[Evaluation of nurses' competency in nurse-patient communication about medications: conversational analysis approach].
OBJECTIVE
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.


CONCLUSIONS
The results provide the basic data to develop educational programs and strategies to improve nurses' competency in conversation about medication.
Son
Haeng Mi
HM
Department of Nursing, University of Ulsan, Nam-gu, Ulsan, Korea. sonhm@mail.ulsan.ac.kr
D002983:Clinical Competence; D003142:Communication; D006801:Humans; D055118:Medication Adherence; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000523:psychology*; D004364:Pharmaceutical Preparations; D014743:Videotape Recording
D004364:Pharmaceutical Preparations