Exploring Japanese nurses' perceptions of the relevance and use of assertive communication in healthcare: A qualitative study informed by the Theory of Planned Behaviour

Nurse Education Today
Mieko OmuraTracy Levett-Jones

Abstract

The hierarchical nature of healthcare environments presents a key risk factor for effective interprofessional communication. Power differentials evident in traditional healthcare cultures can make it difficult for healthcare professionals to raise concerns and be assertive when they have concerns about patient safety. This issue is of particular concern in Japan where inherent cultural and social norms discourage assertive communication. The aim of this study was to (a) explore nurses' perceptions of the relevance and use of assertive communication in Japanese healthcare environments; and (b) identify the factors that facilitate or impede assertive communication by Japanese nurses. A belief elicitation qualitative study informed by the Theory of Planned Behaviour was conducted and reported according to the COnsolidated criteria for REporting Qualitative research. Twenty-three practicing Japanese registered nurses were recruited by snowball sampling from October 2016 to January 2017. Individual face-to-face semi-structured interviews were conducted and transcribed in Japanese and then translated into English. Two researchers independently conducted a directed content analysis informed by the Theory of Planned Behaviour. Particip...Continue Reading

Citations

Jan 31, 2019·Journal of Clinical Nursing·Mieko OmuraTeresa E Stone
Aug 30, 2019·Journal of Nursing Care Quality·Christy RaymondJoshua Bergman
Aug 17, 2019·Contemporary Nurse·Christine AtsalosDebra Jackson
Jul 16, 2020·Journal of Nursing Management·Leodoro J Labrague, Janet Alexis De Los Santos
Apr 2, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Róisín O'donovan, Eilish Mcauliffe
Dec 14, 2018·Journal of Clinical Medicine·María Del Mar Molero JuradoJosé Jesús Gázquez Linares
Dec 22, 2019·International Journal of Medical Informatics·Samir MellikechePatrice Degoulet
Mar 20, 2021·Risk Management and Healthcare Policy·Seung Eun LeeHye Chong Hong
May 5, 2021·The International Journal of Health Planning and Management·María Del Carmen Pérez-FuentesÁfrica Martos Martínez

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