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Original Article
Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
Haeng-Mi Son
Journal of Korean Academy of Nursing 2010;40(1):1-13.
DOI: https://doi.org/10.4040/jkan.2010.40.1.1
Published online: February 28, 2010

Associate Professor, Department of Nursing, University of Ulsan, Ulsan, Korea.

Address reprint requests to: Son, Haeng-Mi. Department of Nursing, University of Ulsan, 102 Daehak-ro, Nam-gu, Ulsan 680-749, Korea. Tel: 82-52-259-1239, Fax: 82-52-259-1236, sonhm@mail.ulsan.ac.kr
• Received: July 13, 2009   • Accepted: January 10, 2010

Copyright © 2010 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to develop evaluation criteria for conversations about medication and to demonstrate conversational analysis with actual dialogues on medication as examples.
  • Methods
    This study was a secondary analysis of qualitative research using conversational analysis which showed functional phases and patterns of dialogue about medication (greeting, identifying the patient, medicating, finishing). Nurse-patient conversations were videotaped and transcribed and 75 conversations were used for analysis.
  • Results
    Not all functional phases were showed in the conversations about medication. Therefore, conversations about medication can be considered as incomplete dialogues. The evaluation-criteria were represented in terms of the structure and content of the dialogues. Structural evaluation-criteria were the same as the functional phases, as functional stage is the standard for evaluation. The criteria of evaluation for content suggested 3 domains, content, expression, and interaction with 20 items scored on a Likert-type scale of 5-points. Finally, analysis of actual conversations about medication according to the evaluative criteria were provided.
  • Conclusion
    The results provide the basic data to develop educational programs and strategies to improve nurses' competency in conversation about medication.
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Figure 1
Functional phases of dialogue about medication (Son, 2007).
jkan-40-1-g001.jpg
Table 1
Frequencies of Functional Phases in Dialogue about Medication (N=75)
jkan-40-1-i001.jpg
Table 2
Evaluation-criteria for the Structure of Dialogue about Medication
jkan-40-1-i002.jpg
Table 3
Evaluation-criteria for the Content of Dialogue about Medication
jkan-40-1-i003.jpg

Figure & Data

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        Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
        J Korean Acad Nurs. 2010;40(1):1-13.   Published online February 28, 2010
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      Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
      Image
      Figure 1 Functional phases of dialogue about medication (Son, 2007).
      Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach

      Frequencies of Functional Phases in Dialogue about Medication (N=75)

      Evaluation-criteria for the Structure of Dialogue about Medication

      Evaluation-criteria for the Content of Dialogue about Medication

      Table 1 Frequencies of Functional Phases in Dialogue about Medication (N=75)

      Table 2 Evaluation-criteria for the Structure of Dialogue about Medication

      Table 3 Evaluation-criteria for the Content of Dialogue about Medication


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