International liber cogito multidisciplinary science congress

PATIENT, THE RELATIVES OF THE PATIENT, HEALTH PERSONNEL COMMUNICATION

Handan ERTAŞ

Assoc.Prof. Selçuk University, Faculty of Health Sciences, Department of Health Management,[e-mail]

Fatma ÇİFTÇİ KIRAÇ

Research Assist., Selçuk University, Faculty of Health Sciences, Department of Health Management, [e-mail]

Emel FİLİZ

Assist.Prof., Selçuk University, Faculty of Health Sciences, Department of Health Management,[e-mail]

Purpose of the Study: The purpose of this research; to determine the factors affecting communication between patient-patient relatives and health personnel. Materials and Methods: Simple random sampling method and quantitative research design were used in the study. The questionnaire used in the research was created by Kurt (2015) and the Cronbach's Alpha value of the questionnaire used was found to be 0.864. The universe of the research was the patients who applied to a university hospital in Konya. The sample size is set to 120. Findings: %79.2 of the patients participating in the study were generally confident to physicians, %82.5 it may be the effect of the patient in the negativity between the physicians and the patients, %72.5 stated that their communication with the patient was adversely affected due to the intense work of the physicians and %42.5 stated that the current legal regulations (prescription, referral procedures, etc.) had a negative impact on the patient physician relationship. Conclusion: According to the results of the research found that, % 66.7 of the participants that patient find the communication with physicians the generally good, %61.7 of the health personnel group they communicate with the most, and %35.8 of the health personnel who communicate with the most difficult people are nurses.

Key Words:

Patient, The Relatives of the Patient, Health Personnel, Communication

Communication can be defined as the process of transmitting information and common understanding from one person to another (Lunenburg, 2010:1). The main objective of communication is mutual agreement. “The relationship between health personnel, patients relatives and patients is affected by many factors. Sometimes the nature of the relationship is characterized by the characteristics of the patient, sometimes the characteristics of the healthcare personnel. It is important that patients, patients relatives and health personnel establish health communication and understand each other mutually, in order to maintain quality of health care”(Başol,2018:1). The purpose of this research; to determine the factors affecting communication between patient-patient relatives and health personnel.

Material Method

Easy sampling method and quantitative research design were used in the study. The questionnaire used in the research was created by Kurt (2015) and the Cronbach's Alpha value of the questionnaire used was found to be 0.864. The universe of the research was the patients who applied to a university hospital in Konya.The sample size is set to 120.

Fındıngs

Table 1. Demographic Data of Patients Who Involved in the Survey

Gender	n	%	Job	n	%
Male	49	40,8	Civil Servant	15	12,5
Female	71	59,2	Worker	13	10,8
Education Status	n	%	Private Sector Employee	16	13,4
Primary School	22	18,3	Unemployed	34	28,3
High School	39	32,5	Other	42	35,0
Undergraduate	42	35,0	Income Status	n	%
Master / Phd	17	14,2	My income least of my expenses	41	34,2
Social Assurance	n	%	My income and expenses are almost equal	64	53,3
No	109	90,8	My income more than my expenses	15	12,5
Yes	11	9,2
Total	120	100	Total	120

Patients who participating in the survey, 59.2% are women, 35% are undergraduate and 14.2% are masters or doctoral graduates. 90.8% of the participants have social security, 28.3 % are unemployed and 10.8 % are occupations. 53.3 % of the patients income and expenses are almost equal, and 12.5 % is more than the income expenditures.

Table 2. Demographic Data of Patients Who Involved in the Survey

Which Healthcare Personnel Group you communicate with the best?	n	%
Physician	74	61,7
Nurse	34	28,3
Other	12	10,0
The Most Worst Contacted Health Personnel Group	n	%
Physician	42	35,0
Nurse	43	35,8
Other	35	29,2
Which Health Personnel You Receive Information When You Come to the Hospital	n	%
Physician	67	55,8
Nurse	14	11,7
Physician/Nurse	29	24,2
Other	10	8,3
Total	120	100

According to Table 2, 61.7% of the patients stated that, the health personnel that communicate best is the physician and 35.8% stated that the health personnel who communicate with the most difficult are the nurses. 55.8% of the patients stated that they got information from the physician when they came to the hospital.

Table 3. Communication with Physicians of Patients Participating in the Study

	Icompletely disagree		I disagree		I am hesitant		I agree		Icompletely agree
	N	%	N	%	N	%	N	%	N	%
1. Generally I trust the physicians	5	4,2	9	7,5	11	9,2	68	56,7	27	22,5
2. Physicians are treating patients overall good.	4	3,3	10	8,3	8	6,7	80	66,7	18	15,0
3. I had a negative reminder with a physician before.	16	13,3	40	33,3	15	12,5	36	30,0	13	10,8
4. My physician informs me about my condition in the best way.	7	5,8	18	15,0	12	10,0	61	50,8	22	1,3
5. The adversity between physicians and patients can also affect the patient.	3	2,5	6	5,0	12	10,0	71	59,2	28	23,3
6. The intensive work of doctors negatively affects the communication with the patient.	4	3,3	16	13,3	13	10,8	50	41,7	37	30,8
7. Physicians do not make necessary disclosures to the patient, which negatively affects their communication with the patient.	4	3,3	9	7,5	12	10,0	65	54,2	30	25,0
8. I find the physicians communication with the patient generally good	4	3,3	9	7,5	27	22,5	63	52,5	17	14,2
9. Current legal regulations (prescription, referral procedures, etc.) negatively affect patient physician relationship.	11	9,2	26	21,7	32	26,7	38	31,7	13	10,8

According to Table 3, 79.2% of the patients participating in the study were generally confident to the physicians, 81.7% of them stated that physicians are treating patients overall good, 52.1% of them stated that the physician in charge of the service informed him / her about the situation in the best way possible. 52.1% of the patients had a negative memorial with a physician, 72.5% of the stated that intensive work of doctors negatively affects the communication with the patient, 66.7% stated that physicians communication with the patient generally good.42.5% of the participants stated that the current legal regulations (prescription, referral procedures, etc.) had a negative impact on the patient physician relationship.

Table 4. Behavior Patterns of Physicians to Patients

	Irrelevant		Bad		Middle		Good		Very Good
	N	%	N	%	N	%	N	%	N	%
1. Allow enough time for the problem of the patient during the conversation	4	3,3	16	13,3	40	33,3	50	41,7	10	8,3
2. The way the physicians meet (Interest-friendly)	6	5,0	4	3,3	47	39,2	47	39,2	16	13,3
3. Make your questions easier to tell	2	1,7	9	7,5	36	30,0	55	45,8	18	15,0
4. Adding you to decisions about your medical care	5	4,2	12	10,0	38	31,7	51	42,5	13	10,8
5. Meaning you	1	0,8	9	7,5	42	35,0	51	42,5	16	13,3
6. Help comprehend the importance of adapting to the recommendations	3	2,5	14	11,7	32	26,7	52	43,3	19	15,8

According to Table 4, 41.7% of the patients said that physicians had to spend enough time on the problem of the patient during the interviews, 39,2% of the way the physicians meet (Interest-friendly) at a good level, 42,5% stated that physicians understand patients are better.

Discussion and Conclusion

According to the results of the research, 61.7% of the patients had the best communication with physicians and 35.8% had the most difficult communication with nurses.In parallel with these results, research conducted by Çelik (2008) and Kurt (2015) found that, the health personnel that patients communicate best is the physician and nurse and the personnel they communicate with the most difficult is the physician and nurse too. 42.5% of the patients stated that existing legal regulations (prescription, referral procedures, etc.) had a negative impact on patient physician relationship. According to a study conducted by Çelik (2008), it is found that the legal arrangements (prescription, dispatch, etc.) affected the communication between patient and physicians by 68.9%. 39.2% of the participants stated that the way the physicians meet (Interest-friendly) at a good level. According to Özensel and Koçak (2004), physicians want to show interest in their patients if they have time (76.1%). According to Çelik (2008) study, 58.3% of the patients stated that the healthcare personnel showed the necessary care for their patients and 62.9% of the patients stated that health care personnel behaved patients friendly. According to the results of the research, 66.7% of the participants stated that physicians communication with the patient generally good. According to the research by Kurt (2015), 42.9% of the patients stated that physicians good communication with the patient.

References

Başol, Emel (2018). Hasta ile Sağlık Çalışanları (Doktor ve Hemşire) Arasındaki İletişim Sorunları ve Çözüm Önerileri. International Anatolia Academic Online Journal / Sosyal Bilimler Dergisi, 4 (1), 76-93. Retrieved from http://dergipark.gov.tr/iaaoj/issue/36744/418662.

Çelik, Fatih (2008). Sağlık Kurumlarında İletişim; Hasta ve Sağlık Personeli İletişimi Üzerine Bir Araştırma, Yüksek Lisans Tezi, Selçuk Üniversitesi, Sosyal Bilimler Enstitüsü,Konya

Kurt, Hilal (2015). Hasta- Hasta Yakını Sağlık Personeli İletişimi(Elbistan Devlet Hastanesi Örneği), Yüksek Lisans Tezi, Beykent Üniversitesi, Sosyal Bilimler Enstitüsü,İstanbul.

Lunenburg, Fred C.(2010). Communication: The Process, Barriers, And Improving Effectiveness, Schooling,1(1).

Özensel, Ertan ve Koçak, Abdullah (2004), Hekimler ve Hekimlik, Konya: Çizgi Kitabevi.

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