The Influence Of The Use Of Diagnostic Resources On Nurses' Communication With Simulated Patients During Admission Interviews

Purpose The aim of this study was to determine how the use of diagnostic resources influences nurses' communication during admission interviews. Methods A randomized controlled trial was performed. Actors simulated patients based on case studies. We analyzed transcriptions of 60 interviews and video recordings using the Roter Method of Interaction Process Analysis. Findings Nurses mainly asked closed-ended questions. The use of knowledge sources, such as forms in the PES format or an assessment format, affected communication significantly in several aspects. Conclusion Prestructured forms may promote comprehensive interviews, but nurses need to be aware that using certain kinds of diagnostic resources may hinder them from asking open-ended questions. Practice Implications Nurses need to increase their use of open-ended questions.