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Communication Barriers (communication + barrier)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Feeling Misunderstood: A Concept Analysis

NURSING FORUM, Issue 4 2008
Barbara Backer Condon MS
TOPIC.,Feeling misunderstood. PURPOSE.,The purpose of this study was to analyze the concept of feeling misunderstood to explicate the antecedents, attributes, and consequences of this phenomenon. SOURCE.,A comprehensive review of literature, from 1957 to 2005, was completed with the keywords feeling misunderstood to guide the search. CONCLUSIONS.,Three defining attributes of feeling misunderstood were identified: (a) disquietude; (b) discordant perceptions; and (c) heightened cognizance of emotions. Antecedents, including presence of an issue, communication barrier, and unexpected response from receiver, are explicated, along with the consequences, or transformations in behavior. [source]

Overcoming strangeness and communication barriers: a phenomenological study of becoming a foreign nurse

INTERNATIONAL NURSING REVIEW, Issue 4 2005
H. Magnusdottir rn
Background:, This paper presents a study that explored the lived experience of foreign nurses working at hospitals in Iceland. Aim:, The aim was to generate an understanding of this experience both for local and international purposes. Method:, The methodology that guided the study was the Vancouver school of doing phenomenology. Sampling was purposeful and consisted of 11 registered nurse from seven countries. The data were collected in dialogues; the analyses were thematic. Findings:, The findings are presented in five main themes that describe the essence of the experience with the overall theme of ,Growing through experiencing strangeness and communication barriers'. The first theme portrays how the nurses met and tackled the multiple initial challenges. One of the challenges, described in the second theme, was becoming outsiders and needing to be let in. The third theme explores the language barrier the nurses encountered and the fourth theme the different work culture. The fifth then illuminates how the nurses finally overcame these challenges and won through. Conclusion:, The findings and their international context suggest the importance of language for personal and professional well-being and how language and culture are inseparable entities. [source]

Barriers to reducing the use of restraints in residential elder care facilities

JOURNAL OF ADVANCED NURSING, Issue 6 2007
Kirsten Moore
Abstract Title.,Barriers to reducing the use of restraints in residential elder care facilities Aim., This paper is a report of a study to compare perspectives of staff in residential elder care facilities with those of residents and family members from the same facilities about barriers to reducing the use of physical, chemical and environmental restraints. Background., There is growing research evidence of the potential risk of physical and emotional harm of restraining residents in residential elder care facilities. Despite the potential harms, restraints continue to be a common practice in facilities across Australia. Little research has been undertaken to explore the barriers to reducing the use of restraints. Method., Eighteen individual interviews were conducted with staff, general practitioners and a pharmacist and three focus groups were conducted with a total of 12 residents and 17 family members associated with three residential elder care facilities in Melbourne, Australia in 2004. Findings., The three participating facilities were committed to reducing the use of restraints, although physical, chemical and environmental restraints were used in all three facilities. Barriers to reducing restraint use included fear of resident injury, staff and resource limitations, lack of education and information about alternatives to restraints, environmental constraints, policy and management issues, beliefs and expectations (of staff, family and residents), inadequate review practices and communication barriers. Conclusion., Further education and support for staff and family members in evidence-based practice in relation to resident care and restraint use is needed in at least some residential elder care facilities. [source]

Doctor,Patient Gender Concordance and Patient Satisfaction in Interpreter-Mediated Consultations: An Exploratory Study

JOURNAL OF TRAVEL MEDICINE, Issue 1 2008
Alexander Bischoff PhD
Background Research suggests that doctor,patient communication patterns and patient satisfaction are influenced by gender. However, little is known about the effect of gender in consultations with foreign language,speaking patients and in interpreter-mediated consultations. Methods The objective of the study was to explore the effect of doctor,patient gender concordance on satisfaction of foreign language,speaking patients in consultations with and without a professional interpreter. Its design consists of a cross-sectional analysis of patients' reports. A total of 363 consultations with foreign language,speaking patients were included in the analysis. We measured the mean scores of six items on the quality of communication (answer scale 0,10): the doctor's response to the patient's needs, the doctors' explanations, the doctor's respectfulness toward the patient, the quality of communication in general, the overall consultation process, and information provided regarding follow-up. Results When interpreters were used, mean scores were similar for doctor,patient concordant and discordant pairs. However, in the absence of interpreters, doctor,patient gender discordance was associated with lower overall ratings of the quality of communication (,0.46, p= 0.01). Conclusions Our results suggest that the presence of a professional interpreter may reduce gender-related communication barriers during medical encounters with foreign language,speaking patients. [source]