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Results for “Communication Barriers”

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At least 19 recordsLinked to original sources
PubMed2005

Communication barriers perceived by older patients and nurses.

This study investigated the communication barriers perceived by older hospitalized patients and nurses in Korea, with the aim of identifying disparities between the two parties. The authors developed a 50-item communication-barrier questionnaire that includes patient, nurse, and environmental factors. One hundred older hospitalized patients and 136 nurses were asked to rate the importance of each communication-barrier item. Nurses and patients were found to perceive the importance of barriers differently: nurses reported higher scores on patient-related communication barriers, whereas patients reported higher scores on the nurse-related barriers. There were significant differences between patients and nurses in 57%, 62%, and 71% of the nurse-, patient-, and environment-related communication barriers, respectively. Based on these findings, it is necessary for nurses to understand older patients' perceptions about communication barriers and acquire better communication skills and attitudes.

Aged↗
PubMed1979

Differential diagnosis and therapeutic handling of communication barriers.

Encouragement of open, direct communication between members of a dyad may produce favorable or unfavorable results, depending upon the situation. The author presents a system of classifying communication barriers, designed to help the therapist decide when to encourage open communication and when to support the withholding of communication of certain sorts until other therapeutic goals have been achieved.

Communication↗
PubMedDate not supplied

Communication barriers between older women and physicians.

Communication barriers between health care providers and older women are multifaceted and complex. The acute care, hospital-based orientation of the health care system tends to bypass the characteristic problems of older women who need services. Breakdown in communication originates both with the provider and the recipient. Some inherent changes of aging due to sensory loss may be a major factor. Decline in vision, hearing, and touch make communication difficult for both parties. Other deficits may occur due to disease processes such as diabetes and hypertension. A frequently ignored problem is that of the language barrier between laywomen and physicians. Use of jargon and a nonempathic interviewing style by the doctor tend to discourage free exchange of information. A third consideration is the many psychosocial factors which affect the behavior of older women and their relationship with providers. One element is the belief in negative stereotypes of women in general, and older women in particular. Fear of being labeled a "hypochondriac," a "nuisance," or a "crabby old woman" inhibits accurate reporting by patients. Attitudes toward doctors, especially male doctors, make some older women timid and fearful. Physician and patient alike may accept signs and symptoms of disease as a normal part of aging and may cause medically treatable problems to be overlooked. Finally, patient and physician priorities may differ widely. The belief by either party that wellness, prevention, and health promotion are not realistic goals for the older women may push the individual patient into premature frailty and disability which could otherwise be postponed.

Aged↗
PubMedDate not supplied

[Communication barriers with the HIV+ patient perceived by health personnel].

The purpose of this study was to identify major communication barriers between health professionals and patients infected with HIV. Information from 17 experts on AIDS across Spain was gathered using the Delphi technique. A total of 24 barriers were identified and compounded into groups in relation to the provider, the patient, the message and the context wherein the communication process takes place. Major communication barriers were associated to the lacking of specific skills on the provider's side and to certain health professional's and patient attitudes towards each other and from both towards some emotional aspects related to AIDS.

Attitude of Health Personnel↗
PubMed2001

[Communication barriers in the management of immigrants and their children. An analysis and possible solutions based on case reports].

Up to 41% of patients treated in health care institutions and hospitals in Vienna are non-German-speaking. As one half of the foreign population of Vienna speaks little or no German, their treatment in health care institutions is a difficult issue. Based on exemplary case reports, linguistic and socio-cultural communication barriers in health care are presented and the problematic area of foreign-language communication is analysed. Misunderstandings due to communication barriers not only have a negative financial impact on health care economy, they also complicate the individual care of these patients. Based on the experience gained thus far and in concurrence with the developments in other European countries, the use of professional interpreters who combine their role as linguistic intermediaries with the cultural features of foreign-language patients (community interpreters) should be encouraged. The use of specifically trained internal hospital staff is recommended as well. A concept to coordinate central organisations that provide interpreters in the public field may substantially enhance the quality and efficiency of health care in this special situation.

Austria↗
PubMed2003

Assessment of communication barriers in community pharmacies.

This study identified previously reported facilitators and barriers to pharmacist-client communication and then evaluated their impact on the observed communication behaviors of pharmacists. Pharmacists (n = 100) completed a seven-page questionnaire collecting information on 11 variables that had been organized according to the Policy, Regulatory and Organizational Constructs in Educational and Ecological Development (PROCEDE) model as predisposing, enabling, or reinforcing of pharmacist communication with their clients. Demographic variables also were included. "Communication quality" served as the study's dependent variable, whereas pharmacist responses served as the independent variables. Communication quality scores for each pharmacist were obtained from the analysis of 765 audiorecordings of verbal exchanges occurring between the study pharmacists and their consenting clients during 4-hour, on-site observation periods. Four of the variables examined in the study were found to share a unique relationship with communication quality (pharmacists' attitude, year of graduation, adherence expectations, and outcome expectations). Hierarchical multiple regression analysis revealed that the variables measured in the questionnaire accounted for 23% of the variance in communication quality scores. Plausible explanations for why the study was unable to capture more of the variance in its proposed relationships and future areas for research are provided.

Adult↗
PubMed2005

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

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.

Acculturation↗