Nurse-patient communication is one of the most important care relationships that affects the treatment process. The health action process approach (HAPA) has been used to explain a number of behaviors. However, this approach has not been used to explain nurse-patient communication. Therefore, this study was conducted to investigate effective nurse-patient communication using this approach.
Materials and methods
In this cross-sectional study, 300 nurses from public hospitals in the center of Iran were enrolled in the study. A researcher-developed questionnaire was used to measure the HAPA constructs. The data were analyzed using Pearson’s correlation coefficient and one-way analysis of variance with least significant difference (LSD) post hoc tests in SPSS as well as structural equation modeling using AMOUS software.
In the motivation phase, risk perception, outcome expectancies and task self-efficacy predicted 19% of variance in intention to communicate effectively. In the volitional phase, planning and action self-efficacy predicted 22% of variance in effective communication. The scores of HAPA constructs were different depending on the levels of effective communication.
The model can serve as a reference framework to promote effective nurse-patient communication.
We really appreciate of all those who collaborated with the researchers in this study, including the directors and nurses of Shahid Sadoughi Hospital in Yazd, Seyed al-Shohada, Imam Jafar Sadegh in Meybod and Ziaei in the city of Ardakan, I would like to express my sincere appreciation. This article is part of a PhD thesis on health education and promotion at Shahid Sadoughi University of Medical Sciences in Yazd, Iran.
Author contributions: MAMS, MFA and ADA designed this study. ADA, MRF, AS and MFA collected the information. MFA analyzed the information. All authors read and approved the final manuscript.
Research funding: No funding for this manuscript.
Conflict of interest: The authors declare that they have no competing interests.
Informed consent: Participants provided written informed consent.
Ethical approval: The study protocol was approved by the Ethics Committee of the Shahid Sadoughi University of Medical Sciences, Yazd, Iran (code: IRSSU.SPH.REC.1395.76).
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