Original Article

Barriers of nurse-patient communication from the nurses' point of view in educational hospitals affiliated to Kurdistan University of Medical Sciences


Background & Aim: Communication with the patient is the basis for nursing practice in providing care for the patient. The aim of this study was to determine the barriers to nurse-patient communication from the viewpoint of nurses working in educational hospitals of Kurdistan University of Medical Sciences,
Materials and Methods: This descriptive cross-sectional study was performed on 151 of nursing staff in educational hospitals of Kurdistan University of Medical Sciences selected by convenience sampling method. Data gathering tool was a questionnaire including demographic characteristics and “barriers to nurse-patient communication” questionnaire with four-part: common barriers between nurses and patients, nurses’ barriers, patients’ barriers and environmental barriers. The data were analyzed by SPSS software ver 16. The demographic data and the barriers to nurse-patient communication were measured, using frequency, mean, and standard deviation.
Results: Cultural difference between nurses and patients (2.62±1.06) was the most common barriers to the nurse-patient communication. The most important barriers related to the patient included the patient's companion’s interference (3.24±0.92). Among the environmental barriers, caring for a critical patient (3.27±0.98) was the most important barriers. The most important nurses’ barriers was lack of time (3.46±0.78).
Conclusions: Nurses and nursing managers should work to address and remove the barriers identified in relation to the nurse-patient communication. Providing care by native and same gender nurses, absence of patients' companion, creating a quiet environment and increasing the number of nursing staff could help to overcome these barriers

Aghabarary M, Mohammadi E, Varvani-Farahani A. Barriers to Application of Communicative Skills by Nurses in Nurse- Patient Interaction: Nurses and Patients’ Perspective. Iran Journal of Nursing (IJN). 2009; 22(61): 19-31.

Farnia F, Abbaszadeh A, Borhani F. Barriers to Developing the Nurse-Patient Relationship in Operation room: A Qualitative Content Analysis. J Qual Res Health Sci. 2013; 2(1): 76-90.

Fakhr-Movahedi A, Salsali M, Negarandeh R, Rahnavard Z. Exploring contextual factors of the nurse-patient relationship: A qualitative study. Koomesh 2011; 1(41): 23-35.

Moghaddasian S, Abdollah-Zadeh F, Rahmani A, Salehain M, Firouzian AA. Nurse -patient communication and its relation to satisfaction with nursing services in view point of cancer patients hospitalized in shahid ghazi hospital, Tabriz. Journal of North Khorasan University of Medical Sciences. 2013; 5(2): 451-467.

Mullan BA, Kothe EJ. Evaluating a nursing communication skills training course: the relationships between self-rated ability, satisfaction, and actual performance. Nurse Education in Practice. 2010; 10(6): 374-78.

Bakker DA, Fitch MI, Gray R, Reed E, Bennett J. Patient-health care provider communication during chemotherapy treatment: the perspective of women with breast cancer. Patient Education and Counseling. 2001; 43: 61-71.

Sheldon LK, Barrett R, Ellington L. Difficult communication in nursing. J Nurs Scholarsh. 2006; 38: 141-147.

Cossette S, Cara C, Ricard N, Pepin J. Assessing nurse patient interactions from a caring perspective: report of the development and preliminary psychometric testing of the Caring Nurse-Patient Interactions Scale. Int J Nurs Stud. 2005; 42: 673- 686.

Thorsteinsson LS. The quality of nursing care as perceived by individuals with chronic illnesses: the magical touch of nursing. J Clin Nurs. 2002; 11: 32-40.

Thomas RK, Editor. Health Communication. New York: Springer Science Business Media; 2006. P.110.

Caris-Verhallen W, Timmermans L, Van Dulmen S. Observation of nurse-patient interaction in oncology: review of assessment instruments. Patient Educ Couns. 2004; 54: 307-320.

Morehouse RE, Colvin E, Maykut P. Nephrology nurse patient relationships in the outpatient dialysis setting. Nephrol Nurs J. 2001; 28: 295-300.

Reynolds WJ, Scott B. Do nurses and other professional helpers normally display much empathy? J Adv Nurs. 2000; 31: 226-234.

Tuohy D. Student nurse-older person communication. Nurse Educ Today. 2003; 23(1): 19-26.

Rassouli M, Zamanzadeh V, Abbaszadeh A, et al. Patient-centered communication barriers: experience s of patients with cancer, their family members and nurses. The Journal of Urmia Nursing and Midwifery Faculty. 2013; 11(10): 1-12.

Anoosheh M, Zarkhah S, Faghihzadeh S, Vaismoradi M. Nurse–patient communication barriers in Iranian nursing. International Nursing Review, 2009; 56(2): 243-49.

Tanova C, Nadiri H. The role of cultural context in direct communication. Baltic Journal of Management. 2010 May; 5(2): 185-96.

Burnard P, Naiyapatana W. Culture and communication in Thai nursing: a report of an ethnographic study. International journal of nursing studies. 2004; 41(7):755-65.

Mohammadpur A, Rezaei M, Sadeghi R. Promoting survival: A grounded theory study of consequences of modern health practices in Ouramanat region of Iranian Kurdistan. Int J Qual Stud Health Well-being. 2010; 5(2): 50-69.

Hart P L, N Mareno. Cultural challenges and barriers through the voices of nurses. Journal of Clinical Nursing 2014; 23(15-16): 2223-2233.

Crawford T, Candlin S, Roger P. New perspectives on understanding cultural diversity in nurse-patient communication. Collegian. 2013; 24(1): 63-69.

Tay L H, Ang E, Hegney D. Nurses’ perceptions of the barriers in effective communication with inpatient cancer adults in Singapore. Journal of clinical nursing. 2012; 21(17‐18): 2647-2658.

Bahouth MN, Blum K, Simone S. Transitioning into hospital based practice: a guide for nurse practitioners and administrators. Springer Publishing Company; 2012.

Campinha-Bacote J. The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. Journal of Transcultural Nursing. 2002; 13(3):181-184. Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication Barriers Perceived by Nurses and Patients. Global Journal of Health Science. 2016; 8(6): 65-74.

Baraz Pordanjani S , Shariati A, Alijani H, Moien Mosavi B . Assessing barriers of nurse- patient s effective communication in educational hospitals of Ahvaz. Iranian of journal nursing research .2010; 21(1): 45-52.

Mobaraki A, Mahmodi AA. The barriers to effective communication with patients from the nurse s perspectives: a case study at Yasouj hospitals in 2010. Dena quarterly journal of Yasuj faculty of nursing and midwifery. 2010; 5(1, 2): 63-71.

Milesky JL, Baptiste DL, Shelton BK. An observational study of patient handover communications among nurses on an oncology critical care unit. Contemporary nurse. 2017; 13: 1-26.

MacLean L, Hassmiller S, Shaffer F, Rohrbaugh K, Collier T, Fairman J. Scale, causes, and implications of the primary care nursing shortage. Annual Review of Public Health. 2014; 35: 443-57.

Mohammadi I, Mozafari M, Jamshid Beigi E, kaikhavani S. Barriers to Effective Nurse- Patient Communication from Perspective of Nurses Employed in Educational Hospitals of Ilam. J Neyshabur Univ Med Sci. 2014; 2(3): 20-27.

Bailie L. An expoloration of nurse patient and emergency nursing. 2005; 13(1): 9-14.

Movahedi AF, Salsali M, Negarandeh R, Rahnavard Z.Expolorating contextual factors of the nurse – patient relationship: A qualitative study. Koomesh, J Semnan University of medical sciences. 2001; 13(1): 153-158.

Barton A. Patient safety and quality: an evidence-based handbook for nurses. AORN Journal. 2009; 1; 90(4): 601-602.

Fakhr-Movahedi A, Rahnavard Z, Salsali M, Negarandeh R. Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study. Journal of Caring Sciences. 2016; 5(4): 267-276.

Kourkouta L, Papathanasiou IV. Communication in nursing practice. Materia socio-medica. 2014; 26(1): 65-69.

Hoeve YT, Jansen G, Roodbol P. The nursing profession: public image, self‐concept, and professional identity. A discussion paper. Journal of advanced nursing. 2014; 70(2): 295-309.

Payne S, Seymour J, Ingleton C. Palliative Care Nursing: Principles And Evidence For Practice: principles and evidence for practice. McGraw-Hill Education (UK); 2008.

Pazargadi M, Fereidooni Moghadam M, Fallahi Khoshknab M, Alijani Renani H, Molazem Z. The Therapeutic Relationship in the Shadow: Nurses' Experiences of Barriers to the Nurse-Patient Relationship in the Psychiatric Ward. Issues Ment Health Nurs. 2015; 36(7): 551-7.

IssueVol 5 No 3 (2018): Summer QRcode
SectionOriginal Article(s)
barriers communication nurses patients

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Ardalan F, Bagheri-Saweh M-I, Etemadi-Sanandaji M, Nouri B, Valiee S. Barriers of nurse-patient communication from the nurses’ point of view in educational hospitals affiliated to Kurdistan University of Medical Sciences. NPT. 5(3):326-334.