Related Experiment Video
Updated: Apr 16, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[Patients and relatives perception regarding communication with healthcare professionals]
Ernesto M Padilla1, Pedro Sarmiento-Medina1, Andrea Ramirez-Jaramillo1
1Universidad de la Sabana, Chía, Cundinamarca, Colombia, mario.martin1@unisabana.edu.co.
Objective:
Understanding the strengths and difficulties regarding communication between healthcare workers and families and a family member suffering chronic illness or disability, from the perception of patients and families receiving healthcare services.
Methods:
This was a qualitative, interpretative study. The psychological approach adopted was systemic, from a socio-constructionist perspective. The sample was drawn from people contacted at the Universidad de La Sabanas clinic, Colombia. Question guidelines were based on deductive categories in the first phase; two focus groups were formed during the second phase by people suffering chronic diseases or disability and family members of people in such situation. A survey was then made using the results for data triangulation and saturation, including other patients and relatives.
Results:
People saw professional teamwork, providing care, the sufficiency of the information received and the use of strategies for teaching procedures and answering questions as strengths. They pointed out communication difficulties, like healthcare workers making assumptions about negative prognostics and adopting superior attitudes, or lacking consistency and continuity, as well as high staff turnover.
Conclusions:
Patients and relatives generally adopted an attitude of acceptance concerning the relationship established with healthcare workers; however, when probing more specifically, aspects to be improved were made more explicit, where communication may enable a less hierarchic and more collaborative relationship, providing a space for emotional processes.
Related Concept Videos
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Ethical Standards II
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses' Legal Responsibilities II
Communication between nurses and...
Therapeutic Communication
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Communication

