Eun Jung Kim

doi:10.4040/jkan.2010.40.1.99

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Original Article
Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department: Eun Jung Kim; Journal of Korean Academy of Nursing 2010;40(1):99-109.
DOI: https://doi.org/10.4040/jkan.2010.40.1.99
Published online: February 28, 2010

Full-time Lecturer, College of Nursing, Eulji University, Seongnam, Korea.

Address reprint requests to: Kim, Eun Jung. College of Nursing, Eulji University, 212 Yangji-dong, Sujeong-gu, Seongnam 461-713, Korea. Tel: 82-31-740-7398, Fax: 82-31-740-7359, nicemuse@hanmail.net

• Received: August 18, 2009 • Accepted: February 4, 2010

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to identify effective nurse interaction patterns with patients in the emergency department.
Methods
For this study, video technology was used to record complete conversations between the nurse and patient. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data were collected from November, 2002 to April, 2003. The video recordings were observed for 4 hr for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS). The data were analyzed using cluster analysis to identify the patterns of nurse-patient interaction.
Results
Cluster analysis revealed 4 distinct nurse interaction patterns; 1) "closed" characterized by orientation and negative talk, 2) "positive" characterized by positive affective talk, 3) "informative and directing" characterized by task-focused behavior including data gathering, and giving information about medical condition and treatment, 4) "facilitative" characterized by balance of psychosocial and biomedical topics. Patient satisfaction was highest in the facilitative interaction pattern.
Conclusion
The patient centered interaction pattern, balancing information exchange and psychosocial exchange are the most effective interactions in the emergency department, suggesting that effective interaction skill is a core clinical nursing intervention in acute care.
Keywords: Emergency nursing; Interaction; Patient satisfaction; Cluster analysis

This article is based on a part of the author's doctoral dissertation from Yonsei University and the secondary analysis of previous study.

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Table 1

Emergency Nurse-Patient Interaction Analysis System

Table 2

Percentage of Nurse Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=2,315)

^*Scheffe's test.

Table 3

Percentage of Patient Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=1,297)

^*Scheffe's test.

Table 4

Patient Satisfaction with Interaction (N=63)

^*Scheffe's test; ^†the inverse value.

Figure & Data

REFERENCES

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Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department

J Korean Acad Nurs. 2010;40(1):99-109. Published online February 28, 2010

DOI: https://doi.org/10.4040/jkan.2010.40.1.99

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Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department

Table 1

Emergency Nurse-Patient Interaction Analysis System

Table 2

Percentage of Nurse Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=2,315)

^*Scheffe's test.

Table 3

Percentage of Patient Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=1,297)

^*Scheffe's test.

Table 4

Patient Satisfaction with Interaction (N=63)

^*Scheffe's test; ^†the inverse value.

Table 1 Emergency Nurse-Patient Interaction Analysis System

Table 2 Percentage of Nurse Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=2,315)

^*Scheffe's test.

Table 3 Percentage of Patient Interaction Behavior Categories according to the Interaction Pattern of Nurses (N=1,297)

^*Scheffe's test.

Table 4 Patient Satisfaction with Interaction (N=63)

^*Scheffe's test; ^†the inverse value.