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KMID : 0806120100400010001
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대한간호학회지
2010 Volume.40 No. 1 p.1 ~ p.13
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Evaluation of Nurses’ Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
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Son Haeng-Mi
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Abstract
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Purpose: The purpose of this study was to develop evaluation criteria for conversations about medication and to demonstrate conversational analysis with actual dialogues on medication as examples.
Methods: This study was a secondary analysis of qualitative research using conversational analysis which showed functional phases and patterns of dialogue about medication (greeting, identifying the patient, medicating, finishing). Nurse-patient conversations were videotaped and transcribed and 75 conversations were used for analysis.
Results: Not all functional phases were showed in the conversations about medication. Therefore, conversations about medication can be considered as incomplete dialogues. The evaluation-criteria were represented in terms of the structure and content of the dialogues. Structural evaluation-criteria were the same as the functional phases, as functional stage is the standard for evaluation. The criteria of evaluation for content suggested 3 domains, content, expression, and interaction with 20 items scored on a Likert-type scale of 5-points. Finally, analysis of actual conversations about medication according to the evaluative criteria were provided.
Conclusion: The results provide the basic data to develop educational programs and strategies to improve nurses’ competency in conversation about medication.
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KEYWORD
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Communication, Medication errors, Nurses, Qualitative research
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