Ali Fakhr-Movahedi
1, Zahra Rahnavard
2, Mahvash Salsali
2*, Reza Negarandeh
21 Department of Nursing, Nursing Care Research Center, Faculty of Nursing and Allied Health Sciences, Semnan University of Medical Sciences, Semnan, Iran
2 Department of Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Introduction: Recognition the nurses’ communicative roles can influence quality of
patient’s care. Therefore, this study was aimed to explore nurse’s role in
nurse-patient relations.
Methods: This study was a qualitative research in which
collected data was analyzed by content analysis method. The participants were
23 nurses, patients and their families in medical and surgical wards of a
referral hospital in
Tehran, Iran. Data were collected by semi-structured interview and
observation.
Results: Data analysis was led to the emergence
of a main conceptual category: The
patient's need-based communication. This category was derived from two categories: 1)
Identifying the patient’s needs; and 2) Communicative behavior in the face of
the patient’s needs. “Identifying the patient’s needs” was related to “type of
the patient’s problem”, “patients’
inquiring about their health status” and “monitoring the patient’s health status”.
“Communicative behavior in the face of the patient’s needs” was composed of
four subcategories: “caring attention”, “informal education of the patient”,
“inducing calmness to the patient”, and “obtaining the trust of the patient”.
Conclusion: The
nurse’s role in relationship with patients is designed according to patients’
needs. Therefore, if the patients’ needs in clinical
settings are defined and clarified appropriately, the nurse-patient relations
will be enhanced and thereby the quality
of care will be improved.