Effective communication in the nurse-patient relationship in the light of Transcultural Interprofessional Practice model

Keywords: Communication; Nurse-Patient Relations; Nursing; Nursing Theory; Transcultural Nursing.


Objective: to analyze the use of elements of effective nurse-patient communication in the light of the Transcultural Interprofessional Practice model. Methods: an integrative literature review was carried out in the CINAHL, LILACS, MEDLINE, SCOPUS, and Web of Science databases, without a time limit. Results: 12 studies were analyzed, most of them published in the English language, in 2017. Two categories were elaborated: effective verbal and non-verbal communication between nurses and patients. The elements of effective verbal communication were presented as speech and language; non-verbal ones presented as signals, distance, eye contact, time, touch, listening, empathy, and patience. Technology-assisted communication was part of both. Less frequently, the verbal communication process was hindered by language and non-verbal communication due to a lack of time availability. Conclusion: effective communication favors the establishment of trust, interaction, and the nurse-patient relationship.


Rojahn DR, Souza I, Locatelli P, Hermann R, Askcari AR. Comunicação efetiva em registros de enfermagem: uma prática assistencial. Rev Uningá [Internet]. 2014 [cited Feb 17, 2020]; 19(2). Available from: https://revista.uninga.br/index.php/uningareviews/article/view/1540

Gaspar MRF, Massi GA, Gonçalves CGO, Willig MH. Nursing team and communication with tracheostomized patients. Rev CEFAC. 2015; 17(3):734-44. doi: http://doi.org/10.1590/1982-0216201514214

Dalcól C, Garanhani ML, Fonseca LF, Carvalho BG. Polarities experienced by nursing students in learning the communication: perspectives of thought complex. Ciênc Cuid Saúde. 2017; 16(1):1-8. doi: https://doi.org/10.4025/cienccuidsaude.v16i1.34517

Beserra GL, Oliveira PMP, Pagliuca LMF, Almeida PC, Anjos SJSB, Pinheiro AKB. Non-verbal nurse-parturient communication in labor in Portuguese-speaking countries. Rev Latino-Am Enfermagem. 2019; 27:e3193. doi: https://dx.doi.org/10.1590/1518-8345.3032.3193

Pagliuca LMF, Maia ER. Competency to provide cross-cultural nursing care for people with disability: a self-assessment instrument. Rev Bras Enferm. 2012; 65(5):849-55. doi: https://doi.org/10.1590/S0034-71672012000500020

Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012; 95(5):591-601. doi: https://doi.org/10.1016/j.aorn.2012.03.002

Andrews MM, Boyle JS. The Andrews/Boyle Transcultural Interprofessional Practice (TIP) Model. J Transcult Nurs. 2019; 30(4):323-30. doi: https://doi.org/10.1177/1043659619849475

Andrews M, Boyle JS, Collins J. Transcultural concepts in nursing care. Philadelphia: Wolters Kluwer; 2019.

Nogueira JW, Rodrigues MC. Effective communication in teamwork in health: a challenge for patient safety. Cogitare Enferm. 2015; 20(3):636-40. doi: https://doi.org/10.5380/ce.v20i3.40016

Lemos DM, Barcellos RA, Borba DS, Caballero LG, Goldraich LA, Echer IC. Effective communication for the safe care of patients with ventricular assist device implantation. Rev Gaúcha Enferm. 2019; 40(spe):e20180344. doi: https://doi.org/10.1590/1983-1447.2019.20180344

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008; 17(4):758-64. doi: http://doi.org/10.1590/S0104-07072008000400018

Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemol Serv Saúde. 2015; 24(2):335-42. doi: https://doi.org/10.5123/S1679-49742015000200017

Caris-Verhallen WM, Kerkstra A, Bensing JM. Non-verbal behaviour in nurse-elderly patient communication. J Adv Nurs. 1999; 29(4):808-18. doi: https://doi.org/10.1046/j.1365-2648.1999.00965

Hemsley B, Sigafoos J, Balandin S, Forbes R, Taylor C, Geen VA, et al. Nursing the patient with severe communication impairment. J Adv Nurs. 2001; 35(6):827-35. doi: https://doi.org/10.1046/j.1365-2648.2001.01920.x

Chan EA, Jones A, Fung S, Wu SC. Nurses’ perception of time availability in patient communication in Hong Kong. J Clin Nurs. 2011; 21(7-8):1168-77. doi: https://doi.org/10.1111/j.1365-2702.2011.038411.x

Peña AL, Cibanal JL. The experience of hospitalized children regarding their interactions with nursing professionals. Rev Latino-Am Enfermagem. 2011; 19(6):1429-36. doi: https://doi.org/10.1590/S0104-11692011000600021

Razera AP, Braga EMA. The importance of communication during the postoperative recovery period. Rev Esc Enferm USP. 2011; 45(3):632-7.doi:https://doi.org/10.1590/S0080-62342011000300012

Souza RC, Arcuri EA. Communication strategies of the nursing team in the aphasia after cerebrovascular accident. Rev Esc Enferm USP. 2014; 48(2):292-8. doi: https://doi.org/10.1590/S0080-6234201400002000014

Leeuw J, Prins JB, Uitterhoeve R, Merkx MA, Marres HA, Van Achterberg T. Nurse-patient communication in follow-up consultations after head and neck cancer treatment. Cancer Nurs. 2014; 37(2):E1-9. doi: https://dx.doi.org/10.1097/NCC.0b013e318288d3f3

King-Okoye M, Arber A. ‘It stays with me’: the experiences of second- and third-year student nurses when caring for patients with cancer. Eur J Cancer Care. 2014; 23(4):441-9. doi: http://dx.doi.org/10.1111/ecc.12139

Jones SM. Trust development with the spanish-speaking Mexican American patient: a grounded theory study. Western J Nurs Res. 2017; 40(6):799-814. doi: https://dx.doi.org/10.1177/0193945917690123

Holm A, Dreyer P. Nurse-patient communication within the context of non-sedated mechanical ventilation: a hermeneutic-phenomenological study. Br Assoc Crit Care Nurses. 2017; 23(2):88-94. doi: http://dx.doi.org/10.1111/nicc.12297

Barbosa IA, Silva MJ. Nursing care by telehealth: what is the influence of distance on communication? Rev Bras Enferm. 2017; 70(5):928-34. doi: https://dx.doi.org/10.1590/0034-7167-2016-0142

Moreira AG, Azevedo AL, Figueiredo NM, Oliveira LF, Araújo ST. Proxemic behavior of nursing in the hemodialysis setting. Acta Paul Enferm. 2017; 30(4):343-9. doi: https://dx.doi.org/10.1590/1982-0194201700051

Torres GMC, Figueiredo IDT, Cândido JAB, Pinto AAG, Morais APP, Araújo MFM, et al. Therapeutic communication in the interaction between health workers and hypertensive patients in the family health strategy. Rev Gaúcha Enferm. 2017; 38(4):e2016-0066. doi: https://dx.doi.org/10.1590/1983- 1447.2017.04.2016-0066

Silva RGM, Possas CRSS, Barbosa MR, Araújo HF, Santos MSC. Estratégias de comunicação do enfermeiro com paciente estrangeiro: relato de experiência. Arq Ciênc Saúde UNIPAR [Internet]. 2016 [cited Aug 12, 2020]; 20(2):145-48. Available from: https://revistas.unipar.br/index.php/saude/article/view/5219/3307

Terra AC, Vaghett HH. Proxemics communication in nursing work: an integrative literature review. Ciênc Enferm. 2014; 20(1):23-34. doi: http://dx.doi.org/10.4067/S0717-95532014000100003

Pagliuca LMF, Barbosa GOL, Wanderley LD, Oliveira PMP. Analysis of the verbal and non-verbal communication of a blind mother with motor impairment during breastfeeding. Rev Bras Enferm. 2011; 64(3):431-7. doi: https://doi.org/10.1590/S0034-71672011000300004

Review Article