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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
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. 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
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. 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 research2023Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, nr 2, s. 539-562Artikkel, forskningsoversikt (Fagfellevurdert)
    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.

     

    Fulltekst (pdf)
    fulltext
  • 2.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hedén, Lena
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    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.
    van Dulmen, Sandra
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands; Radboud Institute for Health Sciences, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, the Netherlands.
    Bergman, Karin
    Östensson, Sofia
    Östman, Malin
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; Region Västra Götaland, Närhälsan Källstorp Healthcare Centre, Trollhättan, Sweden; Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Research, Sweden; General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    The patient’s first point of contact (PINPOINT) – protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses2023Inngår i: BMC Primary Care, E-ISSN 2731-4553, Vol. 24, nr 1, artikkel-id 249Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    A major challenge for primary care is to set priorities and balance demands with available resources. The registered nurses in this study are practice nurses working in primary care offices, playing a large role in initial assessments. The overall objective of this research is to investigate practices of communication and decision-making during nurses’ initial assessment of patients’ health problems in primary care, examine working mechanisms in good practices and develop feasible solutions.

    Methods

    Project PINPOINT aims for a prospective multicenter study using various methods for data collection and analysis. A purposive sample of 150 patient‒nurse consultations, including 30 nurses and 150 patients, will be recruited at primary care centers in three different geographic areas of southwest Sweden. The study will report on outcomes of communication practices in relation to patient-reported expectations and experiences, communication processes and patient involvement, assessment and decision-making, related priorities and value conflicts with data from patient questionnaires, audio-recorded real-time communication, and reflective interviews with nurses.

    Discussion

    This research will contribute to the knowledge needed for the guidance of first-line decision-making processes to best meet patient and public health needs. This knowledge is necessary for the development of assessments and decisions to be better aligned to patients and to set priorities. Insights from this research can empower patients and service providers and help understand and enhance feasible person-centered communication strategies tailored to patients’ level of health literacy. More specifically, this research will contribute to knowledge that can strengthen nurses’ communication, assessments, and clinical decision-making in primary care. In the long term, this will contribute to how the competencies of practice nurses and other professionals are organized and carried out to make the best use of the resources within primary care.

    Trial registration

    ClinicalTrials.gov Identifier: NCT06067672.

     

    Fulltekst (pdf)
    fulltext
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