Nurses’ communication in empowering people with chronic disease: scoping review
DOI:
https://doi.org/10.37914/riis.v9.521Keywords:
nursing, chronic disease, health communication, scoping reviewAbstract
Background: a significant proportion of information provided in clinical settings is forgotten or retained incorrectly, compromising disease management. Health communication is therefore central to nursing practice in empowering adults with chronic disease and their family members/caregivers. Objective: to map the existing scientific evidence on communication techniques used by nurses in empowering adults with chronic disease and their family members/caregivers. Methodology: a scoping review was conducted in accordance with the Joanna Briggs Institute methodology and the PRISMA-ScR reporting guidelines, with searches performed in the MEDLINE and CINAHL databases. The protocol was registered in the Open Science Framework (OSF; DOI: 10.17605/OSF.IO/VNZFA). Study selection, data extraction and synthesis were carried out by two independent reviewers. Results: twelve studies were included, identifying communication techniques such as teach-back, partnership-building communication, chunk and check, solution-focused communication, and promotion of question use. Most studies did not clearly distinguish techniques directed at adults from those directed at family members/caregivers. Conclusion: this review mapped the communication techniques reported in the literature, highlighting gaps in their documentation and in the specification of target recipients. Further research should address their practical application and clarify target groups.
References
Arnold, C., & Boggs, U. (2019). Interpersonal relationships: professional communication skills for nurses (8th ed.). Elsevier.
Bates, L., O’Connor, N., Dunn, D., & Hasenau, S. (2014). Applying STAAR interventions in incremental bundles: improving post-CABG surgical patient care. Worldviews on Evidence-Based Nursing, 11(2), 89-97. https://doi.org/10.1111/wvn.12028
Bergjan, M., & Schaepe, C. (2016). Educational strategies and challenges in peritoneal dialysis: a qualitative study of renal nurses’ experiences. Journal of Clinical Nursing, 25(11-12), 1729-1739. https://doi.org/10.1111/jocn.13191
Beyebach, M., Neipp, C., García‐Moreno, M., & González‐Sánchez, I. (2018). Impact of nurses′ solution‐focused communication on the fluid adherence of adult patients on haemodialysis. Journal of Advanced Nursing, 74(11), 2654-2657. https://doi.org/10.1111/jan.13792
Brega, A., Barnard, J., Mabachi, N., Weis, B., DeWalt, D., Brach, C., Cifuentes, M., Albright, K., & West, D. (2015). Health literacy universal precautions toolkit (2ª Ed.). Agency for Healthcare Research and Quality. https://www.ahrq.gov/sites/default/files/publications/files/healthlittoolkit2_3.pdf
Campbell, P., Torrens, C., Pollock, A., & Maxwell, M. (2018). A scoping review of evidence relating to communication failures that lead to patient harm. Chief Nursing Officer for Scotland; General Medical Council. https://www.gmc-uk.org/cdn/documents/a-scoping-review-of-evidence-relating-to-communication-failures-that-lead-to-patient-harm_p-80569509.pdf
Downes, R., & Foote, E. (2019). Barriers to adherence and intentional non-adherence: a guide for nurses. HIV Nursing, 19(3), 5-8. https://www.nhivna.org/file/5dcbddfa07b8e/BP-19-3.pdf
Drenckhahn, V. V. (1965). Educational role of the nurse in chronic disease control. Public Health Reports, 80(12), 1103-1106. https://pmc.ncbi.nlm.nih.gov/articles/PMC1919720/
Eva, O., Birgitta, K., Kjell, L., Anna, E., & Bjöörn, F. (2009). Communication and self-management education at nurse-led COPD clinics in primary health care. Patient Education and Counseling, 77(2), 209-217. https://doi.org/10.1016/j.pec.2009.03.033
Gallefoss, F. (2004). The effects of patient education in COPD in a 1-year follow-up randomised, controlled trial. Patient Education & Counseling, 52(3), 259–266. https://doi.org/10.1016/s0738-3991(03)00100-9
GBD 2021 Causes of Death Collaborators (2024). Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 2100–2132. https://doi.org/10.1016/S0140-6736(24)00367-2
Hyde, M., & Kautz, D. (2014). Enhancing health promotion during rehabilitation through information-giving, partnership-building, and teach-back. Rehabilitation Nursing Journal, 39(4), 178–182. https://doi.org/10.1002/rnj.124
Iroegbu, C., Tuot, S., Lewis, L., & Matura, A. (2024). The influence of patient–provider communication on self-management among patients with chronic illness: a systematic mixed studies review. Journal of Advanced Nursing, 81(4), 1678-1699. https://doi.org/10.1111/jan.16492
Nantsupawat, A., Wichaikhum, O., Abhicharttibutra, K., Kunaviktikul, W., Nurumal, M., & Poghosyan, L. (2020). Nurses’ knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: a cross‐sectional study. Nursing & Health Sciences, 22(3), 577-585. https://doi.org/10.1111/nhs.12698
Oh, E., Lee, H., Yang, Y., Lee, S., & Kim, Y. (2021). Development of a discharge education program using the teach-back method for heart failure patients. BMC Nursing, 20(1), 109. https://doi.org/10.1186/s12912-021-00622-2
Page, J., McKenzie, J., Bossuyt, P., Boutron, I., Hoffman, T., Mulrow, C., Shamseer, L., Tetzlaff, J., Akl, T., Brennan, S., Chou, R., Glanville, J., Grimshaw, J., Hróbjartsson, A., Lalu, M., Li, T., Loder, E., Mayo-Wilson, E., McDonald, S. … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. PLoS Medicine, 18(3). https://doi.org/10.1371/journal.pmed.1003583
Peters, J., Marnie, C., Tricco, A., Pollock, D., Munn, Z., Alexander, L., Mclnerney, P., Godfrey, C. & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. International Journal of Evidence-Based Healthcare, 19(1), 3-10. https://doi.org/10.1097/XEB.0000000000000277
Pham, L., & Ziegert, K. (2016). Ways of promoting health to patients with diabetes and chronic kidney disease from a nursing perspective in Vietnam: a phenomenographic study. International Journal of Qualitative Studies on Health & Well-Being, 11(1), 1-11. https://doi.org/10.3402/qhw.v11.30722
Polster, D. (2015). Preventing readmissions with discharge education. Nursing Management, 46(10), 30–38. https://doi.org/10.1097/01.NUMA.0000471590.62056.77
Riley, B. (2019). Communication in nursing (9th ed.). Elsevier.
Spooner, K. K., Salemi, J. L., Salihu, H. M., & Zoorob, R. J. (2016). Disparities in perceived patient-provider communication quality in the United States: trends and correlates. Patient Education & Counseling, 99(5), 844-854. https://doi.org/10.1016/j.pec.2015.12.007
Suter, M., & Suter, N. (2008). Patient education. Timeless principles of learning: a solid foundation for enhancing chronic disease self-management. Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional, 26(2), 82-88. https://doi.org/10.1097/01.nhh.0000311024.11023.09
Talevski, J., Wong Shee, A., Rasmussen, B., Kemp, G., & Beauchamp, A. (2020). Teach-back: a systematic review of implementation and impacts. PLOS ONE, 15(4), e0231350. https://doi.org/10.1371/journal.pone.0231350
Tricco, C., Lillie, E., Zarin, W., O'Brien, K., Colquhoun, H., Levac, D., Moher, D., Peters, J., Horsley, T., Weeks, L., Hempel, S., Akl, A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, G., Garritty, C., Lewin, S., … Straus, E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
White, M., Garbez, R., Carroll, M., Brinker, E., & Howie-Esquivel, J. (2013). Is “Teach-Back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients?. Journal of Cardiovascular Nursing, 28(2), 137-146. https://doi.org/10.1097/JCN.0b013e31824987bd
World Health Organization. (2013). Global action plan for the prevention and control of noncommunicable diseases 2013–2020. https://www.who.int/publications/i/item/9789241506236
World Health Organization. (2023). Implementation roadmap 2023–2030 for the global action plan for the prevention and control of noncommunicable diseases 2013–2030. https://www.who.int/teams/noncommunicable-diseases/governance/roadmap
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