Provision of Nursing Care With or Without Therapeutic Communication Intervention

This paper acquires with provision of therapeutic communication in nursing in The Czech Republic. The survey sample was composed of two groups of 249 nurses and 169 patients from 7 hospitals in South Bohemia in Czech Republic. Results of qualitative and quantitative survey show the lack of necessary skills of therapeutic communication for provision of quality professional nursing care concerning prevention of unpleasant feelings connected with hospitalization which could lead to anger, aggression and violence. Also that patients and nurses are aware of the need for these skills which support patient's well-being (balance), coping with aggressive behavior, identification of stress and depression and the emotional support. The most frequent communication skills is to give and to obtain information from patients and the less skills provided and missed by the patients respondents is "to react more to what they say (48.0%), to have more time for them (33.1%) and to listen to them more (25.1%). On the other hand, the conditions and the environment don't offer possibilities for the nurses to spend required time with the patients. Also education of nurses, historical and cultural factors and theirs influence have to be taken into the account. Implementation of therapeutic communication as the obvious criteria of professional quality in nursing care is necessary. Discussion with educational institutions, managers, ministry authorities and insurance companies is one way for improvement of this situation.