Abstract

Good listening is fundamental to effective nursing practice, critical to a healthcare professional's competence, and essential for patient satisfaction and experience. Because nurse listening has been linked to an enhanced patient experience and improved patient outcomes, it has been considered important enough that the U.S. Centers for Medicare or Medicaid Services have solicited patient perception as part of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey (CMS, n.d.). However, little can be found in the literature that describes which nursing behaviors are perceived by patients as listening behaviors. Via face-to-face interviews, this study sought to discover, describe, and interpret the perceptions of recently hospitalized adult patients on their nurses' listening behaviors in an acute care setting, and to identify which behaviors caused them to believe listening had occurred. Perceptions of the reverse experience (the experience of not being listened to and its associated behaviors) was also elicited, as were related outcomes for both. This qualitative study used as a framework King's Theory of Goal Attainment (KTGA), a middle range theory that is grounded on the transaction processes of mutual goal setting between patient and nurse in achieving positive patient outcomes. The theory focuses on perception, stresses the need for listening, and elucidates the interaction of humans with their environment, of which the nurse is an integral part. Interpretive phenomenological analysis, or IPA, is an approach to qualitative, experiential, and psychological research, having been informed by concepts and debates from phenomenology, hermeneutics, and idiography.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 13805585; ProQuest document ID: 2198076597. The author still retains copyright.

Authors

Nancy E. Loos

Author Details

Nancy E. Loos, PhD, MSN, RN, PHN, CCRN-R, NE-BC

Sigma Membership

Gamma Tau at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Nurse Listening Behaviors, Patient Experience, Bedside Care

Advisor

Vivien Dee

Degree

PhD

Degree Grantor

Azusa Pacific University

Degree Year

2019

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-08-12

Full Text of Presentation

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