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  • 1.
    Höglander, Jessica
    et al.
    School of Health, Care and Social Welfare Mälardalen University Västerås Sweden.
    Holmström, Inger K.
    School of Health, Care and Social Welfare Mälardalen University Västerås Sweden;Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.
    Lövenmark, Annica
    School of Health, Care and Social Welfare Mälardalen University Västerås Sweden.
    van Dulmen, Sandra
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Nivel (Netherlands Institute for Health Services Research) Utrecht the Netherlands;Department of Primary and Community Care, Radboud Institute for Health Sciences Radboud University Medical Center Nijmegen the Netherlands;Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Eide, Hilde
    Centre for Health and Technology, Faculty of Health and Social Sciences University of South‐Eastern Norway Drammen Norway.
    Sundler, Annelie Johansson
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Registered nurse–patient communication research: An integrative review for future directions in nursing research2023In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, no 2, p. 539-562Article, review/survey (Refereed)
    Abstract [en]

    Aim

    To explore communication research in nursing by investigating the theoretical approaches, methods, content and perspectives in research on real-time registered nurse (RN)–patient communication.

    Design

    An integrative review of real-time communication between RNs and patients.

    Data Sources

    Empirical research papers were searched in PubMed, CINAHL Plus and Medline. The results from the database searches were supplemented with results from manual searches in reference lists.

    Review Methods

    A total of 1369 articles published between January 1996 and December 2021 were screened, which resulted in the inclusion of 52 articles.

    Results

    The integration of various theories, such as nursing or communication theories, is weak in most of the included studies. RN–patient communication appears to influence relationship building. Even when nurses strive to meet patients' needs, they often focus primarily on nursing routines and physical care. The topic of the communication varies depending on the situation and different communication styles are used. When a patient-centred approach is adopted, the interpersonal communication becomes quite symmetrical, with complementary roles of nurses and patients. Within a more asymmetric communication context, nurses dominate communication, choose topics and function as instructors. How the nurses communicated subsequently influenced the patients' communication styles and strategies.

    Conclusion

    Communication is multifaceted, contains different strategies and is important for building trust and facilitating patient-centred care. The importance of RNs' communication for interaction and relationship-building seems to be well established within research, but few studies focused on patients' communication with RNs.

    Impact

    This integrative review gives an overview of the width and depth of observational studies on RN–patient communication research. The variety of studies indicates that this area is a less well-grounded field of research. Future research is warranted to support nurses in their communication, especially regarding the exploration of patients' communication and desired communication skills in nurse–patient interactions.

    Patient or Public Contribution

    No patient or public contribution was included in this integrative review.

     

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