ABSTRACT
Background and Aims: effective communication between nurse and patient is one of the important factors in providing high quality nursing cares. Therefore, identifying barriers to effective communication is necessary. The aim of this study was to determine the Barriers to effective nurse- patient communication from perspective of nurses employed in educational hospitals of Ilam
Methods: this Descriptive and analytical study was conducted during the summer of 2012 in Ilam city. 80 nurses in three educational hospitals affiliated to the Ilam Medical University were selected by random sampling method. Data were collected using a 30-item questionnaire. Reliability was calculated by Cronbach's alpha [r=0.93]. In order to analyze the data, SPSS statistical software version 16, T-test and ANOVA were used
Results: %43.8 of the participants were female. Regarding individual and social factors, job specifications, clinical situation of patients, and environmental factors; irritability of nurses, nurses' physical and mental fatigue, and presence of a family care provider and lack of in-service training in communication skills were important barriers to the communication respectively
Conclusion: effective communication is an important factor in obtaining positive results from treatment, reducing stress and increasing patients' satisfaction of medical care. Since the communication is an inevitable aspect of nursing cares, to enhance the nurse-patient communication it is necessary to obstacles mentioned above be resolved by managers
ABSTRACT
Establishing of total quality management in any organization including emergency medical services need to an appropriate tool to help developing, implementing and evaluating of quality programs. The objective of this study was to develop a valid and reliable tool for self assessing enabler criteria of Iran EMS centers according to European Foundation for Quality Management [EFQM] model.The study was conducted using the Delphi method, and 43 participants as panelists were enrolled in 3 round modified Delphi technique. Initially, a rating scale was developed in response to main question of study; which items should be contained in self assessing tool of quality in Iran EMS area? This scale was judged by 5 experts primarily, and after some modification was entered in Delphi process. The comments of panelist were collected by E Mail and final scale was developed in the end of 3th rand.Pre-hospital Emergency Self assessing Rating Scale [PHESARS], Was main result of this study that developed in 190 items in 5 enabler criteria according to EFQM model including; Leadership [52], Policy and Strategy [21], staff [41], Resources and partnership [36] and Processes [40].Self assessing scale was developed by TQM and excellence perspective and because of experts' consensus in developing it, has content validity and can be used in self assessing of pre-hospital area and determining improvement opportunity and, can leads the Iran EMS centers to total quality management and organizational excellence