95% CI.Results: This shows that dental nurses' therapeutic communication when providing services is good (80,0%), and the satisfaction level of visiting patients is 53,1%. There is a relationship between the therapeutic communication of dental health workers and the level of satisfaction of patients visiting the Batoh Health Center Dental Clinic, Banda Aceh City (p = 0,029).Conclusion: Therapeutic communication is related to the satisfaction level of patients visiting the Batoh Health Center Dental Clinic, Banda Aceh City.

Cuidados de enfermagem em saúde mental para pessoas com diabetes mellitus: revisão integrativa

Objective: evaluate the evidence available on mental health nursing care for people with diabetes mellitus at different levels of health care. Method: integrative literature review. The search was conducted in five databases. The sample consisted of 14 studies. The studies were exported to the EndNote manager and their data to a Microsoft Excel spreadsheet. The methodological quality of the studies was evaluated using tools proposed by the Joanna Briggs Institute. Sampling, categorization, evaluation, interpretation of the results, and synthesis of the included studies were carried out by two reviewers independently. The descriptive analysis of the results is presented in three categories. Results: self-care guidelines enhanced by the social support network, encompassing physical and psychological tools and strategies; therapeutic communication and psychotherapy strategies, focusing on psychotherapy and therapeutic communication; and self-management interventions, addressing self-care based on behavioral theories. Conclusion: the synthesis of knowledge revealed that guidelines for self-care enhanced by the social support network, psychotherapy and therapeutic communication strategies, and self-management interventions are positive interventions that contribute to people with mental disorders and diabetes mellitus in the prevention of diseases.

Estratégias de comunicação enfermeiro-paciente: proposta de um vídeo educativo para estudantes de enfermagem

Objective: to create, validate and evaluate an educational video on nurse-patient communication strategies for undergraduate Nursing students. Method: this is a methodological study with a longitudinal design and quantitative analysis. The following stages were conducted: pre-production, production, post-production and evaluation of the video by the target population. Results: five female nurses evaluated the video storyboard and indicated understanding of the subject matter, the topics addressed and the language used as adequate and pertinent to the theme. Another five female nurses considered the following as present and desirable elements: quality of the audiovisual technique employed, simulated environment, characterization of the characters, and development of the nurse-patient communication strategies The final version of the video was evaluated by nine Nursing students that presented a level of item understanding of at least 96%. The video presents the following strategies: General communication strategies, Intercultural Communication, NURSE, Tell me more, Ask-Tell-Ask, Therapeutic Communication and Communicating Bad News. Conclusion: this study portrays the creation of a video, its validation by experts and its evaluation by the target population, which indicated it as a relevant educational resource for the teaching-learning process regarding communication strategies. Both the evaluators and the target population considered that the video is a valid instrument to teach content about the nurse-patient communication strategies.

Nurse-patient communication strategies: A proposal of an educational video for Nursing students.

to create, validate and evaluate an educational video on nurse-patient communication strategies for undergraduate Nursing students. this is a methodological study with a longitudinal design and quantitative analysis. The following stages were conducted: pre-production, production, post-production and evaluation of the video by the target population. five female nurses evaluated the video storyboard and indicated understanding of the subject matter, the topics addressed and the language used as adequate and pertinent to the theme. Another five female nurses considered the following as present and desirable elements: quality of the audiovisual technique employed, simulated environment, characterization of the characters, and development of the nurse-patient communication strategies The final version of the video was evaluated by nine Nursing students that presented a level of item understanding of at least 96%. The video presents the following strategies: General communication strategies, Intercultural Communication, NURSE, Tell me more, Ask-Tell-Ask, Therapeutic Communication and Communicating Bad News. this study portrays the creation of a video, its validation by experts and its evaluation by the target population, which indicated it as a relevant educational resource for the teaching-learning process regarding communication strategies. Both the evaluators and the target population considered that the video is a valid instrument to teach content about the nurse-patient communication strategies.

Raising patients hope in despair: The culture of nursing care of burn pain: An ethnographic study.

Although many studies have been carried out to address burn patients' pain and suffering, pain relief still remains an immense unsolved challenge with individual, social, and cultural aspects. This study was conducted aiming to investigate and explain nursing care in burn patients. This was a semifocused ethnographic research conducted in burns units in a referral teaching hospital (Mazandaran, Iran). The data were collected through descriptive, focused, and selective participant observations and ethnographic interviews with burns unit nurses selected via a purposeful sampling method. The collected data were analyzed on the basis of James Spradley's approach. Three main categories and nine subcategories were obtained from data analysis that are as follows: 1) Bending over backward (tenacity, altruism, dedication, and conscience and constancy), 2) Prevention is worth a pound of cure (unique clinical methods, enhanced frustration tolerance through self-motivation and self-efficacy, raise patient's hope in despair), and 3) undisputed dominance of nursing art (reduced unsettling experiences, burnt and ripped body rehabilitation, patient stress management, and avoidance of false hope). Although burn nurses are under huge physical and mental pressure, they enhance patients' pain tolerance through their art of nursing, which is a collection of empirical knowledge, huge work conscience, unique clinical skills, and various therapeutic communication techniques.

HUBUNGAN ANTARA KOMUNIKASI TERAPEUTIK PERAWAT DENGAN KECEMASAN KELUARGA PASIEN YANG DIRAWAT DI RUANG ICU RSU BANGLI

Intensive Care Unit (ICU) is a form of service in hospitals in the critical care category. Communication is a basic skill needed by a nurse, but is often not carried out effectively, causing anxiety in the family. The aim of this research was to determine the relationship between nurses' therapeutic communication and the anxiety of families of patients treated in the ICU at RSU Bangli. This research used a quantitative research method with a correlative descriptive design with a cross sectional approach on 30 respondents selected based on inclusion and exclusion criteria. Data analysis used the Spearman rank correlation test and the research results obtained a significance value of p value = 0,393 (>0,05) so there was no significant relationship between nurses' therapeutic communication and family anxiety of patients treated in the ICU at RSU Bangli. Good communication in murder is very important because without communication murder services are difficult to implement. Nurses who use interactive communication techniques will create a better perception of achieving good health conditions and the patient's family will feel they understand the health condition of their family members. This will result in a state of anxiety felt by the patient's family. Nurses can also help identify the anxiety conditions felt by the family and can provide information and interventions that can reduce or minimize the anxiety experienced by the patient's family.

Therapeutic communication between Midwives and Pregnant Women at Keruak Health Centre

Therapeutic communication between Midwives and Pregnant Women at Keruak Health Centre

Advancing Sustainable Healthcare through Enhanced Therapeutic Communication with Elderly Patients in the Kingdom of Saudi Arabia

Effective communication in nursing, particularly with older patients, is critical to providing high-quality care. The purpose of this research is to fill key gaps in the existing literature by emphasizing the importance of therapeutic communication in the setting of mental nursing care for elderly patients in Saudi Arabia. Building on the study’s foundation, which recognizes the various issues faced by cultural, religious, and linguistic diversity, this research adopted a rigorous research methodology incorporating a broad group of senior healthcare professionals as experts. We analyze various therapeutic communication approaches used by mental health nurses using extensive surveys and observations. This empirical study’s findings are likely to make a significant addition to the field by throwing light on the most efficient methods for improving nurse–elderly-patient communication. The study identifies Simulation-Based Training as the most viable technique, with potentially far-reaching implications for improving care for older patients in Saudi Arabia. This study paves the way for significant advances in healthcare practices, with a focus on mental health nursing, ultimately helping both nurses and elderly patients by developing trust, understanding, and increased communication.

The effects of child health nursing curriculum-integrated therapeutic activities on therapeutic communication skills of nursing students: Non-randomized study

BackgroundEffective therapeutic communication with hospitalized children is increasingly recognized as crucial for child-centered care in all healthcare settings. The quantity and quality of training nurses receive to promote and enhance nurse-child communication are vital. This study aims to evaluate the impact of planned therapeutic communication activities for the Child Health Nursing Course on the therapeutic communication skills of nursing students. MethodA non-randomized study with a pre-test and post-test design was conducted with 28 junior nursing students in Turkey. Data were collected using an ‘Information Form’ and the ‘Therapeutic Communication Skills Scale for Nursing Students’. The Child Health Nursing Course curriculum incorporated lectures with various activity designs to enhance students' therapeutic communication skills. ResultsThe curriculum-integrated therapeutic activities significantly decreased non-therapeutic communication skills in students, with a large effect size [d: 0.827, 95% CI: (0.393)–(1.296)]. Furthermore, the activities led to a significant increase in Therapeutic Communication Skills-1 with a large effect size [d: -0.943, 95% CI: (−1.416) - (−0.513)], and improved Therapeutic Communication Skills-2 with a large effect size [d: -1.285, 95% CI: (−1.827) - (−0.804)]. ConclusionThe findings indicate that therapeutic activities effectively improved the therapeutic communication skills of nursing students. Practice implicationsIntegrating therapeutic activities into the Child Health Nursing Course curriculum is recommended to enhance nursing students' therapeutic communication skills.

Komunikasi Terapeutik Perawat Melalui Pendekatan Budaya

The purpose of this review is to determine the application of nurse therapeutic communication in various cultures. This review method uses an integrative review research methodology modified by Whittemore & Knafl in 2005. This research uses an Integrative Review design, using five databases, namely PubMed, Science Direct, ProQuest, Cochrane Library and DOAJ. Publication assessment uses critical appraisal designed by Bowling (2001). The results of the review showed that 5 articles were included in the analysis. Barriers to nurse communication were found, namely language differences, inadequate language translators, lack of education and communication training for nurses, fatigue and high nurse workload. Efforts to improve nurse communication include the need to improve communication and cultural skills as well as the need for translators/mediators to help nurses communicate with patients who come from different cultures. In conclusion, there were many obstacles found in nurse-patient communication originating from various cultures throughout the world so that a further cultural approach was needed to improve the quality of nurses' therapeutic communication.
 
 Keywords: Therapeutic Communication, Cultural Approach, Nurse

Effectiveness of Nurse-led Educational Intervention on Therapeutic Communication of Undergraduate Nursing Students by Using SBAR tool

Efficient communication is most noteworthy because it impacts patient quality care. A prepared tool can useful to adequately impart patient data, lessen unfavorable incidents, improve patient safety, enhance quality of care, and amplify the healthcare team members’ satisfaction. Objective: To identify the effectiveness of nurse-led educational intervention on therapeutic communication of undergraduate nursing students by using the SBAR tool. Methods: This pre & post-quasi-experimental study was conducted from Jan-2021 to May-2021 among 120 undergraduate students from two different nursing institutions in Karachi by using a purposive sampling technique. Ethical approval was obtained and written informed consent was taken from each participant in the study. Data was collected by adopting the SBAR tool comprising 10 multiple-choice questions. Nurse-led educational intervention was provided after pre-assessment through lectures and discussion in the classroom. Data were analyzed using SPSS version-23. Results: Results showed a mean ± SD of age 30.44±5.40 varied from 23 to 51 years. Most of the participants (51.7%) were female and 70.8% of the participants had working experience ranging from 2 to 10 years. In the pre-test assessment, most of the participants secured a 4 out of 10 score (25.0%) whereas 8 out of 10 score (29.2%) in the post-test. A significant impact on the knowledge of undergraduate nursing students after educational intervention (p<0.001) was seen. Conclusions: This study concludes that undergraduate student nurses have very low knowledge related to the SBAR tool for therapeutic communication. Nurse-led education interventions improve nursing knowledge and understanding of the SBAR tool, as evident by post-test scores.