ArticleBMC nursing2025
The barriers to therapeutic communication in psychiatric wards: a focused ethnography.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Auditory Hallucination Simulation and Mental Health Stigma Among Nursing Students: How Clinical Practicum Experience Differentiates the Predictive Contributions of Knowledge, Attitudes, and Behaviours.International journal of mental health nursing · 2026Observational
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4 authors.
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Abstract
BACKGROUND AND
aimIdentifying the influential factors affecting effective nurse-patient communication in psychiatric wards may facilitate the development of strategies to enhance communication. The aim of this study was to explore the barriers to therapeutic communication (TC) in psychiatric wards.
methodsThis qualitative study was conducted in 2022 using Spradley's focused ethnography. Participants included 32 nurses, auxiliary nurses, psychologists, physicians, nursing managers, patients, and patient companions purposively selected from the emergency wards of a psychiatric hospital in Iran. Data were collected through observations, interviews, field notes, and fieldwork journals and were analyzed using Spradley's method.
findingsFour main cultural themes emerged from the 47 codes on TC barriers in psychiatric wards: different worlds of care, inappropriate portrayals of clinical interactions with patients, stressful care environments, and sociocultural norms. These cultural themes encompassed twelve cultural components.
conclusionA broad range of nurse-related, patient-related, environmental, and sociocultural factors may act as barriers to TC in psychiatric wards. Study findings can be utilized to develop strategies for managing the barriers to TC in psychiatric wards.
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