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Abstract
COMMUNICATION BARRIERS TO NURSE PATIENT COMMUNICATION AMONG NURSES OF SHAHID GANGALAL NATIONAL HEART CENTER KATHMANDU NEPAL
*Krishna Kumari Paudel Subedi, Rosi Shakya, Anjana Koirala and Manju Timilsina
ABSTRACT
Background: Communication is a vital element in nursing for providing high-quality health care services, leads to patient satisfaction and health. Communication is a several-dimensional, several-factorial phenomenon and a vibrant, intricate process, strongly related to the environment in which an individual understands are shared. Objectives: To identify the communication barriers between nurses and patients as perceived by the nurses. Methodology: For this study, a descriptive-Cross- sectional design was adopted. Total 140 nurses were included by using simple random sampling technique. Data was collected with self constructed and self-administered structured questionnaire. Likewise, for demographic information descriptive statistics was used. Frequencies, percentages mean and standard deviation were used to reveal extent of existing barriers of nurse patient communication as perceived by nurses. Results: Nurse related factors, patient related factor and environment related factors which included several sub factors were taken into consideration as major barriers of nurse patient communication.Among the defined factors, the most important barrier was environmental factor (Mean= 2.07 & Rank=1). Likewise, Nurserelated factors was considered as the least perceived barrier (Mean= 1.76, Rank=3) as perceived by the nurses. Conclusion: The result of this study showed that amongthe defined factors, the most important barrier was environmental factors as perceived by nurses. In terms of environmental barriers, the presence of critically ill patients in the ward, the hectic environment of the hospital, and disturbing environment are considered the main barriers. Nurse-related factors are considered as the least perceived barriers. Continuous effort to be done to mend those weak areas in order to enhance better nurse patient communication within the hospital.
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