TY - JOUR AU - Sukmak, Vatinee AU - Wongpanarak, Narisa PY - 2019/09/23 Y2 - 2024/03/29 TI - Interactions between Nurses and Patients with Mental Illness during Home Visits: A Conversation Analysis JF - Nursing Science Journal of Thailand JA - NURS SCI J THAIL VL - 37 IS - 3 SE - Research Papers DO - UR - https://he02.tci-thaijo.org/index.php/ns/article/view/183610 SP - 32-45 AB - <p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Purpose</strong><strong>: </strong>To explore how nurses and patients with mental illness communicate with each other in natural interactions during an annual home visit.</p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Design</strong><strong>: </strong>Qualitative observational study.</p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Methods</strong><strong>:</strong> 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.</p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Main findings</strong><strong>:</strong> 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.</p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Conclusion and recommendations</strong><strong>:</strong> 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.</p> ER -