Yıl: 2016 Cilt: 7 Sayı: 1 Sayfa Aralığı: 7 - 12 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients

Öz:
Amaç: Bu çalışma hemşirelik ve tıp öğrencilerinin hastalarla iletişimde karşılaştıkları güçlükler ile zor hasta algılarının tanımlanması amacıyla yapılmıştır.Gereç ve Yöntem: Çalışma Akdeniz Üniversitesi Antalya S Bölümü, Antalyaağlık Yüksekokulu ve Tıp Fakültesi'nde okuyan 583 öğrenci (Hemşirelik=359, Tıp=224) ile yapılmıştır. Veriler, "Hemşirelik ve Tıp Öğrencilerinin Zor Hasta Algısı ve Zor Hasta İletişimlerinin Belirlenmesine Yönelik Form" ile "İletişim Becerileri Envanteri" kullanılarak elde edilmiştir.Bulgular: Hemşirelik öğrencilerinin %75.8'inin, tıp öğrencilerinin %92.0'sinin zor hasta ile karşılaştığı belirlenmiş ve her iki grup öğrenci için "iletişim kurulamayan hasta"nın zor hasta olduğu saptanmıştır. İletişim Becerileri Envanteri'nden, hemşirelik öğrencilerinin aldığı genel iletişim becerisi puan ortalaması 118.27±13.29, tıp öğrencilerinin 117.55±10.48 olarak bulunmuştur. Öğrencilerin zor hastalarla iletişimde güçlük yaşadıkları ve danışmanlık gereksinimi duydukları saptanmıştır.Sonuç: Öğrencilerin hastalarla iletişimini kolaylaştırmak için sağlık eğitimi müfredatında yer alan iletişim derslerinin yeniden düzenlenmesi ve uygulamalı işlenmesi önerilmektedir.
Anahtar Kelime:

Konular: Hemşirelik

Öğrencilerin Hastalarla İletişimde Karşılaştıkları Güçlükler ve Zor Hasta Algıları

Öz:
Objectives: This study aims to identify the difficulties that nursing and medicine students encounter in communicating with patients and perceptions of the characteristics of difficult patients.Methods: The study was conducted with 583 students (359 nursing students and 224 medicine students) in Akdeniz University Antalya School of Health and Faculty of Medicine. The data were obtained using the form "Difficult Patient Perception by Nursing and Medical Students and Identification of Difficult Patient Communications" and the "Communication Skills Inventory" form.Results: 75.8% of the nursing students and 92.0% of the medical students were found to encounter difficult patients, and "the non-communicative patients" were identified as difficult by both the nurse and medical student groups. The average general communication skill scores for the nursing and medical students on the Communication Skills Inventory were 118.27±13.29 and 117.55±10.48, respectively. The students were found to have difficulty communicating with difficult patients and need further communication instruction.Conclusion: Communication courses in the health education curriculum should be reorganized and become applied courses in order to facilitate communication between students and patients.
Anahtar Kelime:

Konular: Hemşirelik
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Stuart GW, Laraia MT. Principles and practice of psychiatric nursing. 8th Ed. Philadelphia. Mosby; 2005.
  • Blais KK, Hayes JC, Kozier B, Erb G. Professional nursing practice: Concepts and perspectives . 5th Ed. Pearson Education Inc.; 2006.
  • Travelbee j. Human to human relationship model. Retrieved May 20, 2011, from http://www.nurses.info/nursing_theory_person_travelbee_joyce. htm.
  • Stewart MA. Effective physician-patient communication and health out- comes: a review. CMAJ 1995;152:1423-33.
  • Terakye G. Hemşirelikte iletişim ve hasta-hemşire ilişkileri, Ankara. Aydoğdu Ofset; 1994.
  • White MK, Keller VF. Difficult clinician-patient relationships. The Journal of Clinical Outcomes Management 1998;5:32-6.
  • Sully P, Dallas J. Essential communication skills for nursing. China. Elsevier Mosby; 2005.
  • Özcan A. Hemşire hasta ilişkisi ve iletişim. 2. Basım. Ankara. Sistem Ofset Yayıncılık; 2006.
  • Macdonald M. Seeing the cage: stigma and its potential to inform the concept of the difficult patient. Clin Nurse Spec 2003;17:305-12.
  • Koekkoek B, van Meijel B, Hutschemaekers G. "Difficult patients" in mental health care: a review. Psychiatr Serv 2006;57:795-802.
  • Macdonald M. Origins of difficulty in the nurse-patient encounter. Nurs Ethics 2007;14:510-21.
  • Wolf ZR, Robinson-Smith G. Strategies used by clinical nurse specialists in "difficult" clinician-patient situations. Clin Nurse Spec 2007;21:74-84.
  • Brunero S, Lamont S. The 'difficult' nurse-patient relationship: devel- opment and evaluation of an e-learning package. Contemp Nurse 2010;35:136-46.
  • Kotecki CN. Baccalaureate nursing students' communication process in the clinical setting. J Nurs Educ 2002;41:61-8.
  • Sheldon LK, Barrett R, Ellington L. Difficult communication in nursing. J Nurs Scholarsh 2006;38:141-7.
  • Özçakır A. Tıp eğitiminde iletişim ve klinik beceriler dersi verilmeli mi? İntörn öğrenci görüşleri. Türkiye Klinikleri Tıp Bilimleri Dergisi 2002;22:185-9.
  • Tutuk A, Al D, Doğan S. Determining communication skills and em- phatic levels of nursing students. C. Ü. Hemşirelik Yüksek Okulu Dergisi 2002;6:36-41.
  • Ersanlı K, Balcı S. Developing a Communication Skills Inventory: Its Vadil- ity and Reliability. Türk Psikolojik Danışma ve Rehberlik Dergisi 1998;10:7- 12.
  • Breeze JA, Repper J. Struggling for control: the care experiences of 'dif- ficult' patients in mental health services. J Adv Nurs 1998;28:1301-11.
  • Breen KJ, Greenberg PB. Difficult physician-patient encounters. Intern Med J 2010;40:682-8.
  • Serour M, Othman HA, Khalifah GA. Difficult patients or difficult doc- tors: An analysis problematic consultations. Journal of General Medicine 2009;6:87-93.
  • Morrison EF, Ramsey A, Synder BA. Managing the care of complex, dif- ficult patients in the medical-surgical setting. Medsurg Nurs 2000;9:21- 6.
  • Russell S, Daly J, Hughes E, Hoog Co Co. Nurses and 'difficult' patients: ne- gotiating non-compliance. J Adv Nurs 2003;43:281-7.
  • Zolnierek CD. Non-psychiatric hospitalization of people with mental ill- ness: systematic review. J Adv Nurs 2009;65:1570-83.
  • Nield-Anderson L, Minarik PA, Dilworth JM, Jones J, et al. Responding to 'difficult' patients. Am J Nurs 1999;99:26-35.
  • Hull SK, Broquet K. How to manage difficult patient encounters. Fam Pract Manag 2007;14:30-4.
  • Arthur D. Assessing nursing students' basic communication and inter- viewing skills: the development and testing of a rating scale. J Adv Nurs 1999;29:658-65.
  • Maguire P, Pitceathly C. Key communication skills and how to acquire them. BMJ 2002;325:697-700.
  • Deveugele M, Derese A, De Maesschalck S, Willems S, et al. Teaching com- munication skills to medical students, a challenge in the curriculum? Pa- tient Educ Couns 2005;58:265-70.
  • Rosenzweig M, Hravnak M, Magdic K, Beach M, et al. Patient communica- tion simulation laboratory for students in an acute care nurse practitioner program. Am J Crit Care 2008;17:364-72.
  • Wasan AD, Wootton J, Jamison RN. Dealing with difficult patients in your pain practice. Reg Anesth Pain Med 2005;30:184-92.
  • Corney RH, Strathdee G, Higgs R, King M, et al. Managing the diffi- cult patient: practical suggestions from a study day. J R Coll Gen Pract 1988;38:349-52.
  • Steinmetz D, Tabenkin H. The 'difficult patient' as perceived by family phy- sicians. Fam Pract 2001;18:495-500.
APA ACAR G, Buldukoglu K (2016). Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. , 7 - 12.
Chicago ACAR Gülşah,Buldukoglu Kadriye Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. (2016): 7 - 12.
MLA ACAR Gülşah,Buldukoglu Kadriye Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. , 2016, ss.7 - 12.
AMA ACAR G,Buldukoglu K Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. . 2016; 7 - 12.
Vancouver ACAR G,Buldukoglu K Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. . 2016; 7 - 12.
IEEE ACAR G,Buldukoglu K "Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients." , ss.7 - 12, 2016.
ISNAD ACAR, Gülşah - Buldukoglu, Kadriye. "Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients". (2016), 7-12.
APA ACAR G, Buldukoglu K (2016). Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. Psikiyatri Hemşireliği Dergisi, 7(1), 7 - 12.
Chicago ACAR Gülşah,Buldukoglu Kadriye Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. Psikiyatri Hemşireliği Dergisi 7, no.1 (2016): 7 - 12.
MLA ACAR Gülşah,Buldukoglu Kadriye Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. Psikiyatri Hemşireliği Dergisi, vol.7, no.1, 2016, ss.7 - 12.
AMA ACAR G,Buldukoglu K Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. Psikiyatri Hemşireliği Dergisi. 2016; 7(1): 7 - 12.
Vancouver ACAR G,Buldukoglu K Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients. Psikiyatri Hemşireliği Dergisi. 2016; 7(1): 7 - 12.
IEEE ACAR G,Buldukoglu K "Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients." Psikiyatri Hemşireliği Dergisi, 7, ss.7 - 12, 2016.
ISNAD ACAR, Gülşah - Buldukoglu, Kadriye. "Student Difficulties Communicating with Patients and Their Perceptions of the Characteristics of Difficult Patients". Psikiyatri Hemşireliği Dergisi 7/1 (2016), 7-12.