Effective Nurse-Patient Communication During Uncertainty in Illness

3731 Words Jul 23rd, 2012 15 Pages
Effective Nurse-Patient Communication during Uncertainty in Illness

Effective Nurse-Patient Communication during Uncertainty in Illness
The Healthy People 2020 initiative includes goals to increase the number of patients who report that their healthcare providers listened to them carefully to 65% and increase the number of patients who report that their healthcare provider explained things so they could understand them to 66% (United States Department of Health and Human Services, 2010). The nursing profession plays an important role in making progress toward these goals through advocacy for effective communication. Being able to effectively communicate with patients is an essential skill for healthcare providers, especially
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The questions for this study were based upon Mishel’s theory of uncertainty in illness (UIT). The study by McCormick et. al., (2005) provided evidence that when women had to wait longer periods of time for coronary bypass grafting surgery, the more uncertain they felt about their future, which supports Mishel’s UIT. A similar study, which utilized Mishel’s Uncertainty in Illness Scale (MUIS), was conducted by Schulman-Green, Ercolano, Dowd, Schwartz, & McCorkle (2008) to determine possible factors that contributed to quality of life in women who had experienced surgery after a diagnosis of ovarian cancer. Psychosocial factors, depression and anxiety, were identified in this study as playing a vital role in determining uncertainty, which therefore, indirectly supported Mishel’s UIT. A correlational descriptive study conducted by Mishel and Braden (1987) on women treated for gynecological cancer measured uncertainty with the MUIS and used the Norbeck Social Support Questionnaire to measure social support. Findings from this study supported the hypothesis made by Mishel that antecedents did occur before uncertainty and that contrasting paths to uncertainty were established within these influences (social support, credible resources and event familiarity) (Guadalupe, 2010; Mishel and Braden, 1987).
During times of uncertainty in illness,

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