Patient engagement is engaging patients in their own medical care to heal them faster and take their valuable inputs to improve the health of population. Nurses contribute significantly in treatment, interact and spend most of their time with inpatients. Therefore, exploring the perspectives of nurses on patient engagement-communication is of vital importance.
Objective:
This article focuses on exploring the communication themes of patient engagement from the perspective of nurses in a multi-speciality hospital in Delhi.
Methodology:
The exploratory qualitative case study was carried out with semi-structured interviews of 12 nurses, observation at receptions of ICUs and emergency department and analysis of documents from the hospital’s official website. Grounded theory—three-level coding—was performed to identify the themes of patient engagement-communication.
Results:
A total of nine themes have been identified: ‘attendant’s role’, ‘communicating with patients of different categories’, ‘doctor’s support to nurses’, ‘nurse action’, ‘nurse behaviour’, ‘nurse challenges’, ‘patient actions’, ‘patient emotions’ and ‘wider role of nurses’.
Conclusion:
Nurses play a critical role in engaging patients through communication. They should change their approach of communication with different types of patients, understand, respect and give due weightage to patient’s emotions and actions and, play a wider role of teacher and guardian than just being the nurse.
AdinolfiP.StaraceF.PalumboR. (2016). Health outcomes and patient empowerment: The case of health budgets in Italy. Journal of Health Management, 18(1), 117–133.
2.
BarelloS.GraffignaG.VegniE. (2012). Patient engagement as an emerging challenge for healthcare services: Mapping the literature. Nursing Research and Practice, 2012, 1–7.
3.
BaxterP.JackS. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The Qualitative Report, 13(4), 544–559.
4.
Caris-VerhallenW. M.KerkstraA.BensingJ. M. (1999). Non-verbal behaviour in nurse–elderly patient communication. Journal of Advanced Nursing, 29(4), 808–818.
5.
CarmanK. L.DardessP.MaurerM.SofaerS.AdamsK.BechtelC.SweeneyJ. (2013). Patient and family engagement: A framework for understanding the elements and developing interventions and policies. Health Affairs, 32(2), 223–231.
6.
CasaleA. S.PaulusR. A.SelnaM. J.DollM. C.BotheA. E.JrMcKinleyK. E.… SteeleG. D.Jr (2007). “ProvenCareSM”: A provider-driven pay-for-performance program for acute episodic cardiac surgical care. Annals of Surgery, 246(4), 613–623.
7.
CooperL. A.RoterD. L.JohnsonR. L.FordD. E.SteinwachsD. M.PoweN. R. (2003). Patient-centred communication, ratings of care, and concordance of patient and physician race. Annals of Internal Medicine, 139(11), 907–915.
8.
CoulterA. (2012). Patient engagement—What works?The Journal of Ambulatory Care Management, 35(2), 80–89.
9.
CoulterA.EllinsJ. (2007). Effectiveness of strategies for informing, educating, and involving patients. BMJ: British Medical Journal, 335(7609), 24.
10.
CowmanS.FarrellyM.GilheanyP. (2001). An examination of the role and function of psychiatric nurses in clinical practice in Ireland. Journal of Advanced Nursing, 34(6), 745–753.
11.
CrawfordC. L.OmeryA.SeagoJ. A. (2012). The challenges of nurse-physician communication: A review of the evidence. Journal of Nursing Administration, 42(12), 548–550.
12.
DeenD.LuW. H.RothsteinD.SantanaL.GoldM. R. (2011). Asking questions: The effect of a brief intervention in community health centers on patient activation. Patient Education and Counseling, 84(2), 257–260.
13.
EisenhardtK. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532–550.
14.
EricksonF. (1985). Qualitative methods in research on teaching (Occasional Paper No. 81). East Lansing, Michigan: Michigan State University.
15.
EvansE. C. (2016). Exploring the nuances of nurse-patient interaction through concept analysis: Impact on patient satisfaction. Nursing Science Quarterly, 29(1), 62–70.
16.
FinchL. P. (2006). Patients’ communication with nurses: Relational communication and preferred nurse behaviors. International Journal for Human Caring, 10(4), 14–22.
17.
FinkeE. H.LightJ.KitkoL. (2008). A systematic review of the effectiveness of nurse communication with patients with complex communication needs with a focus on the use of augmentative and alternative communication. Journal of Clinical Nursing, 17(16), 2102–2115.
18.
FleischerS.BergA.ZimmermannM.WüsteK.BehrensJ. (2009). Nurse-patient interaction and communication: A systematic literature review. Journal of Public Health, 17(5), 339–353.
19.
GhoshS.SahaM. (2013). Health communication and behavioural change: An exploratory study among marginalized communities in rural West Bengal, India. Journal of Health Management, 15(3), 307–327.
20.
GillP. S. (2013). Patient engagement: An investigation at a primary care clinic. International Journal of General Medicine, 6, 85.
21.
GlaserB. G. (1992). Basics of grounded theory analysis: Emergence vs forcing. Mill Valley, CA: Sociology Press.
22.
GrumanJ.RovnerM. H.FrenchM. E.JeffressD.SofaerS.ShallerD.PragerD. J. (2010). From patient education to patient engagement: Implications for the field of patient education. Patient Education and Counselling, 78(3), 350–356.
23.
HappM. B.GarrettK.ThomasD. D.TateJ.GeorgeE.HouzeM.… SereikaS. (2011). Nurse-patient communication interactions in the intensive care unit. American Journal of Critical Care, 20(2), e28–e40.
HemsleyB.SigafoosJ.BalandinS.ForbesR.TaylorC.GreenV. A.ParmenterT. (2001). Nursing the patient with severe communication impairment. Journal of Advanced Nursing, 35(6), 827–835.
26.
HibbardJ. H.MahoneyE. R.StockR.TuslerM. (2007). Do increases in patient activation result in improved self-management behaviours?Health Services Research, 42(4), 1443–1463.
27.
JonesA. (2009). Creating history: Documents and patient participation in nurse-patient interviews. Sociology of Health & Illness, 31(6), 907–923.
28.
KrishnatrayP.MelkoteS. R.KrishnatrayS. (2006). Providing care to persons with stigmatised illnesses: Implications for participatory communication. Journal of Health Management, 8(1), 51–63.
29.
MacdonaldL.StubbeM.TesterR.VernallS.DowellT.DewK.… RaphaelD. (2013). Nurse-patient communication in primary care diabetes management: An exploratory study. BMC Nursing, 12(1), 20.
30.
MariappanM. (2013). Analysis of nursing job characteristics in public sector hospitals. Journal of Health Management, 15(2), 253–262.
31.
McCabeC. (2004). Nurse–patient communication: An exploration of patients’ experiences. Journal of Clinical Nursing, 13(1), 41–49.
32.
McCarleyP. (2009). Patient empowerment and motivational interviewing: engaging patients to self-manage their own care. Nephrology Nursing Journal, 36(4), 409.
33.
McGiltonK.RobinsonH. I.BoscartV.SpanjevicL. (2006). Communication enhancement: Nurse and patient satisfaction outcomes in a complex continuing care facility. Journal of Advanced Nursing, 54(1), 35–44.
NadzamD. M. (2009). Nurses’ role in communication and patient safety. Journal of Nursing Care Quality, 24(3), 184–188.
36.
NegiY.BaggaR. (2015). Burnout among nursing professionals in tertiary care hospitals of Delhi. Journal of Health Management, 17(2), 163–177.
37.
OxelmarkL.UlinK.ChaboyerW.BucknallT.RingdalM. (2017). Registered nurses’ experiences of patient participation in hospital care: Supporting and hindering factors patient participation in care. Scandinavian Journal of Caring Sciences, 32(2), 612–621.
38.
RodgersB. L.CowlesK. V. (1993). The qualitative research audit trail: A complex collection of documentation. Research in Nursing & Health, 16(3), 219–226.
39.
ShafipourV.MohammadE.AhmadiF. (2014). Barriers to nurse-patient communication in cardiac surgery wards: A qualitative study. Global Journal of Health Science, 6(6), 234.
40.
SimpsonD. D. (2004). A conceptual framework for drug treatment process and outcomes. Journal of Substance Abuse Treatment, 27(2), 99–121.
41.
StakeR. E. (2005). Qualitative case studies. In DenzinN. K.LincolnY. S. (Eds.), The SAGE handbook of qualitative research (3rd ed.) (pp. 443–466). Thousand Oaks, CA: SAGE Publications.
42.
StewartM. A. (1995). Effective physician-patient communication and health outcomes: A review. CMAJ: Canadian Medical Association Journal, 152(9), 1423.
43.
StoddartK. M. (2012). Social meanings and understandings in patient-nurse interaction in the community practice setting: A grounded theory study. BMC Nursing, 11(1), 14.
44.
StraussA.CorbinJ. (1994). Grounded theory methodology: An overview. In DenzinN. K.LincolnY. S. (Eds.), Handbook of qualitative research (Chap. 17, pp. 273–285). Thousand Oaks, CA: SAGE Publications.
45.
TjiaJ.MazorK. M.FieldT.MeterkoV.SpenardA.GurwitzJ. H. (2009). Nurse-physician communication in the long-term care setting: Perceived barriers and impact on patient safety. Journal of Patient Safety, 5(3), 145.
46.
VaziraniS.HaysR. D.ShapiroM. F.CowanM. (2005). Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14(1), 71–77.
47.
WilkinsonS.RobertsA.AldridgeJ. (1998). Nurse–patient communication in palliative care: An evaluation of a communication skills programme. Palliative Medicine, 12(1), 13–22.
48.
YinR. K. (2006). Case study methods. In GreenJ. L.CamilliG.ElmoreP. B. (Eds.), Handbook of complementary methods in education research (pp. 111–122). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
49.
ZainalZ. (2007). Case study as a research method. Jurnal Kemanusiaan, 5(1), 1–6.
