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Table 4 Joint display of quantitative and qualitative results

From: Leveraging the vantage point – exploring nurses’ perception of residents’ communication skills: a mixed-methods study

Quantitative data

Qualitative quotes

Mixed methods inferences

Barriers to effective resident-patient communication:

  

Long working hours (78.24% agreement)

“During long duty hours in which residents are covering the night shift, their communication is not as effective.”

Confirmed

Long working hours was the most highlighted barrier in the survey and also mentioned in the IDIs.

Human failings like stress and fatigue (67.19% agreement)

“If the patient flow is too much, sometimes residents behave harshly with the patients.”

Confirmed

Difficulty in understanding the patients’ language (56.99% agreement)

“In instances where there is a language barrier between the resident and patient, it becomes challenging for the residents to communicate.”

Confirmed

According to participants, residents had difficulty interacting with patients who spoke a different cultural language. In such cases, the residents relied on translators for interacting with the patient.

Lack of subject knowledge required for fully explaining the modalities (56.48% agreement)

“If residents are not confident or competent or uncertain in knowledge then that becomes a barrier for them to communicate effectively with the attendants also.”

Confirmed

Lack of adequate subject knowledge was cited as a barrier to residents effectively communicating with the patients. However, nurses in the IDIs indicated that as residents’ expertise and knowledge increased overtime, their communication also improved subsequently.