Primary care centers, experience and perceptions of nurses regarding the communication process with patients
DOI:
https://doi.org/10.35669/rcys.2024.14.e342Keywords:
Enfermería - servicios comunitarios de salud - centros de salud - proceso de comunicación - usuarios de la comunicación - comunicación interpersonal - comunicación interactiva.Abstract
Introduction. Nursing practice requires the integration of communication and clinical skills, which results in greater patient satisfaction and improvement in the results obtained, therefore, based on the perceptions and experiences of Primary Care nurses, It is intended to assess communication processes.
Methodology. To obtain the information required by the study, the in-depth interview has been chosen, the literal transcription allowed the establishment of thematic categories of analysis and the comparison of the results with the literature.
Results. Communication is perceived very differently by each professional, without a structured method, with a lack of adaptation to the characteristics of each patient, which results in deficits in efficacy, understanding, and retention of the message.
Discussion. Communication problems cause feelings of helplessness and insecurity among professionals. The lack of an evaluation of the results, in the process, hinders the possibility of improvement and continuity in care.
Conclusions. The search for excellence in care requires education and training in terms of communication and continuous evaluation of the results as a guarantee of quality and continuity of care.
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Al-Alawneh, M. K., Shafeeq Hawamleh, M., Al-Jamal, D. A. H. y Suleiman Sasa, G. (2019). Communication Skills in Practice. International Journal of Learning, Teaching and Educational Research, 18(6), 1-19. https://doi.org/10.26803/ijlter.18.6.1
Alaszewski, A. y Horlick-Jones, T. (2003). How can doctor’s communication about risk more effectively? BMJ, 327, 721-731. https://doi.org/10.1136/bmj.327.7417.728
Alfaro-Lefevre, R. (2003). Aplicación del proceso enfermero. Fomentar el cuidado en colaboración. Ed. Elsevier Masson 5ª edición.
American Association for Critical-Care (2016). Nurses Standards for Establishing and Sustaining Healthy Work Environments. AACN. http://www.aacn.org/wd/hwe/docs/hwestandards.pdf.
Berry DC. (2004). Risk Communication and Health Psychology. Open University Press.
Boletín Oficial del Estado. (2010). Real Decreto 1093/2010, de 3 de septiembre, por el que se aprueba el conjunto mínimo de datos de los informes clínicos en el Sistema Nacional de Salud, número 225. https://www.boe.es/boe/dias/2010/09/16/pdfs/BOE-A-2010-14199.pdf
Carrió, F. B. (2004). Entrevista clínica. Manual de estrategias prácticas. Sociedad Española de Medicina de Familia y Comunitaria.
Chabeli, M. M. (2007). Facilitating critical thinking within the nursing process framework: a literature review. HEALTH SA GESONDHEID: Journal of interdisciplinary Health Sciences, 12(4), 69-89. https://doi.org/10.4102/hsag.v12i4.273
Clèries, X. (2006). La comunicación: Una competencia esencial para los profesionales de la salud.
Masson.
Consejo General de Enfermería. (1989). Código Deontológico de la enfermería española. Consejo General de Enfermería.
Cuervo, L. y Aronson, J. K. (2004). The road to healthcare. British Medical Journal, 329, 1-2. https://doi.org/10.1136/bmj.329.7456.1
Dávila Rodríguez A. A. (2018). Medicina defensiva. ¿Evitable? Cirujano general, 40(1), 54-60. https://acortar.link/drME86
Davis, K. y Newstrom, J. W. (1991). Comportamiento humano en el trabajo: comportamiento organizacional. McGraw-Hill.
Flórez, L. (1997). Análisis de un programa de autocontrol comportamental para la promoción de salud en población adulta. Psicol Conduct, 5(3).
Friedemann Smith, C., Lunn, H., Wong, G. y Brian, D. Nicholson. (2022). Optimising GPs’ communication of advice to facilitate patients’ self-care and prompt follow-up when the diagnosis is uncertain: a realist review of ‘safety-netting’ in primary care. BMJ Qual Safe, 31(7), 541-554. https://doi.org/10.1136/ bmjqs-2021-014529
García-Marco, M. I., López Ibort, M. N. y Vicente Edo, M. J. (2004). Reflexiones en torno a la Relación Terapéutica: ¿Falta tiempo? Índex de Enfermería, 13(47), 44-48. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=s1132-12962004000300010
Glasser, B. G. y Strauss, A. L. (2009). The discovery of grounded theory: Strategies for qualitative research. Transaction Publishers.
Goodman, L. A. (1961). Snowball sampling. Annals of Mathematical Statistics, 32, 148-170. Hellriegel, D., Slocum, J. W. y Richard, W. (2004). Woodman Organizational behavior.
Thomson/South-Western.
Knaus, W. A., Draper, E. A., Wagner, D. P. y Zimmerman, J. E. (1986). An evaluation of outcome from intensive care in major medical centers. Annals of Internal Medicine, 104(3), 410-418.
Kreps, G. L. (1995). La comunicación en las organizaciones. Addison-Wesley Iberoamericana. Kvale, S. (1996). Interviews. An introduction to qualitative research interviewing. Sage.
Landman Navarro, C., Cruz Osorio, M. J., García García, E., Pérez Meza, P., Sandoval Barrera, P., Serey Burgos, K. y Valdés Medina, C. (2015). Satisfacción usuaria respecto a competencia de comunicación del profesional de enfermería. Ciencia y enfermería, 21(1), 91- 102. https://dx.doi.org/10.4067/S0717-95532015000100009
Laschinger, H. K. S., Finegan, J. E., Shamian, J. y Wilk, P. (2004). A longitudinal analysis of the impact of workplace empowerment on work satisfaction. Journal of Organizational Behavior, 25(4), 527-545. https://doi.org/10.1002/job.256
Marshall, C. y Rossman B. (1989). Designing qualitative research. Sage.
Organización Mundial de la Salud (1989). Nuevos métodos de educación sanitaria en la atención primaria de salud. Organización Mundial de la Salud.
Palací, F. J. (2008). Psicología de la Organización. Pearson Educación, S.A.
Ratna, H. (2019). The Importance of Effective Communication in Healthcare Practice. Harvard Public Health Review, 23, 1-6. https://www.jstor.org/stable/48546767
Rubin, H. J. y Rubin, I. S. (1995). Qualitative interviewing: the art of hearing data. Thousand Oaks, CA: Sage.
Ruiz-Moral, R. (2004). Relación Clínica. Guía para aprender, enseñar e investigar. Sociedad Española de Medicina y Comunitaria.
Sánchez, M. M. y Rubio, J. M. L. (2001). Entrenamiento en habilidades sociales: un método de enseñanza aprendizaje para desarrollar las habilidades de comunicación interpersonal en el área de enfermería. Psicothema, 13(2), 247-251. https://www.psicothema.com/pdf/443.pdf
Shapiro, M. (2004). Neuro-Linguistic programming. Hodder & Stoughton.
Shin, J. H., Jung, S. O. y Lee, J. S. (2023). Identification of North American Nursing Diagnosis Association—Nursing Interventions Classification—Nursing Outcomes Classification of nursing home residents using on-time data by android smartphone application by registered nurses. International Journal of Nursing Knowledge, early view, 1- 23. https://doi.org/10.1111/2047-3095.12419
Tolosa-Merlo, D., Moreno-Poyato, A. R., González-Palau, F., Pérez-Toribio, A., Casanova- Garrigós, G. y Delgado-Hito, P. MiRTCIME.CAT Working Group (2023). Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study. Journal of Clinical Nursing, 32, 253-263. https://doi.org/10.1111/jocn.16223
Valles, M. S. (1997). Técnicas cualitativas de investigación social: reflexión metodológica y práctica profesional. Síntesis.
Vidal Blan, R., Adamuz Tomás, J. y Feliu Baute, P. (2009). Relación terapéutica: el pilar de la profesión enfermera. Enfermería Global, 17. https://acortar.link/WogQwm
Weiss, R. (1994). Learning from strangers. The art and method of qualitative interview studies.
The Free Press.
Wengraf, T. (2001). Qualitative Research Interviewing. Biographic, narrative and semi structured methods. Sage.
Whitehead, P., Frechman, E., Johnstone-Petty, M., Kates, J., Djin L.Tay, DeSanto, K y Fink, R. G. (2022). A scoping review of nurse-led advance care planning. Nursing Outlook, 70(1), 96-118. https://doi.org/10.1016/j.outlook.2021.08.002
Wolf, L. A (2022). A Problem Well-Named is a Problem Half-Solved: Usefulness of Nursing Diagnosis as a Way to Teach Emergency Nursing. Understanding research, 49(1), 57-59. https://doi.org/10.1016/j.jen.2022.11.002
Xue-Li, Liangcheng-Ding, Pei-Ning, Yuan-Li, Holly-Wei y Qinghui-Meng (2023). Construction of a nurses' interpersonal communication knowledge system: A Delphi study. Nurse Education Today, 120, 1-8. https://doi.org/10.1016/j.nedt.2022.105630
Zinn, J. (2005). The biographical approach-A better way to understand behavior regarding Health and illness? Health Risk Soc, 7(1), 1-9. doi.org/10.1080/13698570500042348
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