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Annotated Bibliography: Patient-Centered Communication in Nursing

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Annotated Bibliography: Patient-Centered Communication in Nursing

Azarabadi, A., Bagheriyeh, F., Moradi, Y., & Orujlu, S. (2024). Nurse-patient communication experiences from the perspective of Iranian cancer patients in an outpatient oncology clinic: A qualitative study. BMC Nursing, 23, Article 682. https://doi.org/10.1186/s12912-024-02339-4

Azarabadi et al. (2024) explored the communication between Iranian cancer patients and nurses in an outpatient oncology clinic. The researchers used semi-structured interviews to determine three main points of importance; practices of communication, barriers to communication and the results of good communication from 14 adults. Patients valued the way doctors listened to them, made them feel emotionally supported, explained things to them, and allowed them to ask questions. The lack of communication was the result of heavy workloads, time constraints, language barriers, lack of empathy, staff shortages, and other reasons. Positive nurse-patient communication led to greater commitment to treatment, greater coping, satisfaction and emotional comfort. Therefore, it is seen from this article that patient-centered nursing communication is accompanied by a flow of information that is understandable and a means of caring the patient’s feelings in a proper way during the treatment.

The article is current, peer-reviewed, and relevant due to its publication in 2024 within BMC Nursing. The authors bring expertise in nursing, patient safety, medical surgical care along with health research. Interviews are recorded, independent coding is used, participants review the coding, reflexive meetings are held, and established qualitative-reporting standards are followed, all of which increase reliability. The language is objective, such as the authors write that the three main categories emerged from the interviews with Iranian cancer patients. The small sample and the one Iranian clinic, however, do not allow for generalization to other cultures, countries and nursing settings.

This source is a good fit for the research question because it relates directly to the communication behaviors of nurses and treatment participation, patient stress, coping and satisfaction. It will help to substantiate the claim that listening, emotional support, clear teaching and respect for individual needs are integral to the provision of quality nursing. It will also assist in understanding practical challenges such as workload, time limits, staffing shortages and linguistic differences. The foremost problem is the transferability of the results of 14 oncology patients in one clinics to other nursing populations. The paper should then provide the study in the form of patient evidence in detail and incorporate the other selected study’s quantitative evidence in a larger sense.

Bakhshi, H., Shariati, M. J., Basirinezhad, M. H., & Ebrahimi, H. (2024). Comparison of barriers to effective nurse-patient communication in COVID-19 and non-COVID-19 wards. BMC Nursing, 23, Article 328. https://doi.org/10.1186/s12912-024-01947-4

Bakhshi et al. (2024) explored nurse-patient communication challenges from both the nurse's and patient's viewpoint in two hospitals in Iran. The cross section study was designed, structured questionnaires were administered and statistical analysis was conducted to compare COVID-19 wards and non-COVID-19 wards. Some of the factors identified by nurses as problems were heavy workload, fatigue, demanding work and too high expectations from patients. Patients highlighted aggressiveness and poor welfare facilities, unsanitary rooms, and weak interpersonal interaction. Communication was also influenced by language and background of residence. There was no significant difference between the two types of wards. This study highlights that communication challenges are caused by organizational, environment, culture and behavioral conditions and not only by individual efforts.

This article, published in 2024 in peer-reviewed BMC Nursing, offers recent evidence regarding barriers to workplace and interpersonal communication. The authors have expertise in nursing, epidemiology, biostatistics, and social-behavioral health research. It has a balanced sample of 400 participants, structured instruments, reported internal consistency and statistical analysis to support its reliability. Bakhshi et al. (2024) report objectively that the high workload of nursing, excessive expectations of patients, and the difficulty of nursing work were identified by the nurses as the main communication barriers. The potential limitations are the subjective nature of the data, the two hospitals and the cross-sectional nature of the study design which is not able to draw causal conclusions.

This source will enable the paper to offer a balanced argument as it illustrates that nurses' communication performance is not only shaped by their skills, but also by their working conditions. It can contribute to recommendations for manageable workloads, adequate staffing, improved care settings, cultural awareness and respectful behaviors. The nurse-patient comparison is particularly valuable as each group identified different barriers, which illustrates the need for common understanding to address the issue of communication. One challenge was to carry out the study in one Iranian region during the COVID-19 period. It is therefore important to highlight the persistent issues identified in the paper, and not consider the pandemic setting to be representative of all settings where nursing takes place.

Çakmak, C., & Uğurluoğlu, Ö. (2024). The effects of patient-centered communication on patient engagement, health-related quality of life, service quality perception and patient satisfaction in patients with cancer: A cross-sectional study in Türkiye. Cancer Control, 31, Article 10732748241236327. https://doi.org/10.1177/10732748241236327

Çakmak and Uğurluoğlu (2024) examined the relationship between patient-centered communication and engagement, health-related quality of life, perceived service quality, and satisfaction among 312 cancer patients in Türkiye. Communication dimensions looked at include information exchange, emotional response, decision support, managing uncertainty, self-management and healing relationships. Data from the survey was analyzed using multiple regression. Significant positive relationships were found between overall patient centered communication and all four outcomes. The results showed that good communication contributes to a more active patient involvement, positive assessment of health services, satisfaction and improved quality of life. Communication is thus seen as a critical aspect of care quality and patient involvement.

This is a peer-reviewed article from 2024 that is relevant and current to the research question. The authors are knowledgeable scholars in healthcare management, with the proper expertise in patient satisfaction, service quality and healthcare outcomes. This study has a sample of 312 patients, established measurement tools, multiple regression analysis, ethical approval and no disclosure of conflicts of interest, which enhances credibility. The language used is objective, and the writers explain that the study was done by applying multiple regression analysis to data obtained from 312 patients with cancer. But the study is cross-sectional, single hospital and shows association, not definite causation.

This is the most direct measure of patient satisfaction, engagement, service-quality perception and quality of life that makes this article the strongest direct evidence for the paper's main claim. It will reinforce the fact that patient-centered communication has tangible benefits, not just with respect to making patients feel valued. Its communication dimensions also can be used to inform recommendations for nurses such as responding to emotions, explaining uncertainty, supporting decisions and encouraging self-management. The limitation is that patient-provider communication is a general topic rather than focused on nurses. This restriction should be recognized in the final paper and the two nursing specific studies should be utilized to provide a stronger link between the quantitative information and the real-life experiences of nurses and patients.