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Nurse practitioner and physician communication styles.

Marjorie Thomas Lawson1

  • 1University of Southern Maine, College of Nursing and Health Professions, Portland, ME 04104-9300, USA. lawson@usm.maine.edu

Applied Nursing Research : ANR
|May 8, 2002
PubMed
Summary

This study examined nurse-practitioner and physician communication styles, finding that while providers primarily used informational approaches, they became more controlling during decision-making. Understanding these communication patterns is key to patient-centered care.

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Area of Science:

  • Healthcare Communication
  • Patient-Provider Interactions
  • Nursing Practice

Background:

  • Limited empirical research exists on nurse-patient communication and its impact on patient outcomes.
  • Interpersonal communication is a critical, yet understudied, component of healthcare delivery.

Purpose of the Study:

  • To investigate communication styles (informational vs. controlling) used by nurse practitioners (NPs) and physicians (PHYs).
  • To determine the effect of communication style on patient satisfaction and perceived autonomy support.
  • To identify how communication patterns influence patient-centered care.

Main Methods:

  • 124 provider-patient interactions were audio-recorded involving five NPs and four PHYs.
  • Communication patterns were analyzed to classify styles as predominantly informational or controlling.

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  • Statistical analyses (ANOVAs) were used to identify significant differences in communication styles between provider groups and individuals.

    • Main Results:

    • All providers predominantly used informational communication styles.
    • Significant differences in communication styles were observed between provider groups (p =.05) and among individual providers (p <.0001).
    • Providers exhibited more controlling communication patterns during decision-making and care planning phases.

    Conclusions:

    • Communication style analysis can enhance the development of patient-centered care skills for NPs.
    • Healthcare providers' communication styles vary and can shift during different stages of patient interaction.
    • Further research into communication dynamics is essential for improving patient outcomes and satisfaction.