The quality of patient-nurse communication perceived before and during the COVID-19 pandemic: an Italian pilot study. : The quality of patient-nurse communication perceived and COVID-19 pandemic

The quality of patient-nurse communication perceived before and during the COVID-19 pandemic: an Italian pilot study.

The quality of patient-nurse communication perceived and COVID-19 pandemic


  • Elsa Vitale Department of Mental Health, Local Health Authority Bari, Italy
  • Maria Pia Giammarinaro Bed Management, Arnas Civico, Palermo, Italy
  • Roberto Lupo San Giuseppe da Copertino hospital, Lecce, Italy
  • Valeria Archetta Borgo San Nicola Penitentiary Institute, Lecce, Italy
  • Rosa Silvia Fortunato Department of Mental Health, Local Healthcare Company Bologna, Italy
  • Cosimo Caldararo University of Bari, Lecce headquartes, Italy
  • Francesco Germini Direction of Health Professions, Local Healthcare Company Bari, Italy


communication, covid-19, nurses, patients


Background and Aim of the work. Therapeutic communication is essential for assessing the quality of care of patients. The present study aimed how the forced use of the mask influenced the communication before and during the Covid-19 pandemic. Methods. An online questionnaire was administered including two socio-demographic items, such as sex, as male and female, and role, as nurse or patient, and the Quality of Communication Questionnaire (QOC) for twice, referring to the period before during the pandemic. Results. 178 subjects participated in the study, of which 60 (33.7%) were patients and 118 (66.3%) were nurses. During the pandemic, patients reported no significant differences in the perception of the quality of nurse-patient communication. While nurses recorded a lower perception of communication quality during the pandemic period than before. Conclusions. It emerged an urgent need to support the nursing activity from an organizational point of view, with less work overload, and psychological, with forms of help so that nurses could feel supported in the work fatigue, trying to give the best of himself.


1. American Nurses Association. Correctional nursing scope and standards of practice. Silver Sping: MD: American Nurses Association; 2013.
2. Council on Scientific Affairs AMA. Good care of the dying patient. JAMA 1996; 275: 474–478.
3. Li H, Ang E, Hegney D. Nurses’ perceptions of the barriers in effective communicaton with impatient cancer adults in Singapore. Journal of Clinical Nursing 2012; 21(17-18): 2647-2658.
4. Cossette S, Cara C, Ricard N, Pepin J. Assessing nurse-patient interactions from a caring perspective: Report of the development and preliminary psychometric testing of the Caring Nurse-Patient Interactions Scale. International Journal of Nursing Studies 2005; 42(6): 673-686.
5. Alshammari M, Duff J, Guilhermino M. Barriers to nurse-patient communication in Saudi Arabia: an integrative review. BMC Nurs. 2019; 3(18):61.
6. McCormack LA, Treiman K, Rupert D, Williams-Piehota P, Nadler E, Arora NK, Lawrence W, Street RL Jr. Measuring patient-centered communication in cancer care: a literature review and the development of a systematic approach. Soc Sci Med. 2011;72(7):1085–95.
7. Treiman K, McCormack L, Olmsted M, Roach N, Reeve BB, Martens CE, Moultrie RR, Sanoff H. Engaging patient advocates and other stakeholders Alshammari et al. BMC Nursing (2019) 18:61 Page 9 of 10 to design measures of patient-centered communication in cancer care. Patient Centered Outcomes Res. 2017;10(1):93–103.
8. Treiman K, McCormack L, Wagner L, Roach N, Moultrie R, Sanoff H, Bann C, Street RL Jr, Ashok M, Reeve BB. Factors affecting the communication experiences of newly diagnosed colorectal cancer patients. Patient education and counseling; 2018.
9. Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, Arora NK. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ Couns. 2015;98(10):1274–9.
10. Washington GT. The theory of interpersonal relations applied to the preceptor–new graduate relationship. J Nurses Prof Dev. 2013;29(1):24–9.
11. Senn JF. Peplau’s theory of interpersonal relations: application in emergency and rural nursing. Nurs Sci Q. 2013;26(1):31–5.
12. Sheldon LK. Communication for nurses: talking with patients. United States: Jones & Bartlett Learning; 2009.
13. Bello O. Effective communication in nursing practice: a literature review; 2017.
14. Sherko E, Sotiri E, Lika E. Therapeutic communication. JAHR. 2013;4(7):457–66.
15. Montgomery CL. Healing through communication: the practice of caring: Sage; 1993.
16. Watson, J. Human Caring Science: A Theory of Nursing, 2nd ed.; Jones and Bartlett Learning LLC.: Sudbury, MA, USA, 2012; pp. 17–30.
17. Tu JV, Porter J: Stroke Care in Ontario: Hospital Survey Results, Institute for Clinical Evaluative Sciences.; 1999.
18. Burgio LD, Stevens A, Burgio KL, Roth DL, Paul P, Gerstle J. Teaching and maintaining behavior management skills in the nursing home. Gerontology 2002; 42(4):487–496.
19. Genereux S, Julien M, Larfeuil C, Lavoie V, Soucy O, Le Dorze G. Using communication plans to facilitate interactions with communicationimpaired persons residing in long-term care institutions. Aphasiology 2004; 12:1161–1175.
20. Small JA, Gutman G, Makela S, Hillhouse B: Effectiveness of communication strategies used by caregivers of persons with Alzheimer’s Disease during activities of daily living. J Speech Lang Hear R 2003; 46(2):353–367.
21. Castanhel FD, Grosseman S. Quality of Communication Questionnaire for COPD patients receiving palliative care: translation and cross-cultural adaptation for use in Brazil. J Bras Pneumol. 2017; 43(5):357-362.
22. Cecere LM, Reinke LF, Ganzini L, Udris EM, Moss BR. Patient-clinician communication associations with important health outcomes among veterans with COPD. Chest. 2010;138(3):628–634.
23. Swasey M.L. Physician, and Patient Communication: A Grounded Theory Analysis of Physician and Patient Web-Logs (doctoral dissertation, southern Utah University. Department of Communication; 2013.
24. Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236–42.
25. Patton, M. Q. Qual Res & evaluation methods: Integrating theory and practice (4th ed.). Thousand oaks, CA: Sage; 2015.
26. Vitale E, Galatola V. Mea R. Exploring within and between gender differences in burnout levels in Italian nurses engaged in the Covid-19 health emergency: a cohort observational study. Minerva Psichiatr.; 2020. Accepted.
27. Vitale E, Mea, R, Di Dio F, Canonico A, Galatola V. Anxiety, Insomnia and Body Mass Index scores in Italian nurses engaged in the care of COVID-19 patients. Endocrine, Metabolic & Immune Disorders Drug Targets 2020. Epub ahead of print.
28. Skea ZC, MacLennan SJ, Entwistle VA, N'Dow J. Communicating good care: A qualitative study of what people with urological cancer value in interactions with health care providers. Eur J Oncol Nurs 2014; 18 (1): 35-40.
29. Mack N, Woodsong C, MacQueen KM, Guest G, Namey E. Qualitative research methods: a data collector’s field guide; 2005.
30. Noble H, Smith J. Issues of validity and reliability in qualitative research. Evidence-Based Nursing 2015; ebnurs-2015.
31. Fakhr-Movahedi A, Rahnavard Z, Salsali M, Negarandeh R. Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study. Journal of Caring Sciences. 2016;5(4):267-276.
32. Teutsch C. Patient-doctor communication. Med Clin N Am. 2003;87(5):1115–45.






Original articles: Health Professions 2/2021

How to Cite

Vitale E, Giammarinaro MP, Lupo R, Archetta V, Fortunato RS, Caldararo C, et al. The quality of patient-nurse communication perceived before and during the COVID-19 pandemic: an Italian pilot study. : The quality of patient-nurse communication perceived and COVID-19 pandemic. Acta Biomed [Internet]. 2021 Jul. 29 [cited 2024 Jul. 22];92(S2):e2021035. Available from: