Nursing Communication: Advocacy for the Patient or Physician?

Carol A. Williams and Monette T. Gossett

Clinical Nursing Research, 2001, vol. 10, issue 3, 332-340

Abstract: Communication among nurses, patients, and physicians is a key component of effective health care. In addition to communication with patients, nurses directly or indirectly influence physician-patient communications. This secondary analysis examined registered nurses' interactions with a simulated patient regarding what the physician had told the patient about the reason for hospitalization. Taped interviews (N = 86) were transcribed and content analyzed to classify nurses' approaches to assessment and intervention. The second researcher coded 10% of the transcripts to ensure satisfactory interrater consistency. Major patterns of nursing communication were the following: assessing what the physician had told the patient (85%), encouraging clarification with the physician (62%), encouraging a second opinion, and defending the physician's competence (9%). Findings support literature suggesting that nurses mediate and clarify communications between the patient and the physician. Patient advocacy was also illustrated; however, a small number of nurses advocated most clearly for the physician

Date: 2001
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:10:y:2001:i:3:p:332-340

DOI: 10.1177/c10n3r8

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