PCM 0006-11- PURPOSIVE COMMUNICATION

"THE IMPACT OF BUILDING NURSE-PATIENT RELATIONSHIP IN A HOSPITAL SETTING

AMIDST OF COVID 19 PANDEMIC"

GROUP MEMBERS:
Bonifacio, Andrea Rae R.
De Jesus, Camille U.
Dela Vega, Jane Claire M.
Estanislao, Renato Jr. C.
Romero, Christiana Jade T.
Tañedo, Iny Shane O.
Tomimbang, Norvym B.
Sipaco, Von Trevor M.

June 2022
 I. Context and Rationale

The global spread of Coronavirus Disease 2019 (COVID-19) began on

December 31, 2019, and became a pandemic on March 11, 2020. The
emergency had an unavoidable impact on the ability of general nursing care
to meet a patient's needs. This could alter the concept of personalized nursing
care, which is based on the care-giving environment. Nurses are encouraged to
treat patients holistically. It is the job of a nurse to provide emotional support to
patients and their families.

The nurse-patient relationship is beneficial not only for the patient and his
or her family, but also for the nurse. One of the most crucial components of
providing high-quality care is the relationship that develops between a nurse
and a patient. This new norm has a variety of effects, one of which is on the
mental health of the patient, as well as those of the patient's family and other
significant individuals.

Both patients and medical providers have a restricted amount of time to

communicate with their loved ones or important others. It is the job of a nurse to
provide emotional support to patients and their families.

COVID-19 provides both direct and indirect problems and dangers to

patients and residents, as well as members of their families and the medical
professionals who care for them. Just as you switched to working from home,
with all of the stresses and inconveniences that come with it, care providers are
at the office working quickly, which will cause problems that will need to be
solved in the future.

This study's objective is to discover more the impact of building

nurse-patient relationships in a hospital setting.

II. Background of the Study

REVIEW RELATED OF LITERATURE

This part of the research paper will discuss the review of related literature
and studies.

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A. Building rapport in the COVID Era

Building relationships with the covid patients is such a big help as it

would help decrease their emotional stress somehow. This era that we
have been going through is really tough and building rapport with our
patients is one of the things that we can do to make them feel at least
better.

According to Houchens, N. MD, Tipirneni, R. MD, MSc of J meds

Hospital (2020), The communication process with patients and their
families in the perioperative setting, especially during critical moments
and critical illness, has changed significantly over the past few months,
moving wherever possible to virtual platforms. Online or telephone
appointments have become an expected aspect of care During
extended critical illness, this virtual setting is unsatisfactory for both patient
and doctor. Building rapport with patients and their family members is
crucial because it helps clinicians connect, and it improves patient care.

B. Nurturing our relationships during the CoronaVirus Pandemic

As we experience Covid19 these days there are really a lot of

factors that we must consider while we intend to build rapport with our
patient. Social distancing is implemented that is why we must find ways on
how we can possibly talk to patients as it is one thing that the nurses
should do.

Mental Health Org (2021) stated that, Stay in touch however you
can, whether that’s through phone calls, emails, text messages or letters,
for example. Hearing a familiar voice or reading a message from people
we care about helps us feel more connected. This is important for our
mental health, especially for people living alone who may be feeling
lonely, isolated and afraid. We don’t all feel confident or comfortable with
video technologies like Skype, Zoom and WhatsApp video but seeing a
friendly face can help us feel more connected. This might be a time when
younger people can help older relatives, friends and neighbors to use the
internet and enjoy some of the ways it can let us stay connected with
each other and the wider world.

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 C. Building Rapport and Earning the Surgical Patient's Trust in the Era of Social
Distancing: Teaching Patient-Centered Communication During Video
Conference Encounters to Medical Students

In hospitals we would encounter different kinds of patients and one

of them is the surgical patients and all of them tend to be burdened with
their situation. As the Covid19 continues to arise and won’t stop, health
care workers must follow protocols while giving the rapport the patient
must feel.

Effective physician communication improves care, and many

medical schools and residency programs have adopted communication
focused curricula. The COVID-19 pandemic has shifted the doctor-patient
communication paradigm with the rapid adoption of video-based
medical appointments by the majority of the medical community. The
pandemic has also necessitated a sweeping move to online learning,
including teaching and facilitating the practice of communication skills
remotely. We aimed to identify effective techniques for surgeons to build
relationships during a video consult, and to design and pilot a class that
increased student skill in communicating during a video consult
(Newcomb et al, 2021).

III. Research Questions

This study will make use of primary sources taken from interviews of the
first-hand persons through google forms who truly experienced building a
nurse-patient relationship amidst covid 19. In gathering data based on the
different existing study materials or sources, we will collect and categorize them
based on their themes, age and years in service and whether they are
considered as primary sources.

On the other hand, the interview will include 10 participants, and will be
conducted through google form format. After the data gathering process, the
data collected will now be analyzed and will be further elaborated on the
paper.

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Questions:
1. What changes did you notice in building nurse-patient relationships
before and now that we are in a pandemic?
2. How can establishing a harmonious relationship or rapport with the
patient help in providing effective nursing care?

IV. Analysis
This chapter covers the findings and discussion of the data about
“The Impact of Building Nurse-Patient Relationship in a Hospital Setting
Amidst of Covid 19 Pandemic”. The researchers used a qualitative and
descriptive design in analyzing the research data.

A. Demographic Profile of the Respondents

Table 1
Distribution of the Respondents in terms of Age

Age Frequency Percentage

20 1 10%

24 1 10%

25 2 20%

31 4 40%

33 1 10%

38 1 10%

Total: 10 100%

Table 1 represents the accurate tabulation of the respondents in terms of

their ages. The highest percentage was the age of 31 with 40% (4 respondents),
while the lowest percentage were the age of 20, 24, 33, and 38 which were only
1% (1 respondent each) of the total population.

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 Table 2
Distribution of the Respondents in terms of Gender

Gender Frequency Percentage

Male 1 10%

Female 9 90%

Total 10 100%

Table 2 revealed that there is one (1) male which is 10% of the total
number of the respondents, and nine (9) females which is equal to 90%.

Table 3
Distribution of the Respondents in terms of their Work Service

Years Frequency Percentage

3 1 10%

4 2 20%

5 1 10%

7 4 40%

11 1 10%

15 1 10%

Total: 10 100%

Table 3 represents the distribution of respondents in terms of the years they

have spent on their work service. The table shows that the majority of the
respondents have serviced for 7 years which has a total of 40%, next to it is for
about 4 years which is 20%, and the remaining years consists of 3, 5, and 11 has
10% each, with a total of 10 respondents (100%).

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 B. Research Questions
Question No. 1
What changes did you notice in building nurse-patient relationships before and
now that we are in a pandemic?

The answer that topped in the first question is the utilization of safety
equipment such as, facemasks, PPes, and face shields. Although PPE is required
for safety, it eliminates the openness of verbal or physical communication that
many patients rely on for comfort.

According to David Holme and Nicola Stott (2020), face-to-face

communication at the bedside is now interfered by Personal Protective
Equipment: a mask, gown and gloves. This prevents the patient from seeing the
face of their medical care provider and can often create a barrier to effective
communication. Although PPE is necessary to provide safety, it takes away the
intimacy of verbal communication or physical contact that many patients rely
on for comfort.

Question No. 2
How can establishing a harmonious relationship or rapport with the patient help
in providing effective nursing care?

To sum up, the respondents answered that the patients become more
confident and cooperative to the nurse.

As mentioned by Melissa Mills (2020), good rapport creates a close and

harmonious relationship with patients. It allows you to understand your patient's
sensibilities and communicate well with them. The significance of rapport can’t
be stressed enough in nursing. It connects you to your patients and can
enhance patient care.

V. Conclusion

In the prior portion of the paper, the researchers had gathered all
the information needed for the completion of the term paper. In this
segment of the paper, the researchers will now utilize the accumulated

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 data for the culmination of the research. Based on the information and
applied methods, the group has concluded the following:

1) Among the ten participants, most of them are in the age of

31, which garnered 40% of the votes.

2) Among the ten participants, 90% of them are female,

meanwhile 10% of the votes belong to the male population (1
male participant).

3) Most of the respondents served for 7 years in the practice,

and this garnered 40% of the votes.

4) Personal Protective Equipment (PPE) serves as hindrance in

the Nurse- Patient relationship.

5) Rapport is crucial, since it gains cooperation, and reduces

the likelihood of anxiety, which leads to a harmonious
relationship.

VI. Recommendation
After a thorough analysis of data, the following recommendations are
hereby made:
1. This research study suggests that future researchers acquire more data in
order for the results to be more accurate. Due to the tight schedule of the
nurses, which we are up to this date we are still in the middle of a
pandemic, they weren’t able to answer the researchers given forms.
2. This research study suggests that to widen the scope of the respondents
and that would also include the point of view of a patient. Considering
the experiences of a patient that were admitted during the peak of the
pandemic would widen our knowledge to the relationship of a nurse and
patient.

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VII. References

Coronavirus Disease (COVID-19) Situation Reports. (n.d.). Coronavirus Disease

(COVID-19) Situation Reports; www.who.int. Retrieved June 6, 2022, from
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situati
on-reports

High proportion of healthcare workers with COVID-19 in Italy is a stark warning to

the world: protecting nurses and their colleagues must be the number one
priority | ICN - International Council of Nurses. (n.d.). ICN - International
Council of Nurses; www.icn.ch. Retrieved June 7, 2022, from
https://www.icn.ch/news/high-proportion-healthcare-workers-covid-19-ita
ly-stark-warning-world-protecting-nurses-and

Holme, D. & Stott, N. (2020, April 17) . Covid 19: Changing the face of the
nurse-patient relationship. Retrieved June 10, 2022 from
https://www.exigent-group.com/blog/covid-19-changing-the-nurse-patie
nt-relationship/

Home. (2022, June 7). Home; www.who.int.

https://www.who.int/europe/home?v=welcome

Juliet L. Kroll, Ruben G. Martinez, Ilana Seager van Dyk (2020) Covid 19 tips
building Rapport rapports to adults via telehealth. Retrieved June 08, 2022
from
https://www.researchgate.net/publication/340414789_COVID-19_Tips_Buildi
ng_Rapport_with_Adults_via_Telehealth
Mental Health org. (2021) Nurturing our relationships during the Corona Virus
Pandemic. Retrieved June 08, 2022 from
https://www.mentalhealth.org.uk/coronavirus/nurturing-our-relationships-d
uring-coronavirus-pandemic

Mills, M. (2020, July 30). How to build rapport with patients. Retrieved June 10,
2022 from
https://www.nursechoice.com/blog/profiles-and-features/how-to-build-ra
pport-with-patients-7-effective-tips-for-rns/#:~:text=Good%20rapport%20cr
eates%20a%20close,and%20can%20improve%20patient%20care.

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Newcomb et al, (2021) Building Rapport and Earning the Surgical Patient's Trust
in the Era of Social Distancing: Teaching Patient-Centered
Communication During Video Conference Encounters to Medical
Students. Retrieved June 08, 2022 from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373024/

Skillsyouneed.com 2011–2022. (n.d.-b). Building Rapport - Effective

Communication | SkillsYouNeed. SkillsYouNeed. Retrieved June 8, 2022,
from
https://www.skillsyouneed.com/ips/rapport.html#:%7E:text=Rapport%20is%
20a%20connection%20or,that%20connection%20with%20someone%20else

Syed Sohaib Nasim, MD; Steven Minear, MD (2021) Building Rapport in the
COVID Era. Retrieved June 08,2022 from
https://pubs.asahq.org/monitor/article/85/1/33/114727/Building-Rapport-i
n-the-COVID-Era

WHO Director-General’s opening remarks at the Mission briefing on COVID-19 -

12 March 2020. (2020, March 12). WHO Director-General’s Opening
Remarks at the Mission Briefing on COVID-19 - 12 March 2020;
www.who.int.
https://www.who.int/director-general/speeches/detail/who-director-gene
ral-s-opening-remarks-at-the-mission-briefing-on-covid-19---12-march-2020