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Nurses' Perspectives on Communication in Acute Psychiatric Care: A Qualitative Descriptive Study
Lina Xiang1,2, Conghong Li2, Qi Gao1
1Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of Psychiatric and Mental Health Nursing
|August 21, 2025
Summary
Nurses in acute psychiatric care face communication challenges due to patient symptoms and resource limitations. Developing tailored communication strategies is crucial for improving patient care and nurse effectiveness.
Area of Science:
- Psychiatric Nursing
- Healthcare Communication
- Patient Outcomes
Background:
- Effective communication is vital in acute psychiatric care for symptom assessment and patient outcomes.
- Limited understanding exists regarding nurses' communication challenges and perspectives with these patients.
Purpose of the Study:
- To explore nurses' perspectives on communicating with patients in acute psychiatric settings.
Main Methods:
- Purposive sampling of 17 psychiatric ward nurses.
- Face-to-face, semi-structured interviews.
- Thematic analysis of collected data.
Main Results:
- Theme 1: Communication challenges include perceived ineffectiveness, relationship complexities, trust issues, professional disempowerment, and resource/institutional constraints.
- Theme 2: Coping strategies involve proactive preparation, boundary setting, empathy regulation, utilizing personal strengths, and emotional resource management.
Conclusions:
- Nurses encounter significant communication barriers stemming from patient symptoms, skill gaps, and workforce issues, impacting effective communication despite coping strategies.
- A structured, symptom-tailored communication approach, enhancing nurses' practical skills, is essential for acute psychiatric care in China.
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