NURSE-PATIENT COMMUNICATION: EXPLORING BARRIERS TO EFFECTIVE THERAPEUTIC COMMUNICATION IN PUBLIC SECTOR HOSPITALS

Abstract

Effective nurse-patient communication is fundamental to providing quality healthcare, promoting patient satisfaction, and establishing therapeutic relationships. However, nurses working in public sector hospitals frequently encounter communication barriers that affect patient care, treatment adherence, and healthcare experiences. This study explores the interpersonal, organizational, and institutional barriers that hinder effective therapeutic communication between nurses and patients in public sector hospitals in Lahore, Pakistan. A qualitative exploratory descriptive research design provides the methodological framework for the investigation. The proposed study focuses on 24 registered nurses selected through purposive sampling from Mayo Hospital, Services Hospital, and Jinnah Hospital Lahore. Data collection involves semi-structured interviews, while thematic analysis provides a framework for identifying recurring patterns and experiences. The investigation focuses on excessive workload, staff shortages, language differences, inadequate communication training, patient anxiety, and organizational limitations. These factors may influence nurses' ability to understand patients' emotional needs, provide appropriate information, and establish trust. The research highlights the importance of communication skills development, culturally responsive nursing practices, improved staffing arrangements, and institutional support. Its findings are intended to contribute to strengthening patient-centered nursing practices and improving therapeutic relationships in public sector hospitals.