Designing a truth-based communication model in patient ethical care process
نویسندگان
1 Department of Critical Care Nursing and Management, Nursing Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
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5 Center of Health Evaluation and Outcome Sciences, Vancouver, BC, Canada, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
6 Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
doi
چکیده
INTRODUCTION: Providing information based on truth is very important in patients’ treatment‑relateddecisions and reduces emotional and physical sufferings as well as patient costs. The aim of thisstudy was to design a model that is based on the culture and health‑care context of Iran in order toestablish a truth‑based communication and provide accurate information to patient.MATERIALS AND METHODS: This qualitative study was conducted in 2019. Data were collectedthrough semi‑structured interviews with 18 nurses who had been selected by purposeful samplingmethod. Data analysis was performed in two steps. In the first step, the participants’ experiences weredetermined using the grounded theory approach. In the next step, using Walker and Evant’s (2011)method, the concepts and statements were combined and presented in a central concept.RESULTS: The central concept in this study was “an attempt to establish a truth‑based communicationwith patient,” and then, a truth‑based communication model was presented. The components of themodel were presented in three parts: improving patient communication skills, managing the situationin which the truth is presented, and the patient’s participation in decision‑making.CONCLUSION: To present the truth of the treatment, which can sometimes be unpleasant andbitter, it is very important to improve communication skills and choose an effective communicationstrategy. To establish a truth‑based communication, it is necessary to create a suitable ground forcommunication, which should be provided in clinical setting and community.
