Main Article Content
Purpose: To explore how nurses and patients with mental illness communicate with each other in natural interactions during an annual home visit.
Design: Qualitative observational study.
Methods: An observational study was conducted during home visits at patients’ homes in a northeastern province of Thailand in 2017 and the data were 32.2 hours of videotape recording with 4 nursing staff and 6 patients with mental illness. Conversation analysis technique was used to analyze nurse-patient interactions.
Main findings: Turn-taking or ordering of speakers was frequently controlled and allocated by the nurses. However, patients sometimes interrupted the conversation and had very little input because most questions asked were closed-ended. Patients used pause, silence techniques and changed the subject to avoid their dispreferred responses.
Conclusion and recommendations: Theoretically, patient-centered communication model should be focused for nurse-patient interaction, but in this study nurses controlled the conversation mostly about the topic of nursing tasks. It is essential to provide a special training program for nursing staff to develop patient-centered communication skills during home visits.
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