Communication Barrier Between Nurse and Patient at The Hospital: A Systematic Review
Communication Barrier Between Nurse and Patient at The Hospital: A Systematic Review
Communication Barrier Between Nurse and Patient at The Hospital: A Systematic Review
ABSTRACT
Correspondence:
Andriyanto. Masters Program in Communication Sciences, Universitas Diponegoro. Jl. Prof.
H. Soedarto, Tembalang, Semarang 50275, Central Java. Email: andrebae139@gmail.com.
and flexible communication skills of nurses identify the obstacles to nurse patient
are able to alleviate fears and anxieties communication at the hospital.
related to the illness of patients and their
families (Fakhr-Movahedi et al., 2011). SUBJECTS AND METHOD
Hospital Accreditation Standard A systematic review through review of
states that each element in it can create a patient nurse communication articles to
hospital organization that is safe, effective identify the occurrence of communication
and well-managed. Where the nursing team barriers in hospitals. The inclusion criteria
and management order strengthen so that were all types of research that were
effective communication can encourage reviewed, namely research that describes
health care providers to strive to improve and identifies various barriers to nurse
service quality, especially the quality of patient communication in the hospital.
nursing staff in supporting increasingly Literature search articles that have been
professional nursing management services. published with a population of nurses in
Effective communication is a competency several hospitals which have experienced
that is indispensable in nursing services various communication barriers. The
that is able to bridge every action that will search was carried out using Elsevier Sci-
be taken to the patient so as to reduce the ence Direct, EBSCO E-Journal: CINAHL
adverse effects of medical services and Complete, and Google Scholar with key-
nursing on patients who have communi- words variable communication barriers,
cation barriers to communication. Effective nurses-patients, hospital. Articles found
communication, information service and from each search based on the 2012-2017
effective education in hospitals is one of the publication date. Articles that meet the
national standards for hospital accredita- inclusion criteria were collected and exa-
tion, KARS, 2018 sees that the importance mined systematically. Extraction of study
of effective communication must be carried data was carried out by reading the results
out within the framework of improving the of the study and then taking the essence
quality of services and patient safety in the which included the research title, the name
hospital. of the researcher and the year of the study,
Communication barriers are ineffec- the journal of the publisher, the study
tive communication activities of patients objectives, and methods. All parts are
with health personnel in the communica- included in a table so that it is easier to read
tion process that are carried out so as not to the extraction results. The search process
deliver the message as desired (Ganiem, gets 4 articles that meet the criteria for
2018), this greatly affects the communica- inclusion criteria.
tion process between providers of health
personnel, especially nurses as a main part RESULTS
in nursing services to patients. Communi- Based on the search results, 11 articles that
cation barriers that often occur in nursing are considered to be in accordance with the
services include relationships that are objectives of the study were obtained then
closely related to cultural factors, nurse they were put together and then a screening
attitudes and competencies, gender factors, whether the title of the article is the same or
environmental factors, nurse workload not was done. After screening, there were 8
factors. This article aims to describe and articles with the same title, from 13 of these
articles then screening based on eligibility
according to the inclusion criteria obtained search strategy can be seen in table 1.
4 articles for further review. The literature
Table 1. Literature search strategy
Search Engine EBSCO Host Sciencedirect Google Scholar
Searching results 63 665 15,500
Fulltext, pdf, 2012-2017 10 7 12
Suitable title 4 3 3
Identical title 3 2 3
Eligible based on the inclusion 2 1 1
criteria
RESULT 4
fever, anxiety, and graving. The obstacle on Faculty of Medicine, Nursing and
the side of the nurses involved was limited Health Sciences Monash University.
communication skills due to lack of Caris-VerhallenW, Timmermans L, Van
communication skills training. In addition, Dulmen S (2004). Observation of
other obstacle factors such as insufficient Nurse–Patient Interaction in Onco-
time, because nurses must serve other pati- logy: Review of Assessment Instru-
ents. Obstacles to the care environment; ments. Patient Education and Coun-
busy work, the noise of the hospital seling.54(3), 307-320. http://dx.doi.-
environment by a large number of patient org/10.1016/j.pec.2003.12.009.
families. Another obstacle was caused by an Deepak Sethi, Maj Kirti Rani (2017).
irregular and cooperative communication Communication Barrier in Health
management system. Molazem et al. (2011) Care Setting as perceived by nurses
reported that the nurse's main focus was on and patient.International Journal of
conducting routine clinical tasks. Llenore Nursing Education. 9(4). Doi: 10.59-
and Ogle (1999), showed that nurses on 58/0974-9357.2017.00092.7.
wards were very focused on doing clinical EpsteinRM, Fiscella K, Lesser CS, Stange
assignments which were only 5% of their KC (2010). Why the nation needs a
time of concern aimed at communicating policy push on patient-centered
with patients. health care. Health affairs (Project
Based on the description of the article Hope). 29(8): 1489-1495. Doi:10.13-
above, it can be concluded that there were 77/hlthaff.2009.0888.
several barriers to communication that Fakhr-MovahediA, Salsali M, Negharandeh
occur between nurses and cause dissatis- R, Rahnavard Z (2011). A qualitative
faction in health services. The aim of the content analysis of nurse-patient
health care system was to provide quality communication in Iranian nursing.
services and the best way to get patient International Nursing Review. 58(2):
satisfaction was to communicate. There- 17-180.Doi:10.1111/j.1466-7657.20-
fore, it was expected to health providers to 10.00861.x
improve effective communication. In order Fleischer S, Berg A, Zimmermann M,
to reduce barriers to communication in Wüste K, Behrens J (2009). Nurse-
health services in hospitals. Through the patient interaction and communica-
efforts of communication and seminar tion: A systematic literature review.
(workshop) skills training. In addition, to Journal of Public Health. 17(5): 339-
reduce the barriers of cultural factors can 353.http://dx.doi.org/10.1007/s1038-
be done by allocating nurses to hospitals 9-008-0238-1.
that were in accordance with the nurse's Ganiem (2018). Komunikasi Kedokteran
culture and language. Konteks Teoritis dan Praktis. Depok:
Prenada Media Group.
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