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FACTORS THAT AFFECT NURSE-PATIENT THERAPEUTIC RELATIONSHIP IN FEDERAL MEDICAL CENTRE

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FACTORS THAT AFFECT NURSE-PATIENT THERAPEUTIC RELATIONSHIP IN FEDERAL MEDICAL CENTRE

 

CHAPTER ONE

INTRODUCTION

 

1.1 Background of the study

Communication is a critical skill in nursing. It is a dynamic process used to gather assessment data, teach, persuade, and express caring and comfort from clients. It is an integral part of the nurse–patient relationship. As the largest group of health care professionals, nurses face a great challenge on how to generate estimates of quality nursing care (Royal college of nursing (2007). A few studies have been undertaken to evaluate the nursing outcomes for patients or the specific interventions that they may provide (Corner et al., 2003). In other words, improvements in nursing care can be attributed to interventions by nurses and this includes the way in which those interventions are delivered, and how nurses use their communication skills to maximize impact on patient outcomes (Royal college of nursing (2007).

There has been an increasing interest in evaluating outcomes of nursing interventions (Corner et al., 2003; Hall et al., 2003). There is also the recognition of both the paucity of nursing research and the difficulties inherent in evaluating outcomes that may result from the disparate actions of nurses, particularly, the difficulty that nurses may be only one influence amongst many health professionals on the outcome of a patient’s encounter with health care (Corner et al., 2003). There is also the problem of representing the complexity of nursing intervention, so that all aspects of outcome for patients are identified (Royal college of nursing 2007; Corner et al., 2003; Hall et al., 2003). Everything nurses do, say or present requires good communicative skills and conveys meanings which are culturally determined and perceived.

It was against this background that this study focused on one area of nursing care: nurse-patient communication, as a specific intervention of nurses in order to identify quality nursing care.

 

1.2 Statement of the problem

Informal   observations   revealed  that   some  patients glaringly showed preference for certain nurse(s) not because the preferred nurse(s) were more ‘skillful’ or ‘experienced’ than the other nurses, but because the patients perceived the preferred nurse(s) as being ‘friendly’ and ‘approachable’ thus concluding that they render quality care. This attitude exhibited by some patients served as the impetus for this study.

 

1.3 Objectives of the study

  • To determine patients’ perception of nurse- patient communication in evaluating quality nursing care
  • To determine any significant difference between male and female patients’ perception of nurse-patient communication in evaluating quality nursing care.
  • To investigate the correlation between nurse- patient communication and quality nursing care.

 

1.4 Research hypotheses

  1. There is no significant difference in patients’ perception of nurse-patient communication and patients’ evaluation of quality nursing care.
  2. There is no significant difference between male and female patients’ perception of nurse-patient communication and evaluation of quality nursing care.
  3. There is no significant correlation between nurse- patient communication and quality nursing care.

 

1.5 Significance of the study

The findings of this study will provide information on patients’ perception of nurse-patient communication and patients’ evaluation of nursing care. It will provide insight on what patients perceive as quality nursing care based on their nurse-patient interaction, thus helping in enhancing culturally acceptable nurse-patients communication in Nigeria in general. Finally the study will also add to already existing body of knowledge on nurse- patient communication and evaluation of nursing care.

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