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Confirming communication of nurses in interaction with physicians
1Department of Family and Community, College of Nursing, Ohio State University, Columbus.
The Journal of Nursing Education
|April 1, 1988
Summary
Registered nurses primarily use confirming communication (87%) during decision-making tasks with physicians. Experience and age correlate with more confirming communication styles in nursing practice.
Area of Science:
- Nursing
- Communication Studies
- Healthcare Professional Interactions
Background:
- Effective communication is fundamental to nursing theory and practice.
- Understanding nurse-physician communication dynamics is crucial for patient care quality.
- The confirmation/disconfirmation framework offers a lens to analyze communication patterns.
Purpose of the Study:
- To describe the communication characteristics of registered staff nurses interacting with resident physicians.
- To analyze nurse communication using a confirmation/disconfirmation framework.
- To investigate factors influencing nurse communication confirmation.
Main Methods:
- A descriptive study involving 40 registered staff nurses.
- Videotaping nurse-physician interactions during a decision-making task.
- Analyzing communication using the confirmation/disconfirmation framework.
Main Results:
- Nurses exhibited confirming communication in 87% of their discourse.
- No significant differences in confirmation rates were found based on educational preparation or sex.
- Nurses with more professional experience and older nurses demonstrated higher confirmation rates.
Conclusions:
- Registered nurses predominantly use confirming communication with resident physicians.
- Professional experience and age are associated with more confirming communication behaviors.
- Findings suggest experienced nurses may foster more supportive communication environments.