The relationship between communication of nurses and level of anxiety of patient’s family in emergency room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia
DOI:
https://doi.org/10.18203/2320-6012.ijrms20164228Keywords:
Anxiety, Communication, Emergency room, Family members, NurseAbstract
Background: Critical condition of patient is trigger to the increasing of anxiety of family members. This situation is vulnerable of ineffective nursing care services provide by nurses in emergency room. Communication is one of abilities which nurse have to performed, and is recognized not that simple in its implementation. This study aimed was to identify whether or not there is a relationship between communications performed by the nurses and the level of anxiety of family members of patient in Emergency Room dr. Dradjat Prawiranegara hospital, Serang Banten, Indonesia.
Methods: This study was cross-sectional study with non-parametric analysis data used was Spearman’s Rho. Data were collected through direct observation by 4 numerators and observational sheet of nurse’s communication. Level of anxiety of family members was measuring by using State Trait Anxiety Inventory Y-1. Data were collected from 47 family members and 47 nurses who were selected by using accidental sampling technique.
Results: The study revealed that nurses performed eye contact, well informed consent, quick respond to the needs of patient and family members, clear voice, understandable language, introducing them self, active listening and emphatic, calm and friendly. Regarding anxiety of family members, 42.6% of them were showing moderate level of anxiety, whereas 34.0% of them were showing low level of anxiety. In bivariate analysis by using Spearman’s Rho showed that p value was 0.000 and coefficient correlation -0.765. It was indicated that there was significantly relationship between communication of emergency nurses and the level of anxiety of family members. It was indicated that the more effective the communication performed by nurses, the less the anxiety level of family members.
Conclusions: Nurse is required to be able to perform their therapeutic communication skill effectively so that the anxiety level of family members is decreasing. As a result, the stable emotion of family members affect to the appropriate decision making of medical treatment.
Metrics
References
Rusinova KR, Kukal J, Simek JR, Cerny V. Limited Family Members/Staff Communication in Intensive Care Unit in the Czech and Slovak Republics Considerably Increases Anxiety in Patients Relatives - the DEPRESS study. BMC Psychiatry. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/24467834.
Suryani. Therapeutic Communication Theory and Practice. Second Edition. Jakarta: EGC. 2015
Davidson JE. Family centred care: meeting the needs of patients’ families and helping families adapt to critical illness. Critical Care Nurse. 2009;29(3):28-34.
Leech T. Say It Like Shakespeare: How to Give a Speech Like Hamlet, Persuade Like Henry V, and Other Secrets from the World’s Greatest Communicator. New York: McGraw Hill Professional. 2001.
Woloshynowych M, Devis R, Brown R, Vincent, C. Communication Patterns in a UK Emergency Department. Ann Emerg Med. 2007;50(4):407-13.
Morton PG, Fontaine D, Hudak CM, BM Gallo. Holistic Approach Critical Care. Alihbahasa: Nike Budi Subekti, et al. Jakarta: EGC. 1(8);2011.
Nelms T, Eggenberger S. The Essence of the Family Critical Experience and Nurse. Family Meetings. J Fam Nurs. 2010;16(4):462-86.
Halgrimsdotir EM. Accident and emergency nurses' perceptions and experiences of caring for families. Journal of Clinical Nursing. 2000;9(4):611-9.
Urden, Linda D, Stacy, Kathleen M, Lough, Mery E. Critical Care Nursing-Diagnosis and Management. 6th Edition. United States: Mosby Elsevier. 2010.
Hickman RL, Douglas SL. Impact of Critical Illness on the Psychological Outcomes of Family Members. AACN AdvCrit Care. 2010;21(1):80-91.
Tilton SR. Review of The State Triat Anxiety Inventory (STAI). NewsNotes. 2008.
Adistie F. Effect of Therapeutic Communication on Anxiety Levels Parents Children admitted to the PICU and NICU room dr. Hasan Sadikin. [Master's thesis]. Indonesia: University of Padjadjaran. 2012
Fatriansari, A. Relations Therapeutic Communication Nurse Child and Family Satisfaction Levels that children live Hospitalization in hospitals Al-Ihsan ProvinsiJawa West. Indonesia: University of Indonesia. 2012.
Kawakami C, Matsuoka M, Taki K. A study on the factors influencing the anxiety of family members in the emergency department. Fukuoka Igaku Zasshi. 2004;95(3):73-9.
Hofmann SG, Asnaani MA, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety Journal. 2010;27(12):1117-27.
Norberg, AL, Lindblad F, Boman KK. Parental traumatic stress during and after pediatric cancer treatment. Acta Oncologica. 2004;44 (4):382-8.
Scrimin S, Haynes M, Altoe G, Bornstein MH, Axia G. Anxiety and stress in mothers and fathers in the 24 h After their child’s surgery. Child Care Health and Development. 2009;35(2):227–33.
Potter PA, Perry AG. Fundamentals of Nursing: Fundamentals of Nursing. Translator: Adrina Ferderika. Jakarta: Salemba Medika. 2009;7(1).
Kathleen JA, Wendy M, Nancee H. Collaboration, Credibility, Compassion, and Coordinations: Professional Nurse Communication Skill Set in Health Care Team Interaction. J Prof Nurs. 2006;22(3):180-9.
Chitty KK. Professional Nursing Concept and Challenges. 4th edition. St. Louis: Mosby; 2005.
Keliat BA. Professional nursing practice model soul. Jakarta: EGC; 2009.