EFFORTS TO IMPROVE NURSING COMMUNICATION: A NARRATIVE REVIEW

Background: Communication is an interaction process that is highly essential in building nurse-patient interpersonal relationships. Good nurse communication-patient will have a good impact on the treatment plan and recovery for the patient. Improper communication can lead to mistaken nursing care provision and even lead to injury and death. Objective: This literature review aimed to know the efforts to improve nurse-patient communication. Design: This literature review used narrative review design. Data Sources: The databases used in narrative review are Scopus, Science Direct, ProQuest, and PubMed. The journal is limited to the publication year 2016 - 2020 with the area of ​​the nursing medicine journal, full text Portable Document Format (PDF) journal. This literature review uses 4 articles appropriate the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus. Review Methods: The review method for this literature review using a narrative method by classifying the similar extracted data according to the research findings. Results: The databases used in the literature review are Science Direct, Scopus, PubMed and ProQuest. The journal is limited to the 2016 – 2020 publication year with the area of ​​nursing medicine journals, improving nurse communication, full text open access pdf journals, research designs. This literature review was identified with the number of science direct: 45, Scopus: 242, PubMed: 36 and ProQuest: 492, then screened and found 4 articles that matched the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus. Conclusion: Nurse communication training has a positive impact where nurses have skills in developing knowledge and capability in improving nurse communication performance. Good communication nurse-patient can increase the patient's cure rate.

Exploring the relationship between nurses’ communication satisfaction and patient safety culture

Background: Patient safety culture is associated with the values, attitudes, competencies and behaviors that support the safe conduct of individual or group activities in hospitals and other health organizations. Safety culture is influenced by various factors, one of which is communication, which plays a significant role in health services. Therefore, this study aims to analyze the relationship between nurse communication satisfaction and the quality of patient safety culture in hospitals. Design and Methods: This is a cross-sectional design with the proportional random sampling method used to data from 51 nurses, which was analyzed using the Spearman rank test. The majority of the nurses were female, between 20 – 30 years old, with 1-5 years working experience.Results: The results showed a significant relationship between nurse communication satisfaction and the quality of patient safety culture. Furthermore, the higher the nurses' level of communication satisfaction, the better the applied quality of patient safety culture (r = 0.338).ConclusionS: Nurse communication satisfaction affects the provision of effective health care, with the ability to create good cooperative relationships and foster trust between professions in order to improve the quality of service delivery and patient safety.

179. Integrating Antibiotic Stewardship Core Elements into Nurse Residency Programs

Background Background: In the 2019 Centers for Disease Control and Prevention Core Elements of Hospital Antibiotic Stewardship (AS) Programs, 3 elements outline opportunities for nurse engagement: • Leadership Commitment, securing resources to support AS endeavors, including quality/safety work • Action, identifying new categories of nursing-based interventions • Education, engaging nurses in patient education Nurse Residency Programs (NRPs) enculturate newly licensed nurses (NLNs) into the profession and provide a platform for integrating NLNs into organizational initiatives, including AS. Methods Methods: To determine if NRPs were an avenue to integrate core elements, nursing leaders committed to using the NRP to engage NLNs in development of unit-based AS projects. Tenured nurses mentored NLNs on evidence-based quality improvement projects with an AS nurse serving as content expert. Over 2 years, 4 cohorts, 2 in Pediatric Intensive Care Unit (PICU) and 2 in Cardiology, applied a Lean problem-solving approach (A3) to identify and implement nurse-led AS projects. Results Results: Four A3s were completed; data collection varied by group (Figure 1). Year 1, PICU developed a handoff tool, and improved frequency of nurse to nurse communication regarding the indication, duration, and day of therapy for prescribed antibiotics. Year 2, PICU developed a tool to increase parent education encounters; frequency of interactions did not change. Year 1, Cardiology implemented educational initiatives; increased awareness of nurses’ role in AS (Figure 2). Year 2, Cardiology piloted a handoff tool to promote AS; nurse communication increased. In total, 4 NLN projects were presented to leaders and clinical staff exposing 18 NLNs, 6 tenured nurses, and over 400 clinical nurses to AS. Each cohort expressed challenges integrating AS into established processes during debriefing. Figure 1: Cohort Overview Figure 2: Example of Nursing-Driven A3 Conclusion Conclusions: Commitment by unit-leaders is crucial to mitigate challenges during the development of nurse-driven projects. NRPs serve as a central location to reach a large subset of nurses and shows potential for facilitating nursing-based AS interventions. Elements were integrated, through challenges remain with maintaining a standard data collection process and analysis within and across NLN cohorts. Disclosures All Authors: No reported disclosures

The Analysis of Factors Associated with the Effectiveness of Nurse Communication to Patients in the Inpatient Room of Teungku Fakinah Hospital, Banda Aceh

The aim of thisstudy is to find out the factors relating to the effectiveness of nurses communication in patient. The type of research in this study is quantitative analytic with cross sectional study approach. The research location is in the inpatient room of Teungku Fakinah Hospital in Banda Aceh. The result of the study are the effectiveness of nurse communication in patients at Teungku Fakinah Hospital is in the category of good at 89%, the value of the variables of openness, empathy, equality, audible (humble) and humble (humble) are in good category that is above 95%, factors that significantly affect the effectiveness of nurse communication in patients at Teungku Fakinah Hospital, namely the openness of empathy level, the level of equality of the audible level (right) and the level of humble (humble). The better the level of openness, the better the effectiveness of nurse communication in patients. The better the level of empathy, the better the communication effectiveness of nurses in patients. The better the level of equality, the better the effectiveness of nurse communication in patients.The better the level of audible (right), the better the effectiveness of nurse communication in patients.The better the level of humble (humble), the better the effectiveness of nurse communication in patients.