• 기본간호학회지
• /
• 제6권1호
• /
• pp.130-140
• /
• 1999

This study was designated to investigate communication barriers of nurses in clinical settings. This study was done in 2 phases, first content analysis on descriptions of 50 nurses in three general hospitals and 40 nursing students on communication barriers for nurses in clinical settings, and second a survey to investigate the factors related to communication barriers and the relation between the nurse's characteristics and the extent of communication barriers in clinical settings from two nurses educators, 13 nursing students who experienced clinical practice and 71 nurses in 11 general hospitals. The results are as follows : 1. Through content analysis, 11 properties of communication barriers for nurses in clinical settings were identified. These were inappropriate communication style as a nurse, lack of professionalism, in appropriate control of emotions, lack of knowledge about the clincal setting, the lack of preparation about content of communication, the problem in trust relation, differences in priorities in needs, uncontroleable situation for nurses, inappropriate nurses' perception about patients, conflict with medical team and inadequate systematic support were identified and grouped in to four categories, communicator, message, feed-back and communication context. 2. The four factors in communication barriers for nurses in the clinical setting were identified and named as ambiguity in the nurses' position, lack of confidence, difference in perspectives with patients and in-adequate nurse-patient relationship. 3. There was a significant difference(F=5.31, P=0.0022, F=3.62, P=0.0316, F=2.80, P=0.067, F=9.01, P=0.0003) among the groups according to work place in rating the extent of the communication barrier in the clinical setting and in the four factors, the nurses working in the psychiatric patient unit rated the communication barrier in the clinical setting lowest among the groups. There was a significant negative correlation between the length of the nurses's carrier and the extent of communication barrier in three factors, ambiguity in the nurses' position, lack of confidence and inadequate nurse-patient relationship.

• 유통과학연구
• /
• 제3권2호
• /
• pp.121-142
• /
• 2005

We're living in a world of one global village. The globalization of business is acceleration as more companies cross national borders to find customers, materials and money. Many foreign companies and organizations are doing their business aggressively in Korea and many Korean companies and rushing into foreign market. When people communicate for business with someone from another culture, there could be difficult communication barriers to overcome resulting from differences in their values, beliefs, norms for behavior, expectations, attitudes and so on. To do successfully business, we need to understand culture background and communication style that is different from nation, race, language. Communication barriers stemming from cultural differences may vary. Largely, they can be divided into value system, non-verbal communication, and perception process. Value system can be divided into individualism versus group orientation, avoidance of uncertainty degree, power distance, and high- context culture versus low-context culture. Also non-verbal communication method and perception process may play decisive roles in communication effectiveness. Especially nonverbal communication barriers which sometimes play more important roles than the verbal parts are composed of eye contact, gesture, kinesics, proxemics, chronemics, paralanguage and language of color Cross-cultural communication affect business situation. I expect that if we understand cultural background, and then we overcome cross-cultural communication barriers. To overcome and to adapt inter-cultural business, we need to develope curriculum on the cross-cultural education which I will study in the next paper.

• 영어어문교육
• /
• 제11권3호
• /
• pp.1-23
• /
• 2005

This paper is a qualitative and quantitative study. The main purpose of the paper is to diagnose what makes English communication difficult at the Korean EFL adult level. In order to obtain data, this study employed interviews and a questionnaire. We identified thirty three factors blocking pathways to oral communication. Qualitative analysis repeatedly revealed patterns such as lack of grammar, lack of vocabulary, lack of background knowledge, and peer pressure, but quantitative analysis yielded somewhat different results: lack of colloquial expressions, lack of vocabulary, lack of various topics, problems in the educational system, difficulty in using existing knowledge, and lack of grammar. Findings which were common to both qualitative and quantitative analyses suggest that lack of linguistic knowledge and lack of background knowledge are major barriers learners encounter in communication. On the basis of the results, suggestions are made for overcoming these barriers.

• 성인간호학회지
• /
• 제22권2호
• /
• pp.113-120
• /
• 2010

Purpose: The purpose of this study is to examine the factors influencing the barriers faced by Korean nurses in addressing the patients' sexual health. Methods: The subjects in this study were nurses working at hospitals in Seoul and Jeonju. The data for this study were collected between November 2008 and December 2008. The subjects were assured of anonymity and confidentiality. Results: The barriers to addressing the patients' sexual health were moderate in the subjects. The nurses had moderate sexual knowledge and communication skills. In a stepwise regression analysis, the areas of work, communication skills, participation in sexual health training, and experience in Obstetrics and Gynecology accounted for 18.3% of the variance of the barrier for addressing the patients' sexual health. Conclusion: These findings emphasize the need for the development of a patient-centered sexual health-related curriculum for nurses, which has been briefly discussed in Korea. An educational program that improves the nurses' communication skills will be effective in reducing the barriers to addressing the patients' sexual health and will help the nurses become sexual health specialists.

• Journal of Hospice and Palliative Care
• /
• 제23권4호
• /
• pp.252-255
• /
• 2020

This article aims to discuss the barriers hindering cancer patients from receiving early palliative care, which has been demonstrated to be more effective in improving quality of life and controlling symptoms. Specifically, there are barriers in four aspects of delivering early palliative care. First, the difficulty of starting discussions about early palliative care and the lack of adequate appointment time can impede communication between oncologists and patients and their family members. Second, determining the timing of referral and deciding upon and applying a standard for referral can be barriers in the process of referral from oncology to palliative care. Third, palliative care patients and their family members can face difficulties regarding in what format and by whom the services will be delivered. Fourth, biases, misinformation, and inaccurate beliefs can be barriers in the process of patients and their family members accepting care. In order to facilitate early palliative care, research and policy regarding these barriers are necessary, along with efforts made by medical staff.

• BMB Reports
• /
• 제41권5호
• /
• pp.345-352
• /
• 2008

The cerebral microvessels possess barrier characteristics which are tightly sealed excluding many toxic substances and protecting neural tissues. The specialized blood-neural barriers as well as the cerebral microvascular barrier are recognized in the retina, inner ear, spinal cord, and cerebrospinal fluid. Microvascular endothelial cells in the brain closely interact with other components such as astrocytes, pericytes, perivascular microglia and neurons to form functional 'neurovascular unit'. Communication between endothelial cells and other surrounding cells enhances the barrier functions, consequently resulting in maintenance and elaboration of proper brain homeostasis. Furthermore, the disruption of the neurovascular unit is closely involved in cerebrovascular disorders. In this review, we focus on the location and function of these various blood-neural barriers, and the importance of the cell-to-cell communication for development and maintenance of the barrier integrity at the neurovascular unit. We also demonstrate the close relation between the alteration of the blood-neural barriers and cerebrovascular disorders.

• 문화기술의 융합
• /
• 제5권2호
• /
• pp.239-246
• /
• 2019

본 연구는 병원간호사의 셀프리더십, 의사소통 장애, 간호업무성과의 정도 및 그 관계를 파악하고, 간호업무성과에 영향을 미치는 요인을 규명하기 위해 시도되었다. 연구대상자는 B시에 소재한 종합병원에서 근무하는 간호사 194명으로, 구조화된 설문지를 이용해 자료를 수집하였다. 자료 분석은 SPSS 18.0을 이용하여 빈도분석, t-test, ANOVA, Pearson's correlation coefficients, 단계적 다중회귀분석을 이용하였다. 연구결과, 대상자의 간호업무성과 정도는 셀프리더십(r=.59, p=<.001)과 의사소통 장애(r=.35, p=<.001)와는 정적 상관관계가 있는 것으로 나타났다. 연구대상자의 간호업무성과에 영향을 미치는 요인으로는 셀프리더십(${\beta}=.50$, p<.001), 직위(${\beta}=.15$, p=.011), 의사소통 장애(${\beta}=.16$, p=.014), 순으로 나타났다. 그리고 이들 변수의 간호업무성과에 대한 설명력은 37%이었다(F=37.95, p<.001).

• 중환자간호학회지
• /
• 제17권1호
• /
• pp.44-56
• /
• 2024

Purpose : This study sought to explore intensive care unit (ICU) nurses' perceptions regarding the disclosure of patient safety incidents (DPSI) and identify the relationship between the perception of DPSI and communication barriers. Methods : This study used a descriptive research design. A total of 110 ICU nurses from a tertiary hospital were surveyed online between September 14 and October 5, 2022. The mean DPSI score ranged between 1.0 and 4.0, with a higher score indicating a higher perception of DPSI. Results : The mean score for ICU nurses' perceptions of DPSI was 2.92 (SD=0.37). Among the characteristics of ICU nurses, differences were observed in perceptions of DPSI according to gender, age, total work experience, and ICU work experience. Communication barriers among ICU nurses were negatively correlated with negative results as a sub-factor of perceptions of DPSI. Ambiguity in the nurse's position, lack of confidence, differences in perspectives with patients, and inadequate nurse-patient relationships as sub-factors of communication barriers exhibited a negative correlation with negative results as a sub-factor of perceptions of DPSI. Conclusions : ICU nurses' perceptions of DPSI and the sub-factors related to communication barriers are negatively related to DPSI. To improve ICU nurses' perceptions, open and non-punitive circumstances, staff education, practical guidelines, and support systems are required.

• 한국콘텐츠학회논문지
• /
• 제17권2호
• /
• pp.467-475
• /
• 2017

본 연구의 목적은 환자가 경험하는 의사소통 장애가 환자 만족도와 장기적 관계지향성에 미치는 영향을 알아보는데 있다. 치과 병 의원을 방문한 환자 214명을 대상으로 설문조사를 실시하였다. 분석은 PASW Statistics 18.0과 IBM SPSS AMOS 21을 이용하였다. 의사소통 장애 요인분석결과 '일방적소통', '신뢰배려부족', '환자영역', '환경영역'의 요인으로 나뉘었다. 분석 결과, 환자가 느끼는 의사소통 장애요인은 환자 만족도와 장기적 관계지향성에 영향을 미치며, 환자 만족도는 장기적 관계지향성에 영향을 미치는 것으로 나타났다. 이 같은 결과를 바탕으로 치과종사자는 환자와 신뢰를 구축할 수 있는 의사소통 능력을 지니는 동시에 환자 만족도를 높여 계속적인 관계를 유지할 수 있도록 해야 한다.

• 대한간호학회지
• /
• 제30권5호
• /
• pp.1347-1356
• /
• 2000

The present study is a descriptive study to investigate nurses’perception of barriers to research utilization. A total of 274 participants in this study consisted of registered nurses working in a large, urban and academic medical center. A questionnaire packet containing the Barriers Scale, and a demographic profile was distributed to nurses and they were asked to return the packet to a return-box in the Nursing Office after completion. The greatest barrier was insufficient time on the job to implement new ideas. Next was ‘implications for practice are not made clear'. Also the item of the English language in research articles was considered to be the ninth barrier. The greatest mean score of each of the sub-scales was the communication factor. The were followed by the organization, research, and nurse factors. Compared with the means from other studies, the mean scores of the communication and research factors were higher in this study. Nurses who had not taken a class of research methods found the communication and research factors as a higher barrier than those who did. Also, nurses who did not participate in a conference last year perceived the research factor as higher than those who did. It is recommended that English and research classes should be strengthened in educational nursing programs. The researchers should also describe the section of implication for practice as more detail and clearer for the understanding of nurses; Lastly journals in a libraries or online journal systems should be easily accessible.