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The problematics of communication with a patient with manipulative behaviour
SEDLÁŘOVÁ, Eliška
The bachelor's thesis deals with the problem of the role of the nurse in communication with a manipulative patient. It is dedicated to the correctness of communication approaches to patients with manipulative behaviour in a hospital settings. This work highlights the important activities of the nurse, her communication and dealings with these patients in her field. Thhe work provides a nurse's perspective on activites in the provision of care and communication, but also a look at the experiences, needs and expectations of patients. The theoretical part focuses on the definition of communication and manipulation, the most common way of using communication in Czech health practice, focused on process manipulation, causes, recognition and application of communication between nurse and patient. It defines and approximates the communication most commonly associated with a patient's manipulative behaviour in a hospital setting. From interviews with nurses a patients, their view of manipulation as not usually solvable in health practice, but nevertheless a highly visible and impactful issue, which has a very large psychological impact on nurses. From the patient's point of view, their perspective on the behaviour of nurses and other medical staff is addressed based on interviews. The aim of this bachelor thesis was to map the skill of nurses communicating with a manipulative patient and what skills nurses use when communitacing with a manipulative patient in a hospital setting. The investigation revealed that nurses working in hospital units are the most preoccupied with patient's attention and try to treat them to the best of their knowledge and conscience of all nurses surveved. The quality of the nurses from each listed unit was confirmed by the knowledge and insight of the patients interviewed hospitalised in the inpatient ward. Furthermore, the research investigation shows that nurses encounter different types of behaviour stemming from manipulation and patients have no concerns about showing up in this way. Based on interviews with nurses, we learn about the individual view of the manipulation of each of them, as well as through the execution of work on each ward. Based on interviews with patients, we learn about the quality care of nurses, as well as the individual approach of each of them.
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