Skip to main navigation menu Skip to main content Skip to site footer
Padjadjaran of Nursing Journal

Original

Vol. 9 No. 3 (2021): Jurnal Keperawatan Padjadjaran

Nurses’ Communicating with Patients in Peripheral and Border Areas in Indonesia: A Phenomenology Study

DOI
https://doi.org/10.24198/jkp.v9i3.1931
Submitted
November 26, 2021
Published
2021-12-29

Abstract

Background: Communication is an important part of nursing care. However, Indonesian nurses still feel communication problems due to cultural and linguistic differences, especially in peripheral and border areas. Purpose: This study explores the communication experience of nurses when providing services to patients in three peripheries and two border areas of Indonesia. Methods: A phenomenological approach is used in this study. The purposive sampling technique was used to recruit 22 nurses in Indonesia’s periphery and border areas to be involved in the study. The data collection process was carried out from August to October 2021. Data were collected through interviews using a semistructured questionnaire, and verbatim transcripts of audio-recorded interviews were analyzed using thematic analysis. Results: This research resulted in four important themes, specifically: (1) difficulty in communicating, (2) emotional distress, (3) conflict and understanding, (4) lack of support for competency development. Conclusion: The findings of this study increase the scientific understanding of the communication barriers of nurses in the culturally diverse periphery and border areas. The barriers encountered can be used by nursing managers to construct ineffective nurse communication problem-solving interventions. The main emphasis on solving communication problems should include continuing education and training support so that nurses’ communication competence can be improved and applied in the service area based on the cultural and linguistic conditions of the patient.

Article Matrics
Abstract views : 414 times PDF Downloads: 331

Downloads

Download data is not yet available.

References

  1. Albagawi, B. S., & Jones, L. K. (2016). Quantitative exploration of the barriers and facilitators to nurse-patient communication in Saudia Arabia. Journal of Hospital Administration, 6(1), 16. https://doi.org/10.5430/jha.v6n1p16
  2. Ali, P. A., & Watson, R. (2018). Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses’ perspectives. Journal of Clinical Nursing, 27(5-6), e1152-e1160. https://doi.org/10.1111/jocn.14204
  3. Alshammari, M., Duff, J., & Guilhermino, M. (2019). Barriers to nurse-patient communication in Saudi Arabia: An integrative review. In BMC Nursing, 18(61). https://doi.org/10.1186/s12912-019-0385-4
  4. Brunton, M., & Cook, C. (2018). Dis/Integrating cultural difference in practice and communication: A qualitative study of host and migrant Registered Nurse perspectives from New Zealand. International Journal of Nursing Studies, 83, 18-24. https://doi.org/10.1016/j.ijnurstu.2018.04.005
  5. Chan, E. A., Tsang, P. L., Ching, S. S. Y., Wong, F. Y., & Lam, W. (2019). Nurses’ perspectives on their communication with patients in busy oncology wards: A qualitative study. PLOS ONE, 14(10). https://doi.org/10.1371/journal.pone.0224178
  6. Chang, T. F., Chen, C. K., & Chen, M. J. (2017). A study of interpersonal conflict among operating room nurses. Journal of Nursing Research, 25(6), 400-410. https://doi.org/10.1097/JNR.0000000000000187
  7. Chung-Yan Chan, J., & Sy, P. Y. (2016). The relationships among personality, intercultural communication, and cultural self-efficacy in nursing students. Journal of Nursing Research, 24(4), 286-290. https://doi.org/10.1097/jnr.0000000000000157
  8. Crawford, T., Candlin, S., & Roger, P. (2017). New perspectives on understanding cultural diversity in nurse-patient communication. Collegian, 24(1), 63-69. https://doi.org/10.1016/j.colegn.2015.09.001
  9. Denzin, N. K., & Lincoln, Y. S. (2017). The Sage Handbook of Qualitative Research (5th ed.). SAGE Publications.
  10. Emaliyawati, E., Widiasih, R., Sutini, T., & Rahayu, U. (2020). Nurses’ reflections on challenges and barriers of communication in the Intensive Care Unit: A phenomenology study. Jurnal Keperawatan Padjadjaran, 8(1), 65-73. https://doi.org/10.24198/JKP.V8I1.1190.G253
  11. Faremi, F. A., Olatubi, M. I., Adeniyi, K. G., & Salau, O. R. (2019). Assessment of occupational related stress among nurses in two selected hospitals in a city in southwestern Nigeria. International Journal of Africa Nursing Sciences, 10, 68-73. https://doi.org/10.1016/j.ijans.2019.01.008
  12. Goldsmith, J. V., Wittenberg, E., Terui, S., Kim, H., & Umi, S. (2019). Providing support for caregiver communication burden: Assessing the plain language planner resource as a nursing intervention. Seminars in Oncology Nursing, 35(4), 354-358. https://doi.org/10.1016/j.soncn.2019.06.007
  13. Gutiérrez-Puertas, L., Márquez-Hernández, V. V., Gutiérrez-Puertas, V., Granados-Gámez, G., & Aguilera-Manrique, G. (2020). Educational interventions for nursing students to develop communication skills with patients: A systematic review. International Journal of Environmental Research and Public Health, 17(7), 2241. https://doi.org/10.3390/ijerph17072241
  14. Handoyo, S. (2011). The State’s geopolitics versus the local’s concern, a case study on the land border between Indonesia and Timor-Leste in West Sector. In: Murgante, B., Gervasi, O., Iglesias, A., Taniar, D., Apduhan, B.O. (eds). Lecture Notes in Computer Science, vol 6782. Springer, Berlin, Heidelberg.
  15. Jiménez-Herrera, M. F., Llauradó-Serra, M., Acebedo-Urdiales, S., Bazo-Hernández, L., Font-Jiménez, I., & Axelsson, C. (2020). Emotions and feelings in critical and emergency caring situations: A qualitative study. BMC Nursing, 19(1), 60. https://doi.org/10.1186/s12912-020-00438-6
  16. Johansen, M. L. (2012). Keeping the peace. Nursing Management (Springhouse), 43(2), 50-54. https://doi.org/10.1097/01.NUMA.0000410920.90831.96
  17. Kerr, D., Ostaszkiewicz, J., Dunning, T., & Martin, P. (2020). The effectiveness of training interventions on nurses’ communication skills: A systematic review. In Nurse Education Today, 89. https://doi.org/10.1016/j.nedt.2020.104405
  18. Klamer, M., & Ewing, M. C. (2010). The languages of East Nusantara: An introduction. Australian National Universit. https://doi.org/10.15144/PL-618
  19. Kokoroko, E., & Sanda, M. A. (2019). Effect of workload on job stress of Ghanaian OPD nurses: The role of coworker support. Safety and Health at Work, 10(3), 341-346. https://doi.org/10.1016/j.shaw.2019.04.002
  20. Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. In International Journal of Africa Nursing Sciences, 12. https://doi.org/10.1016/j.ijans.2020.100198
  21. Mistraletti, G., Mezzetti, A., Anania, S., Ionescu Maddalena, A., Del Negro, S., Giusti, G. D., Gili, A., Iacobone, E., Pulitanò, S. M., Conti, G., & Bocci, M. G. (2019). Improving communication toward ICU families to facilitate understanding and reduce stress. Protocol for a multicenter randomized and controlled Italian study. Contemporary Clinical Trials, 86. https://doi.org/10.1016/j.cct.2019.105847
  22. Nahak, M. M. N. (2017). Language variation in the family of the community in the border of Timor Leste and Malaka regency. https://linguistik.fib.ui.ac.id/wp-content/uploads/sites/46/2018/01/141-149-IAV_Maria-Magdalena-Namok-Nahak.pdf
  23. Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917733847
  24. Park, M. S., Jeoung, Y., Lee, H. K., & Sok, S. R. (2015). Relationships among communication competence, self-efficacy, and job satisfaction in Korean nurses working in the emergency medical center setting. Journal of Nursing Research, 23(2), 101-108. https://doi.org/10.1097/jnr.0000000000000059
  25. Prip, A., Pii, K. H., Møller, K. A., Nielsen, D. L., Thorne, S. E., & Jarden, M. (2019). Observations of the communication practices between nurses and patients in an oncology outpatient clinic. European Journal of Oncology Nursing, 40, 120-125. https://doi.org/10.1016/j.ejon.2019.03.004
  26. Taylor-Leech, K. (2009). The language situation in Timor-Leste. 10(1), 1-68. https://doi.org/10.1080/14664200802339840
  27. Tetteh, L., Aziato, L., Mensah, G. P., Vehviläinen-Julkunen, K., & Kwegyir-Afful, E. (2021). Burns pain management: The role of nurse-patient communication. Burns : Journal of the International Society for Burn Injuries, 47(6), 1416-1423. https://doi.org/10.1016/j.burns.2020.11.011
  28. Tindle, K., David, A., Carlisle, S., Faircloth, B., Fields, J. M., Hayden, G., & Ku, B. (2020). Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study. Journal of Emergency Nursing, 46(4), 440-448. https://doi.org/10.1016/j.jen.2020.04.005
  29. Van Keer, R. L., Deschepper, R., Huyghens, L., & Bilsen, J. (2020). Preventing Conflicts Between Nurses and Families of a Multi-ethnic Patient Population During Critical Medical Situations in a Hospital. Journal of Transcultural Nursing, 31(3), 250-256. https://doi.org/10.1177/1043659619859049
  30. Vermeir, P., Blot, S., Degroote, S., Vandijck, D., Mariman, A., Vanacker, T., Peleman, R., Verhaeghe, R., & Vogelaers, D. (2018). Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study. Intensive and Critical Care Nursing, 48, 21-27. https://doi.org/10.1016/j.iccn.2018.07.001
  31. Wang, C. C., Whitehead, L., & Bayes, S. (2016). Nursing education in China: Meeting the global demand for quality healthcare. International Journal of Nursing Sciences, 3(1), 131-136). https://doi.org/10.1016/j.ijnss.2016.02.009
  32. Wang, M.-L., & Tsai, L.-J. (2014). Work-Family Conflict and Job Performance in Nurses. Journal of Nursing Research, 22(3), 200-207. https://doi.org/10.1097/jnr.0000000000000040
  33. Wune, G., Ayalew, Y., Hailu, A., & Gebretensaye, T. (2020). Nurses to Patients Communication and Barriers Perceived by Nurses at Tikur Anbessa Specilized Hospital, Addis Ababa, Ethiopia 2018. International Journal of Africa Nursing Sciences, 12. https://doi.org/10.1016/j.ijans.2020.100197