Determinants of Effective Nurse-Patient Communication Based on the Health Action Process Approach in Yazd Hospitals Publisher Pubmed



Sharifabad MAM¹ ; Fard MR² ; Ardakani MF³ ; Ahmadabad AD⁴ ; Sotudeh A⁵ Show Affiliations
Source: Hormone Molecular Biology and Clinical Investigation Published:2019

Abstract

Background: Nurse-patient communication is one of the most important care relationships that affects the treatment process. The health action process approach (HAPA) has been used to explain a number of behaviors. However, this approach has not been used to explain nurse-patient communication. Therefore, this study was conducted to investigate effective nurse-patient communication using this approach. Materials and methods: In this cross-sectional study, 300 nurses from public hospitals in the center of Iran were enrolled in the study. A researcher-developed questionnaire was used to measure the HAPA constructs. The data were analyzed using Pearson’s correlation coefficient and one-way analysis of variance with least significant difference (LSD) post hoc tests in SPSS as well as structural equation modeling using AMOUS software. Results: In the motivation phase, risk perception, outcome expectancies and task self-efficacy predicted 19% of variance in intention to communicate effectively. In the volitional phase, planning and action self-efficacy predicted 22% of variance in effective communication. The scores of HAPA constructs were different depending on the levels of effective communication. Conclusions: The model can serve as a reference framework to promote effective nurse-patient communication. © 2019 Walter de Gruyter GmbH, Berlin/Boston.