Document Type : Original Article
Authors
1 Ph.D of Nursing, Professor of Nursing, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2 Ph.D of Nursing, Assistant Professor of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
3 Ph.D of Nursing, Assistance Professor of Nursing, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract
Background: Male nurses face various challenges in caring for female patients, such as the patients’ refusal of nursing care and sexual accusations. Communication, as a prominent element in providing high-quality health care services, can lead to or inhibit patient satisfaction and health. Professional nurse-patient communication is so important that some nursing theorists have based their theories on this type of communication and consider it an art in the nursing profession. Accordingly, this study aimed to investigate female patients’ experiences of barriers to effective communication with opposite-gender nurses.
Methods: The present qualitative study was conducted using conventional content analysis. Purposive sampling was used to select 15 female patients. These patients were hospitalized in different wards and received care from an opposite-gender nurse. Interviewing was the main method of data collection. Graneheim and Lundman’s method was used to perform content analysis. The general stages of data interpretation include initial encoding and the formation of subthemes and themes based on the similarities and differences.
Results: The main theme extracted following data analysis was ignorance of the patient in communication. This theme comprised of three subthemes, including negligence in maintaining patient privacy, one-way communication, and biased behavior.
Conclusion: Based on the findings, the experience of female patients receiving care from male nurses was accompanied by feelings of annoyance. Male nurses are suggested to respect patient privacy, obtain permission before doing private procedures, and provide care for female patients without prejudice and abuse.
Keywords
- Cheraghi F, Oshvandi K, Ahmadi F, Sayfi Selsele O, Majedi MA, Mohammadi H, et al. Comparison of nurses’ and nursing students’ attitudes toward care provision to opposite-gender patients. Nurs Midwifery Stud. 2019;8(2):104-11. doi: 4103/nms.nms_52_18.
- Zhang H, Tu J. The working experiences of male nurses in China: implications for male nurse recruitment and retention. J Nurs Manag. 2020;28(2):441-9. doi: 1111/jonm.12950.
- Butts JB, Rich KL. Nursing Ethics. Jones & Bartlett Learning; 2019.
- Vatandost S, Oshvandi K, Ahmadi F, Cheraghi F. The challenges of male nurses in the care of female patients in Iran. Int Nurs Rev. 2020;67(2):199-207. doi: 1111/inr.12582.
- Cheng ML, Tseng YH, Hodges E, Chou FH. Lived experiences of novice male nurses in Taiwan. J Transcult Nurs. 2018;29(1):46-53. doi: 1177/1043659616676318.
- Sharifi S, Valiee S, Nouri B, Vatandost S. Investigating patients’ attitudes toward receiving care from an opposite-gender nurse. Nurs Forum. 2021;56(2):322-9. doi: 1111/nuf.12556.
- Lotfi M, Zamanzadeh V, Valizadeh L, Khajehgoodari M. Assessment of nurse-patient communication and patient satisfaction from nursing care. Nurs Open. 2019;6(3):1189-96. doi: 1002/nop2.316.
- Arnold EC, Boggs KU. Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences; 2019.
- Alligood MR. Introduction to nursing theory: its history and significance. In: Nursing Theorists and Their Work-E-Book. St. Louis: Elsevier; 2017.
- Haghanizemeydani M, Ahmadi S, Ashouri F, Showani E, Monavari Roozbahani L. Qualitative study of spiritual experiences in nurses of psychiatry wards. J Qual Res Health Sci. 2020;8(4):59-67. doi: 22062/jqr.2020.90991.
- Baby M, Gale C, Swain N. Communication skills training in the management of patient aggression and violence in healthcare. Aggress Violent Behav. 2018;39:67-82. doi: 1016/j.avb.2018.02.004.
- Clucas C, Chapman H, Lovell A. Nurses’ experiences of communicating respect to patients: influences and challenges. Nurs Ethics. 2019;26(7-8):2085-97. doi: 1177/0969733019834974.
- Imanzadeh A. Nurses’ lived experiences of forgiveness to others. J Qual Res Health Sci. 2017;6(4):337-48. [Persian].
- Mehus G, Bongo BA, Moffitt P. Important factors when communicating with Sami patients about health, illness and care issues. Nordisk sygeplejeforskning. 2018;8(4):288-301. doi: 18261/issn1892-2686-2018-04-04.
- Amoah VMK, Anokye R, Boakye DS, Acheampong E, Budu-Ainooson A, Okyere E, et al. A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nurs. 2019;18:4. doi: 1186/s12912-019-0328-0.
- Shafipour V, Mohammad E, Ahmadi F. Barriers to nurse-patient communication in cardiac surgery wards: a qualitative study. Glob J Health Sci. 2014;6(6):234-44. doi: 5539/gjhs.v6n6p234.
- Amoah VMK, Anokye R, Boakye DS, Acheampong E, Budu-Ainooson A, Okyere E, et al. A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nurs. 2019;18:4. doi: 1186/s12912-019-0328-0.
- Alrasheedi GO. Qualitative content analysis method: approaches, sources and standards of documents it deals with. J Educ Psychol Sci. 2021;22(2):395-425.
- Vaismoradi M, Snelgrove S. Theme in qualitative content analysis and thematic analysis. Forum Qual Soc Res. 2019;20(3):Article23. doi: 17169/fqs-20.3.3376.
- Squires A, Dorsen C. Qualitative research in nursing and health professions regulation. J Nurs Regul. 2018;9(3):15-26. doi: 1016/s2155-8256(18)30150-9.
- Erkus G, Dinc L. Turkish nurses’ perceptions of professional values. J Prof Nurs. 2018;34(3):226-32. doi: 1016/j. profnurs.2017.07.011.
- Abbasinia M, Ahmadi F, Kazemnejad A. Patient advocacy in nursing: A concept analysis. Nurs Ethics. 2020;27(1):141-51. doi: 1177/0969733019832950.
- Hasan Tehrani T, Seyed Bagher Maddah S, Fallahi-Khoshknab M, Ebadi A, Mohammadi Shahboulaghi F, Gillespie M. Respecting the privacy of hospitalized patients: an integrative review. Nurs Ethics. 2018:969733018759832. doi: 1177/0969733018759832.
- Ghazanfari S, Ebrahimi S, Asemani O. Iranian women perception of patient’s rights: inpatients’ attitude toward practice of the Iranian charter. Womens Health Bull. 2018;5(2):e59463. doi: 5812/whb.59463.
- Lindfors O, Holmberg S, Rööst M. Informing patients on planned consultation time-a randomised controlled intervention study of consultation time in primary care. Scand J Prim Health Care. 2019;37(4):402-8. doi: 1080/02813432.2019.1663581.
- Avestan Z, Pakpour V, Rahmani A, Mohammadian R, Soheili A. The correlation between respecting the dignity of cancer patients and the quality of nurse-patient communication. Indian J Palliat Care. 2019;25(2):190-6. doi: 4103/ijpc.ijpc_46_18.
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