Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations

Abstract Background Therapeutic communication can assist nurses in achieving their goals. Effective nurse-patient communication can improve clinical outcomes and boosts patient satisfaction. But, there is an arming gap in therapeutic communication between nurses and patients in Ethiopia, which hinde...

Full description

Bibliographic Details
Main Authors: Abera Mersha, Abebe Abera, Temamen Tesfaye, Tesfaye Abera, Admasu Belay, Tsegaye Melaku, Misaye Shiferaw, Shitaye Shibiru, Wubshet Estifanos, Senahara Korsa Wake
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01526-z
_version_ 1797453320447590400
author Abera Mersha
Abebe Abera
Temamen Tesfaye
Tesfaye Abera
Admasu Belay
Tsegaye Melaku
Misaye Shiferaw
Shitaye Shibiru
Wubshet Estifanos
Senahara Korsa Wake
author_facet Abera Mersha
Abebe Abera
Temamen Tesfaye
Tesfaye Abera
Admasu Belay
Tsegaye Melaku
Misaye Shiferaw
Shitaye Shibiru
Wubshet Estifanos
Senahara Korsa Wake
author_sort Abera Mersha
collection DOAJ
description Abstract Background Therapeutic communication can assist nurses in achieving their goals. Effective nurse-patient communication can improve clinical outcomes and boosts patient satisfaction. But, there is an arming gap in therapeutic communication between nurses and patients in Ethiopia, which hinders the quality of nursing care. Some studies have been done on therapeutic and its barriers. Nevertheless, those studies did not fully address factors from different perspectives and were supported by nursing theories or models. Therefore, this study aimed to fill these gaps in the study setting. Methods Institution-based cross-sectional study was conducted among 408 nurses working in public hospitals of Gamo zone from December 1, 2021, to January 30, 2022. Out of the six hospitals in the Gamo zone, three were selected by simple random sampling method. The data were collected by an interview-administered Open Data Kit survey tool and analyzed by SAS version 9.4. Descriptive statistics were computed and a generalized linear model was used to identify associated factors. Results In this study, a standardized percentage of the maximum scale of therapeutic communication was 52.32%. Of the participants, 40.4% had high, 25.0% moderate, and 34.6% had low levels of therapeutic communication. Age, marital status, and qualification showed significant and positive relationships with the overall therapeutic communication. However, sex, working unit, nurse burnout, lack of empathy from nurses, challenging nursing tasks, lack of privacy, use of technical terms by nurses, lack of confidence in nurses, stress, unfamiliarity with the nursing job description, shortage of nurses, insufficient knowledge, lack of participation in decision making, and having contagious disease showed a significant and negative relationship with overall therapeutic communication. Conclusions This finding indicates a gap in therapeutic communication between nurses and patients, and modifiable factors are identified. Therefore, giving opportunities for nurses to improve their qualifications, a special attention to nurses working in stressful areas, sharing the burden of nurses, involving nurses and patients in decision-making, and motivating and creating a positive working environment is vital to improving therapeutic communication.
first_indexed 2024-03-09T15:21:07Z
format Article
id doaj.art-17d95a3a3b334d64bdb2b5c95b40fe6b
institution Directory Open Access Journal
issn 1472-6955
language English
last_indexed 2024-03-09T15:21:07Z
publishDate 2023-10-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj.art-17d95a3a3b334d64bdb2b5c95b40fe6b2023-11-26T12:46:19ZengBMCBMC Nursing1472-69552023-10-0122111010.1186/s12912-023-01526-zTherapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relationsAbera Mersha0Abebe Abera1Temamen Tesfaye2Tesfaye Abera3Admasu Belay4Tsegaye Melaku5Misaye Shiferaw6Shitaye Shibiru7Wubshet Estifanos8Senahara Korsa Wake9School of Nursing, College of Medicine and Health Sciences, Arba Minch UniversitySchool of Nursing, Institute of Health, Jimma UniversitySchool of Nursing, Institute of Health, Jimma UniversitySchool of Nursing and Midwifery, Institute of Health Sciences, Wollega UniversitySchool of Nursing, Institute of Health, Jimma UniversitySchool of Pharmacy, Institute of Health, Jimma UniversityPublic Health Specialist, Addis Ababa City Administration Health BureauSchool of Nursing, College of Medicine and Health Sciences, Arba Minch UniversitySchool of Nursing, College of Medicine and Health Sciences, Arba Minch UniversityCollege of Natural and Computational Science, Ambo UniversityAbstract Background Therapeutic communication can assist nurses in achieving their goals. Effective nurse-patient communication can improve clinical outcomes and boosts patient satisfaction. But, there is an arming gap in therapeutic communication between nurses and patients in Ethiopia, which hinders the quality of nursing care. Some studies have been done on therapeutic and its barriers. Nevertheless, those studies did not fully address factors from different perspectives and were supported by nursing theories or models. Therefore, this study aimed to fill these gaps in the study setting. Methods Institution-based cross-sectional study was conducted among 408 nurses working in public hospitals of Gamo zone from December 1, 2021, to January 30, 2022. Out of the six hospitals in the Gamo zone, three were selected by simple random sampling method. The data were collected by an interview-administered Open Data Kit survey tool and analyzed by SAS version 9.4. Descriptive statistics were computed and a generalized linear model was used to identify associated factors. Results In this study, a standardized percentage of the maximum scale of therapeutic communication was 52.32%. Of the participants, 40.4% had high, 25.0% moderate, and 34.6% had low levels of therapeutic communication. Age, marital status, and qualification showed significant and positive relationships with the overall therapeutic communication. However, sex, working unit, nurse burnout, lack of empathy from nurses, challenging nursing tasks, lack of privacy, use of technical terms by nurses, lack of confidence in nurses, stress, unfamiliarity with the nursing job description, shortage of nurses, insufficient knowledge, lack of participation in decision making, and having contagious disease showed a significant and negative relationship with overall therapeutic communication. Conclusions This finding indicates a gap in therapeutic communication between nurses and patients, and modifiable factors are identified. Therefore, giving opportunities for nurses to improve their qualifications, a special attention to nurses working in stressful areas, sharing the burden of nurses, involving nurses and patients in decision-making, and motivating and creating a positive working environment is vital to improving therapeutic communication.https://doi.org/10.1186/s12912-023-01526-zTherapeutic communicationNurse-patient relationshipGamo zone
spellingShingle Abera Mersha
Abebe Abera
Temamen Tesfaye
Tesfaye Abera
Admasu Belay
Tsegaye Melaku
Misaye Shiferaw
Shitaye Shibiru
Wubshet Estifanos
Senahara Korsa Wake
Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
BMC Nursing
Therapeutic communication
Nurse-patient relationship
Gamo zone
title Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
title_full Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
title_fullStr Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
title_full_unstemmed Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
title_short Therapeutic communication and its associated factors among nurses working in public hospitals of Gamo zone, southern Ethiopia: application of Hildegard Peplau’s nursing theory of interpersonal relations
title_sort therapeutic communication and its associated factors among nurses working in public hospitals of gamo zone southern ethiopia application of hildegard peplau s nursing theory of interpersonal relations
topic Therapeutic communication
Nurse-patient relationship
Gamo zone
url https://doi.org/10.1186/s12912-023-01526-z
work_keys_str_mv AT aberamersha therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT abebeabera therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT temamentesfaye therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT tesfayeabera therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT admasubelay therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT tsegayemelaku therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT misayeshiferaw therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT shitayeshibiru therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT wubshetestifanos therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations
AT senaharakorsawake therapeuticcommunicationanditsassociatedfactorsamongnursesworkinginpublichospitalsofgamozonesouthernethiopiaapplicationofhildegardpeplausnursingtheoryofinterpersonalrelations