WOULD YOU IGNORE A PATIENT CRYING? Mental health student nurse (MHSN) communication: responding to emotion, patient and student nurse satisfaction. keywords
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BACKGROUND Good communication is important in healthcare settings. People with mental health problems may experience difficulties communicating their emotions thus nurses need to be able to recognise and help patients to express such emotions and respond effectively. Research has linked emotional responsiveness in consultations to positive health outcomes such as treatment adherence and positive satisfaction. Health care professionals in most specialties do not respond to all emotional cues and concerns. Thus it follows that it is imperative that MHSNs receive and respond to effective teaching and quality learning experiences.
AIM To cross-sectionally and longitudinally explore one aspect of communication in the mental health student nurse (MHSN) - patient consultations, namely emotional response, and the impact this has on both patient and student nurse satisfaction of the consultation
METHODS MHSNs will be videotaped during patient consultations in second year and third year placements. These videos will be coded using VR-CoDES* to assess MHSN emotional responses to patients’ cues and concerns. Measures of patient and student nurse satisfaction will be completed after each consultation. Analyses will look at relationships between emotional responses of MHSNs between year two and year three placements and their relationships with patient and MHSN satisfaction of the consultation. *The Verona Coding Definitions of Emotional Sequences (VR-CoDES) is a consensus-based system for the quantification of emotional responses and the gold standard tool for this area of research. There is an array of measures and tools used to detect and quantify emotional cues in this area making study comparisons difficult.
IMPACT There are no studies that have used this measure of emotional responses (VR-CoDES) with mental health inpatients and / or nurses / student nurses. The findings will inform the teaching and assessment at Edge Hill University and other areas pertaining to emotional communication.
THE TEAM
Paula Carroll - Dr Peter Leadbetter - Prof Jeremy Brown - Prof Sally Spencer
References PRIEBE, S., DIMIN, S., WILDGRUBE, C., JANKOVIC, J., CUSHING, A., and McCabe, R., 2011. Good communication in psychiatry - a conceptual review. European Psychiatry. 26, pp. 403-407. WEBSTER, D., 2013. Promoting therapeutic communication and patient-centered care using standardized patients. Journal of Nurse Education. 52(11), pp.645-648. DEL PICCOLO, L., MAZZI, M.A., GOSS, C., RIMONDINI, M., and ZIMMERMANN, C., 2012. How emotions emerge and are dealt with in first diagnostic consultations in psychiatry. Patient Education and Counseling. 88, pp. 29-35. ZIMMERMAN, C., DEL PICCOLO, L., and FINSET, A., 2007. Cues and concerns by patients in medical consultations: a literature review. Psychological Bulletin. 133. pp. 438-463.
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