Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/79066
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Title: Patients' perceptions of their experiences with nurse-patient communication in oncology settings : a focused ethnographic study
Authors: Chan, EA 
Wong, F 
Cheung, MY 
Lam, W 
Issue Date: 2018
Source: PLoS one, 18 June 2018, v. 13, no. 6, e0199183
Abstract: Background: The nursing shortage and its impact on patient care are well-documented global issues. Patients living with cancer as a chronic illness have many psychosocial problems and often lack adequate support as a result of ineffective nurse-patient communication. A review of the literature on factors influencing the delivery of psychosocial care to cancer patients indicates that the delivery of psychosocial care in routine cancer nursing within a biomedical healthcare system has not been widely explored.
Objective: To explore patients' perceptions of their experiences with nurse-patient communication in an oncological clinical environment.
Method: A focused ethnographic study was undertaken in two oncology wards of a hospital in Hong Kong. Data were collected through observations of the ward environment, the activities and instances of nurse-patient communication, semi-structured interviews with patients, and a review of nursing documents.
Results Two main themes were identified: 1. Nurses' workload and the environment and 2. Nurse-patient partnership and role expectations. Within these two themes were related subthemes on: Sympathy for the busy nurses; Prioritizing calls to the nurses; Partnership through relationship; Nurses' role in psychosocial care; and Reduction of psychosocial concerns through physical care.
Conclusions: Many cancer patients do not expect to receive psychosocial care in the form of emotional talks or counseling from busy nurses, but appreciate the attention paid by nurses to their physiological and physical needs. Nurse-patient partnerships in cancer care may reduce the potential workload of nurses. The psychosocial needs of cancer patients could be optimized by providing good physical care through effective communication within a time-constrained oncology setting.
Publisher: Public Library of Science
Journal: PLoS one 
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0199183
Rights: © 2018 Chan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The following publication: Chan EA, Wong F, Cheung MY, Lam W (2018) Patients' perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. PLoS ONE 13(6): e0199183 is available at https://doi.org/10.1371/journal.pone.0199183
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