Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지

Factors Related to Intensive Care Unit Nurses' Patient Centered Communication Competency

중환자실 간호사의 대상자 중심(Patient Centered) 의사소통 역량수준 및 관련요인

  • Park, Young-Su (College of Nursing, Catholic University of Pusan) ;
  • Oh, Eui Geum (College of Nursing, Institute of Mo-Im Kim Nursing Research, Yonsei University)
  • 박영수 (부산가톨릭대학교 간호대학) ;
  • 오의금 (연세대학교 간호대학, 김모임간호학연구소)
  • Received : 2018.04.25
  • Accepted : 2018.05.17
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study aimed to provide primary data for developing a program to enhance communication competence by identifying the patient-centered communication competency level of Intensive Care Unit (ICU) nurses and the related factors. Method : Data were collected from August 28th to October 8th, 2015, from 199 ICU nurses working in 30 tertiary hospitals. The study questionnaire included items assessing the patient-centered communication competency of ICU nurses, nursing organizational culture, types of communication, the Teamwork Measurement Tool, the Perceived Nursing Work Environment tool, and the Wong & Law Emotional Intelligence Scale. The collected data were analyzed using descriptive statistics, a correlation test, and a multiple regression. Results : The ICU nurses' mean score on patient-centered communication competency was 3.97 points. The factors influencing the patient-centered communication competency level of ICU nurses were professionalism (p =.002), innovation-oriented organizational culture (p =.015), and emotional intelligence (p<.001). These variables explained 42.2% of the total variance in the patient-centered communication competency of ICU nurses. Conclusion : These findings suggest the need for developing a patient-centered communication competency improvement program that focuses on improving ICU nurses' professionalism and emotional intelligence, and facilitates the creation of an innovation-oriented organizational culture.

Keywords

References

  1. Abdelhadi, N., & Drach-Zahavy, A. (2012). Promoting patient care: work engagement as a mediator between ward service climate and patient-centred care. Journal of Advanced Nursing, 68(6), 1276-1287. https://doi.org/10.1111/j.1365-2648.2011.05834.x
  2. Alasad, J., & Ahmad, M. (2005). Communication with critically ill patients. Journal of Advanced Nursing, 50(4), 356-362. https://doi.org/10.1111/j.1365-2648.2005.03400.x
  3. Azoulay, E., Timsit, J. F., Sprung, C. L., Soares, M., Rusinova, K., Lafabrie, A., . . . Schlemmer, B. (2009). Prevalence and factors of intensive care unit conflicts: the conflicus study. American Journal of Respiratory and Critical Care Medicine, 180(9), 853-860. https://doi.org/10.1164/rccm.200810-1614OC
  4. Boykins, A. D. (2014). Core communication competencies in patient-centered care. Journal of the Association of Black Nursing Faculty in Higher Education, 25(2), 40-45.
  5. Cho, Y. A., & Kim, K. S. (2013). Effects of assertiveness training for ICU nurses. Journal of Korean Clinical Nursing Research, 19(2), 255-264. https://doi.org/10.22650/JKCNR.2013.19.2.255
  6. Choi, J., Bakken, S., Larson, E., Du, Y., & Stone, P. W. (2004). Perceived nursing work environment of critical care nurses. Nursing Research, 53(6), 370-378. https://doi.org/10.1097/00006199-200411000-00005
  7. Doran, D. I., Sidani, S., Keatings, M., & Doidge, D. (2002). An empirical test of the nursing role effectiveness model. Journal of Advanced Nursing, 38(1), 29-39. https://doi.org/10.1046/j.1365-2648.2002.02143.x
  8. Elder, N. C., Brungs, S. M., Nagy, M., Kudel, I., & Render, M. L. (2008). Nurses' perceptions of error communication and reporting in the intensive care unit. Journal of Patient Safety, 4(3), 162-168. https://doi.org/10.1097/PTS.0b013e3181839b48
  9. Han, S. J. (2002). A study on the relationship between nursing organizational culture and organizational performance. Journal of Korean Academy of Nursing Administration, 8(3), 441-456.
  10. Happ, M. B., Garrett, K., Thomas, D. D., Tate, J., George, E., Houze, M., . . . Sereika, S. (2011). Nurse-patient communication interactions in the intensive care unit. American Journal of Critical Care, 20(2), e28-40. https://doi.org/10.4037/ajcc2011433
  11. Im, S. I., Park, J., & Kim, H. S. (2012). The effects of nurse's communication and self-leadership on nursing performance. Korean Journal of Occupational Health Nursing, 21(3), 274-282. https://doi.org/10.5807/kjohn.2012.21.3.274
  12. Kang, M. J., & Lee, H. J. (2006). The effect of assertiveness training on communication related factors and personnel turnover rate among hospital nurses. Journal of Korean Academy of Nursing, 36(5), 681-690. https://doi.org/10.4040/jkan.2006.36.5.681
  13. Kim, K. S., Kim, J-A., & Park, Y. R. (2011). Educational needs based on analysis of importance, frequency and difficulty of ICU nursing practice for ICU nurses. Journal of Korean Academy of Fundamentals Nursing, 18(3), 373-382.
  14. Kim, M. S., Han, S. J., & Kim, J. H. (2004). The development of the nursing organization culture measurement tool. Journal of Korean Academy of Nursing Administration, 10(2), 175-184.
  15. Korean Nurse's Association. (2013). Korean nurse's ethics. Retrieved January 17, 2017, from http://www.koreanurse.or.kr/about_KNA/ethics.php
  16. Lee, H. S., & Kim, J. K. (2010). Relationship among communication competence, communication types, and organizational commitment in hospital nurses. Journal of Korean Academy of Nursing Administration, 16(4), 488-496. https://doi.org/10.11111/jkana.2010.16.4.488
  17. Loghmani, L., Borhani, F., & Abbaszadeh, A. (2014). Factors affecting the nurse-patients' family communication in intensive care unit of kerman: a qualitative study. Journal of Caring Science, 3(1), 67-82.
  18. Lynn. (1983). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  19. Manojlovich, M., Antonakos, C. L., & Ronis, D. L. (2009). Intensive care units, communication between nurses and physicians, and patients' outcomes. American Journal of Critical Care, 18(1), 21-30. https://doi.org/10.4037/ajcc2009353
  20. McCormark, B., & McCane T. V. (2006). Development of a framework for person-centred nursing. Journal of Advanced Nursing, 56(5), 472-479. https://doi.org/10.1111/j.1365-2648.2006.04042.x
  21. McKinley, C. J., & Perino, C. (2013). Examining communication competence as a contributing factor in health care workers' job satisfaction and tendency to report errors. Journal of Communication in Healthcare, 6(3), 158-165. https://doi.org/10.1179/1753807613Y.0000000039
  22. Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003). Improving communication in the ICU using daily goals. Journal of Critical Care, 18(2), 71-75. https://doi.org/10.1053/jcrc.2003.50008
  23. Rotondi, A. J., Chelluri, L., Sirio, C., Mendelsohn, A., Schulz, R., Belle, S., . . . Pinsky, M. R. (2002). Patients' recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical Care Medicine, 30(4), 746-752. https://doi.org/10.1097/00003246-200204000-00004
  24. Satir, V., Banmen, J., Gerver, J., & Gomori, M. (1991). The satir model: family therapy and beyond. Seoul: Korean Satir Institute.
  25. Slatore, C. G., Hansen, L., Ganzini, L., Press, N., Osborne, M. L., Chesnutt, M. S., & Mularski, R. A. (2012). Communication by nurses in the intensive care unit: qualitative analysis of domains of patientcentered care. American Journal of Critical Care, 21(6), 410-418. https://doi.org/10.4037/ajcc2012124
  26. Son, Y-J., Lee, Y. A., Sim, K. N., Kong, S. S., & Park, Y-S. (2013). Influence of communication competence and burnout on nursing performance of intensive care units nurses. Journal of Korean Academy of Fundamentals Nursing, 20(3), 278-288. https://doi.org/10.7739/jkafn.2013.20.3.278
  27. Weller, J., Shulruf, B., Torrie, J., Frengley, R., Boyd, M., Paul, A., . . . Dzendrowskyj, P. (2013). Validation of a measurement tool for self-assessment of teamwork in intensive care. British Journal of Anaesthesia, 111(3), 460-467. https://doi.org/10.1093/bja/aet060
  28. Wong, C-S., & Law, K. S. (2002). The effects of leader and follower emotional intelligence on performance and attitude: An exploratory study. The Leadership Quarterly, 13(3), 243-274. https://doi.org/10.1016/S1048-9843(02)00099-1
  29. Wright, K. B., Banas, J. A., Bessarabova, E., & Bernard, D. R. (2010). A communication competence approach to examining health care social support, stress, and job burnout. Health Communication, 25(4), 375-382. https://doi.org/10.1080/10410231003775206
  30. Yang, Y. L. (2013). Therapeutic communication among nurses in intensive care unit(Unpublished doctoral dissertation). Yonsei University, Seoul, Korea.