Nurse-patient interaction and communication: A systematic literature review

Aim The purpose of this review is to describe the use and definitions of the concepts of nurse-patient interaction and nurse-patient communication in nursing literature. Furthermore, empirical findings of nurse-patient communication research will be presented, and applied theories will be shown. Met...

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Bibliographic Details
Published in:Journal of public health Vol. 17; no. 5; pp. 339 - 353
Main Authors: Fleischer, Steffen, Berg, Almuth, Zimmermann, Markus, Wüste, Kathleen, Behrens, Johann
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer-Verlag 01.10.2009
Springer Nature B.V
Springer Verlag
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ISSN:0943-1853, 2198-1833, 1613-2238
Online Access:Get full text
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Summary:Aim The purpose of this review is to describe the use and definitions of the concepts of nurse-patient interaction and nurse-patient communication in nursing literature. Furthermore, empirical findings of nurse-patient communication research will be presented, and applied theories will be shown. Method An integrative literature search was executed. The total number of relevant citations found was 97. The search results were reviewed, and key points were extracted in a standardized form. Extracts were then qualitatively summarized according to relevant aspects and categories for the review. Results The relation of interaction and communication is not clearly defined in nursing literature. Often the terms are used interchangeably or synonymously, and a clear theoretical definition is avoided or rather implicit. Symbolic interactionism and classic sender-receiver models were by far the most referred to models. Compared to the use of theories of adjacent sciences, the use of original nursing theories related to communication is rather infrequent. The articles that try to clarify the relation of both concepts see communication as a special or subtype of interaction. The main intention of communication and interaction in the health setting is to influence the patient’s health status or state of well-being. Identified important structural factors of communication were: role allocation, different use of language and registers, and the nursing setting. The process of communication is often described with a phase model; communication often happens during other interventions and tasks. In general, influencing factors can be organized into the categories of provider variables, patient variables, environmental and situational variables. Conclusion The included citations all conclude that communication skills can be learned to a certain degree. Involvement of patients and their role in communication often is neglected by authors. Considering the mutual nature of communication, patients’ share in conversation should be taken more into consideration than it has been until now. Nursing science has to integrate its own theories of nursing care with theories of communication and interaction from other scientific disciplines like sociology.
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ISSN:0943-1853
2198-1833
1613-2238
DOI:10.1007/s10389-008-0238-1