RNSurveyInternational journal of nursing sciences2022

Barriers to nurse-patient communication in primary healthcare centers in Bahrain: Patient perspective.

Nada Mahmood Abdulla, Rula Jamal Naqi, Ghufran Ahmed Jassim

PMID 35509693

WHAT IT FOUND

Patients in Bahrain health centers reported that language differences, nurses' low confidence, negative attitudes, unwillingness to communicate, and too few nurses or too much work were barriers to communication.

Key findings

01Most patients rated shortage of nurses compared with many patients as having a large effect on communication (254 of 401, 63.3%).

02Patients also rated lack of nurse desire to communicate (246 of 402, 61.2%) and negative nurse attitude toward the patient (238 of 401, 59.4%) as having large effects.

03Language difference was rated as having a large effect by 98 of 402 participants, and nurses' lack of self-confidence by 205 of 402 participants.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only patients were surveyed, despite the objective mentioning nurses and patients, so it does not report nurses' own views. The study asked patients to report perceptions in waiting areas; it did not observe nurse-patient interactions, so it cannot show what nurses actually did or why barriers occurred. Participants were recruited by convenience sampling and had to be able to communicate, read, and write, so patients with communication or cognitive impairment and those who could not read or write were not represented. The questionnaire was adapted from a Persian-language study, originally reported reliability was 0.76, and the paper did not provide a total score for overall barrier burden. The findings are from 10 primary healthcare centers in Bahrain and may not apply to other settings, specialties, or patient populations.

Declared interests

The authors declared no conflicts of interest and reported no funding.

The easy way to misread this

Do not read these percentages as proof that nurses are unwilling, negative, or lacking confidence. They are patients' perceptions in waiting rooms, and the study did not observe nurses, test communication skills, or show what caused the barriers.

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