Patients' perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study

• Published in: PloS one Vol. 13; no. 6; p. e0199183
• Main Authors: Chan, Engle Angela, Wong, Fiona, Cheung, Man Yin, Lam, Winsome
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 18.06.2018; Public Library of Science (PLoS)
• Subjects: Adult; Biology and Life Sciences; Cancer; Communication; Demographic aspects; Emotions; Female; Health care; Humans; Interviews as Topic; Literature reviews; Male; Medical personnel; Medicine and Health Sciences; Neoplasms - nursing; Neoplasms - psychology; Nurse-Patient Relations; Nurses; Nursing; Nursing care; Nursing schools; Oncologic nursing; Oncology; Oncology Nursing; Pain; Partnerships; Patient safety; Patients; People and Places; Professionals; Qualitative research; Services; Social Sciences; Studies; Supply and demand; Verbal communication; Working conditions; Workload; Hong Kong; Wales
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0199183

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. To explore patients' perceptions of their experiences with nurse-patient communication in an oncological clinical environment. 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. 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. 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.