skip to main content

The Experiences and Meanings of Nurses’ Smiles to Patients in the Emergency Department

*Vera Fitriana  -  Akademi Keperawatan Krida Husada, Indonesia
Agus Santoso  -  Universitas Diponegoro, Indonesia
Edi Dharmana  -  Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Psycho-emotional aspects play an important role in both health services and health workers in the emergency department. Smiles are forms of interactions between nurses and patients that are given in providing health services to patients in terms of nonverbal communication. However, high workloads in the emergency unit may hinder nurses from smiling.
Purpose: This study aimed to explore the experiences and meanings of nurses’ smiles to patients in the emergency department.
Methods: This study employed a qualitative design with a descriptive phenomenological approach. Thirteen participants were recruited through purposive sampling using the inclusion criteria, such as emergency nurses with more than three years of work experience and nurses who had attended training on effective communication. Data were collected through in-depth interviews with semi-structured questions and analyzed using the Colaizzi’s phenomenological approach.
Results: The study generated four themes, namely, the importance of smiles in emergency services, the miracle of smiles, the hindrances for emergency nurses to smile, and that smiles and humor in an emergency situation are important for children.
Conclusion: The study concluded that nurses’ smiles had a significant benefit on emergency department services as a form of interpersonal relationship, although the practice still needs to be improved. Nurses are expected to be able to apply smiles in communicating with patients and their families in the emergency departments.

Fulltext View|Download
Keywords: Nurses' smiles; interpersonal relationships; emergency department

Article Metrics:

  1. Arshad, M. (2017). The importance of smiling. Journal of Emergency Medicine, 52(5), 780–781. https://doi.org/10.1016/j.jemermed.2017.01.013
  2. Australian College for Emergency Medicine. (2014). Emergency department design guidelines G15, third section. ACEM. https://acem.org.au/getattachment
  3. Barger, P. B & Grandey, A. A. (2008). Service with a smile and encounter satisfaction: Emotional contagion and appraisal mechanism. Academy of Management Journal, 49(6), 1–5. https://doi.org/10.5465/amj.2008.23478695
  4. Béres, A., Lelovics, Z., Antal, P., Hajós, G., Gézsi, A., Czéh, Á., Lantos, E., & Major, T. (2011). “Does happiness help healing?” Immune response of hospitalized children may change during visits of the Smiling Hospital Foundation’s Artists. Orvosi Hetilap, 152(43), 1739–1744. https://doi.org/10.1556/OH.2011.29228
  5. Brock, A. (2010). Humor, jokes, and irony versus mocking, gossip, and black humor. In D. Matsumoto (ed.). APA handbook of interpersonal communication. Walter de Gruyter, Inc
  6. Buettner, J. R. (2009). Fast facts for the ER nurse emergency room orientations in a nutshell. Springer Publishing Company
  7. Colaco, C. A. A., Pontifice-Sousa, P. C., & Marques, R. (2016). The smile as a promoting instrument of comfort in hospitalized patients: A literature review. International Journal of Nursing, 3(2), 53–56. https://doi.org/10.15640/ijn.v3n2a7
  8. Dias K. C. C. O., Lopes, M. E. L., França, I. S. X., Batista, P. S. S., Batista, J. B. V., & Sousa, F. (2015). Estratégias para humanizar o cuidado com o idoso hospitalizado: estudo com enfermeiros assistenciais [Strategies to humanize care for the hospitalized elderly: A study with nursing assistants]. Journal of Research Fundamental Care Online, 7(1), 1832-1846
  9. Duffield, C., Diers, D., Brien-Pallas, L. O., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research, 24(4), 244–255. https://doi.org/10.1016/j.apnr.2009.12.004
  10. Eldridge, C., & Kennedy, R. (2010). Nonpharmacologic techniques for distress reduction during emergency medical care: A review. Clinical Pediatric Emergency Medicine, 11(4), 244–250. https://doi.org/10.1016/j.cpem.2010.09.001
  11. Eric, J. (2010). The psychological study of smiling. Association for Psychological Sciences. https://www.psychologicalscience.org/observer/the-psychological-study-of-smiling
  12. Finlayson, L. (2010). One nurse’s experience of providing care while working within an overcrowded emergency department–an autoethnographic [Thesis, The Waikato Institute of Technology]. http://researcharchive.wintec.ac.nz/963/1/HLNU902_-_repository_document_6.12.10.pdf ?
  13. Gannon-Leary, P., & McCarthy, M. (2010). Customer care (1st ed.). Chandos Publishing
  14. Hall, J. A. (2009). Nonverbal behavior in social psychology research: The good, the bad, and the ugly. In C. R. Agnew, D. E. Carlston, W. G. Graziao, J. R. Kelly (Eds.). Then a miracle occurs: Focusing on behavior in social psychological theory and research. Oxford University Press. https://doi.org/ 10.1093/acprof:oso/9780195377798.001.0001
  15. Haydon, G., & Riet, P. V. (2014). A narrative inquiry: How do nurses respond to patients’ use of humour?. Contemporary Nurse, 46(2), 197–205. https://doi.org/10.5172/conu.2014.46.2.197
  16. Hermann, R. M., Long, E., & Trotta, R. L. (2019). Improving patients’ experiences communicating with nurses and providers in the emergency department. Journal of Emergency Nursing, 45(5), 523-530. https://doi.org/10.1016/j.jen.2018.12.001
  17. Jensen, M. (2014). Smile as feedback expressions in interpersonal communication: A first acquaintance context. International Journal of Psychological Studies, 7(4), 95-105. https://doi.org/10.5539/ijps.v7n4p95
  18. Kishorekumar, S., Gnanashanmugam, K., Manjula, W., Mahalakshmi, K., & Sukumar, M. (2015). Smile: A review. Journal of Pharmacy and Bioallied Sciences, 7, S271-S275. https://doi.org/ 10.4103/0975-7406.155951
  19. Kraft, T. L., & Pressman, S. D. (2012). Grin and bear it: The influence of manipulated facial expression on the stress response. Psychological Science, 23(11), 1372–1378. https://doi.org/10.1177/0956797612445312
  20. Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub- Saharan Africa : A scoping review. International Journal of Africa Nursing Sciences, 12, 100198. https://doi.org/10.1016/j.ijans.2020.100198
  21. Loghmani, L., Borhani, F., & Abbaszadeh, A. (2014). Factors affecting the nursepatient’s family communication in intensive care unit of Kerman: A qualitative Study. Journal of Caring Sciences, 3(1), 67-82. https://doi.org/10.5681/jcs.2014.008
  22. Louro, A. L. F, & Pontifice-Sousa, P. C. (2014). O Sorriso como estratégia de comunicação em enfermagem: Contributos para uma revisão sistemática de literatura [Smile as a communication strategy in nursing: Contributions to a systematic literature review]. Revista Investigação em Enfermagem, 9(2), 18-25
  23. Mahmoud, M. (2015). Laugh and smile upon the holy Quran: The study of analytical objectivities. Journal of Education and Practice, 6(17), 147–157
  24. Ministry of Health Republic of Indonesia (MoHRI). (2009). Profil kesehatan Indonesia: Kementrian Kesehatan Republik Indonesia, Standar Instalasi Gawat Darurat (IGD) Rumah Sakit [Indonesian health profile: Ministry of Health Republic of Indonesia, Hospital Emergency Department Standards]. https://kepmenkes-856-thn-2009-standar-IGD.pdf
  25. Morais, G. S. N., Costa, S. F. G., Fontes, W. D, & Carneiro, A. D. (2009). Comunicação como instrumento básico no cuidar humanizado em enfermagem ao paciente hospitalizado [Communication as a basic tool in humanized nursing care for hospitalized patients]. Acta Paulista de Enfermagem, 22(3), 323. https://doi.org/10.1590/S0103-21002009000300014
  26. Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. Psychologist. http://eprints.hud.ac.uk/id/eprint/26984/1/Morrow_et_al.pdf
  27. Polit. D., F., & Beck. C., T. (2012). Essential of nursing research: Appraising evidence for nursing practice (8th Ed.). Lippincott
  28. Pontifice-Sousa, P.C. (2012). A natureza do processo de conforto do doente idos crónico em contexto hospitalar construção de uma teoria explicativa projecto integrado de vivência e cuidado co-criado [The nature of the comfort process of the elderly chronic patient in a hospital context: Elaboration of an explanatory theory of co-created integrated living and care project] [Unpublished Dissertation, Institute of Health Sciences of Postuguese Chatolic University]. https://repositorio.ucp.pt
  29. Rezende, R. C., Oliveira, R. M. P., Araújo, S. T. C., & Guimarães, T. C. F. (2015). Body language in health care: A contribution to nursing communication. Revista Brasileira de Enfermagem, 68(3), 430-436. https://doi.org/10.1590/0034-7167.2015680316i
  30. Ruch, W. (2008). Psychology of humor. In V. Raskin (ed.). The primer of humor research. Mouton de Gruyter. https://doi.org/10.5167/uzh-6447
  31. Rugless, M. J., & Taylor, D. M. (2011). Sick leave in the emergency department: Staff attitudes and the impact of job designation and psychosocial work condition. Emergency Medicine Australasia, 23(1), 39-45. https://doi.org/10.1111/j.1742-6723.2010.01372.x
  32. Shafipour, V., Mohammad, E., & Ahmadi, F. (2014). Barriers to nurse-patient communication in cardiac surgery wards: A qualitative study. Global Journal of Health Science, 23(1), 39–45. https://doi.org/doi: 10.1111/j.1742-6723.2010.01372.x
  33. Sonis, J. D., Aaronson, E. L., Lee, R. Y., Philpotts, L. L., & White, B. A. (2018). Emergency department patient experience: A systematic review of the literature. Journal of Patient Experience, 5(2). 101–106. https://doi.org/10.1177/2374373517731359
  34. Xu, Y., Staples, S., & Shen, J. J. (2012). Nonverbal communication behaviors of internationally educated nurses and patient care. Research and Theory for Nursing Practice, 26(4), 290–308. https://doi.org/doi: 10.1891/1541-6577.26.4.290

Last update:

  1. Work Index and Contextual Variables as Predictors of Emergency Nurses’ Career Success

    Ali Mohammadzadeh, Elnaz Asghari, Mansour Ghafourifard. Nurse Media Journal of Nursing, 11 (2), 2021. doi: 10.14710/nmjn.v11i2.37875
  2. ‘The Chronicle of Nightmares’: Emergency Nurses’ Frontstage and Backstage Communication in the Emergency Department

    Sydney O'Shay. Health Communication, 38 (11), 2023. doi: 10.1080/10410236.2022.2062835
  3. Psychometric properties of the Chinese version of the nurses’ attitudes towards communication with the patient scale among Chinese nurses

    Meng Yue, Qiaoling Chen, Ying Liu, Rui Cheng, Dengfen Zeng. BMC Nursing, 23 (1), 2024. doi: 10.1186/s12912-024-02415-9

Last update: 2024-11-06 02:20:19

No citation recorded.