Barriers to Effective Communication between Patients, Relatives, and Health Care Professionals in the Era of COVID-19 Pandemic at Public Hospitals in Limpopo Province

N. S. Raliphaswa, D. Ramathuba, T. Luhalima, S. A. Mulondo, T. Malwela, A. R. Tshililo, Julia L Mafumo, M. Maputle, M. Maluleke, Takalani E Mbedzi, H. Shilubane, N. Ndou, K. G. Netshisaulu, Mutshinyalo Lizzy Netshikweta
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Abstract

Background: Effective communication between health care professionals, admitted patients, and their families is crucial to improving the health care outcomes and patient satisfaction. Hence, barriers to effective communication cause a lot of confusion, frustration, and misunderstanding. The study aimed to identify the perceived barriers to effective communication between patients, their families, and health care professionals during the COVID-19 pandemic in public hospitals in Limpopo Province. The study was conducted in rural areas of Vhembe District, Limpopo Province. Methodology: A qualitative exploratory descriptive method was adopted to explore and describe the barriers of effective communication among patients, relatives, and health care professionals during the COVID-19 pandemic in public hospitals in the Vhembe District. Eleven (11) participants were purposively selected. Unstructured in-depth individual interviews were used to collect data and analyzed using thematic analysis following Tesch’s eight steps. Results: The study findings revealed that there was ineffective communication by health care professionals. This was discussed under three themes that emerged: poor communication of diagnosis and prognosis and treatment outcomes; lack of accurate knowledge regarding the virus morphology, variant, and treatment protocols; and the inconsistencies in the dissemination of COVID-19 protocols. Conclusions: Full communication benefits both patients, relatives, and health care professionals as knowledge and understanding are enhanced through communication. Therefore, health care professionals should provide the patients and their relatives with full information about the disease and the visitation protocols to be followed. The study contribution was to explore barriers to effective communication to the patients and relatives by the health care professionals.
林波波省公立医院COVID-19大流行时期患者、亲属和医护人员之间有效沟通的障碍
背景:卫生保健专业人员、入院患者及其家属之间的有效沟通对改善卫生保健结果和患者满意度至关重要。因此,阻碍有效沟通的障碍会造成很多困惑、挫折和误解。该研究旨在确定在林波波省公立医院COVID-19大流行期间患者、家属和卫生保健专业人员之间有效沟通的障碍。这项研究是在林波波省Vhembe区的农村地区进行的。方法:采用定性探索性描述方法,探讨和描述Vhembe区公立医院COVID-19大流行期间患者、亲属和卫生保健专业人员之间有效沟通的障碍。有目的地选择了11名参与者。使用非结构化的深度个人访谈来收集数据,并按照Tesch的八个步骤使用主题分析进行分析。结果:本研究发现医护人员存在沟通不畅的问题。在三个主题下进行了讨论:诊断、预后和治疗结果的沟通不畅;缺乏关于病毒形态、变异和治疗方案的准确知识;以及COVID-19方案传播的不一致。结论:充分的沟通对患者、家属和医护人员都有好处,因为通过沟通可以增进知识和理解。因此,卫生保健专业人员应向患者及其亲属提供有关该病的全部信息和应遵循的探视协议。本研究的贡献在于探讨医护人员与病人及家属有效沟通的障碍。
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