Obstacle and Supporting Factors Analysis of the Medical Therapeutic Communication Effectiveness at Medan City Hospitals, Indonesia

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Arfah Mardiana Lubis, Harmein Nasution,Zulfendri, Juanita

Abstract

Medical therapeutic communication is the medical staff and patients' interaction process with the purpose to help patients express their feelings and thoughts comfortably. However, this process encountered obstacles, such as the patient ignoring the advice of the medical staff, the lack of understanding of the patient's language, hearing disorders, and the cognitive function decline of the elderly patient. However, not yet known exactly what obstacles are felt by medical personnel, how to overcome them, and the supporting factors so that the process runs effectively. Therefore, this study aims to analyze the obstacle and supporting factors effectiveness of medical therapeutic communication, so that medical personnel can overcome these obstacles to increase the effectiveness of medical therapeutic communication at Medan City hospitals.


 


This research at three hospitals in Medan is qualitative research with a phenomenological approach. 33 informants were selected purposively. The data were analyzed by deductive and inductive thematic analysis.


Based on the results obtained three supporting and inhibiting factors. Barriers from medical personnel are knowledge, time, technology, psychology, and personal protective equipment. Barriers from patients are physical, personality, age, culture, and compliance. Barriers from hospitals are activities to increase the effectiveness of communication, patient screening, and consultation rooms. Supporters from medical personnel are motivation, time management, and health protocol compliance. Support from the patient is the patient's companion. Supporters from the hospital include activities related to communication, PPE, Covid-19 vaccination, patient screening, consultation rooms, information for patients, and internet networks. Therefore, it is concluded that obstacles can be overcome by strengthening the role of hospital management facilitators so that they can increase the effectiveness of medical therapeutic communication in Medan City hospitals.

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