Nurses' perceptions of the barriers in effective communication with inpatient cancer adults in Singapore

Journal of Clinical Nursing
Li Hui TayDesley Hegney

Abstract

This study investigated the factors affecting effective communication between Singaporean registered nurses and inpatient oncology adults. In oncology nursing, where conversations entail emotionally loaded topics and patients' receptivity is greatly affected by their life-threatening disease and its trajectory, effective communication is crucial. This is a qualitative study situated within the interpretivism paradigm. Ten registered nurses from the oncology wards of a major teaching hospital in Singapore were interviewed. Data were transcribed verbatim and thematically analysed. Factors that influenced effective nurse-patient communication were found in the characteristics of the patient, the nurse and the environment. While there are common factors influencing communication in all contexts of practice, this study has suggested that a multicultural community such as Singapore presents special challenges in the oncology inpatient setting. Language barriers are significant, particularly between overseas trained nurses and patients who cannot converse in English. Cultural taboos also increase nurses' discomfort when discussing sensitive topics. Additionally, the government's promotion of Singapore as a medical 'hub' increases the ...Continue Reading

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