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Southern Online Journal of Nursing Research(南部在线护理研究杂志》上)
Southern Online Journal of Nursing Research
Issue 3, Vol. 3
September 2002
An Exploratory Study of Supportive Communication
During Shift Report
Mary M. Hays, DSN, RN
Assistant Professor, College of Nursing, The University of Alabama in Huntsville
ABSTRACT
Communication is repeatedly cited as the critical core for all aspects of
nursing. Little research has been done on the actual communication behaviors of
nurses in the clinical setting and, in particular, the interactions among the nurses
operating as leader-follower dyads. In this study, 16 nurse leader-follower dyads
were videotaped during shift report in a hospital setting to record their verbal
and nonverbal behaviors and patterns. Hersey and Blanchard’s situational
leadership was the guiding framework for this repeated-measures single-case
study. The Target Behavior Instrument, an investigator-developed research tool
based on Hersey and Keilty’s Interaction Influence Analysis, was used to identify
the individual and dyad communication behaviors. In this exploratory analysis,
few supporting behaviors were observed; none were observed among the leaders.
Recommendations include the need for a communication process that promotes
clarity of purpose, unit socialization, and outcomes management.
The findings suggest that the shift report has the potential to affect staff
retention and quality of patient care. Measurement of staff interaction behaviors
may predict the effect of the dyads on each other, on group dynamics, and on
outcomes of desired care.
SOJNR, Issue 3, Vol.3, p. 2
Key Words: Communication, group dynamics, leadership, leader-follower
dyads, shift-report, behaviors
In
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