Transactional Analysis of Nurses: An Empirical Study
DOI:
https://doi.org/10.29120/ijpsw.2019.v10.i2.110Abstract
Background: Transactional analysis is a theory of human personality and social behaviour. It is a comprehensive system of psychotherapy founded in the late 1950s by Eric Berne. Lately, organisational psychologists are waking up to the value of transactional analysis as a valuable Human Resources tool, giving them an insight into various interpersonal transactional styles in various professions. Nursing as a profession has always been characterised as a nurturing, caregiving and comfort providing job, which can emerge as a very taxing and stressful profession in return. The myriad role that nurses play requires certain interpersonal tactics and styles which are very typical demands of their job role. But their personalities and dispositions cannot be ignored. Hence, an attempt is being made in the present study to analyse different transactional styles being adopted by female nursing professionals, along with their backup styles and also the role of their marital status on how they deal with their patients. Methodology: For this purpose, a sample of 120 female nurses, 60 married and 60 unmarried, falling in the age range of 25-40 years, working in various private and government hospitals of Chandigarh was taken. The data was collected with the help of Transactional Styles Inventory-Nurses. Results: Results revealed significant differences between married and unmarried nurses. Married nurses were more nurturing while unmarried nurses emerged to be more regulated in their interpersonal transactions. Conclusion: The overall interpersonal efficacy of nurses needs to be improved so that they can attain the position best suited to help them meet the demands of various roles that they have to play.
Keywords: Transactional analysis, transactional functions, nurse-patient interaction
References
Bingham R. Leaving nursing. Health Affair 2002;21(1):211-7.
Badger T, Gelenberg AJ, Berren M. Consultative intervention to improve outcomes of high utilizers in a public mental health system. Perspect Psychiatr Care 2004;40(2):53-69.
Meretoja R, Leino-Kilpi H, Kaira AM. Comparison of nurse competence in different hospital work environments. J Nurs Management 2004;12(5):329-36.
Bartlett HP, Simonite V, Westcott E, Taylor HR. A comparison of the nursing competence of graduates and diplomates from UK nursing programmes. J Clin Nurs 2000;9(3):369-81.
Scholes J, Endacott R, Chellel A. A formula for diversity: a review of critical care curricula. J Clin Nurs 2000;9(3):382-90.
Girot EA. Assessment of competence in clinical practice: a phenomenological approach. J Adv Nurs 1993;18(1):114-9.
Chappell C, Hager P. Values and competency standards. J Further and Higher Edu 1994;18(3):12-23.
Halldorsdottir S. Implications of the caring/competence dichotomy. In: Thorne SE &Hayes VE, editor. Nursing Praxis: Knowledge & Action. London: Sage Publications; 1997. p.105-24.
Gilbert DA. Coordination in nurses' listening activities and communication about patient-nurse relationships. Res Nurs & Health 2004;27(6):447-57.
Ravert P, Williams M, Fosbinder DM. The interpersonal competence instrument for nurses. West J Nurs Res 1997;19(6):781-91.
Wilkinson S, Bailey K, Aldridge J, Roberts A. A longitudinal evaluation of a communication skills programme. Palliat Med 1999;13(4):341-8.
Bowles N, Mackintosh C, Torn A. Nurses’ communication skills: an evaluation of the impact of solution‐focused communication training. J Adv Nurs 2001;36(3):347-54.
Department of Health. The NHS Cancer Plan. London: Department of Health; 2000.
Butow PN, Brown RF, Cogar S, Tattersall MHN, Dunn SM. Oncologists’ reactions to cancer patients’ verbal cues. Psychooncology 2002;11: 47 –58.
Garland GA. Self-report of competence. A tool for the staff development specialist. J Nurses Staff Dev1996;12(4):191-7.
McCaughan E, Parahoo K. Medical and surgical nurses’ perceptions of their level of competence and educational needs in caring for patients with cancer. J Clin Nurs 2000 May;9(3):420-8.
Williams K, Kemper S, Hummert ML. Improving nursing home communication: An intervention to reduce elder speak. Gerontologist 2003;43(2):242-7.
Benner P. From Novice to Expert: Power and Excellence in Nursing Practice. California: Addison-Wesely. Palo Alto; 1984.
Fosbmder D. Patients perceptions of nursing care: an emerging theory of interpersonal competence. J Adv Nurs. 1994; 20(6):1085-93.
Taylor BB. Life on purpose. [Cited 2018 Mar 20]. Available from: https://yogainternational.com/article/view/life-on-purpose.
Luthans KW, Jensen SM. The linkage between psychological capital and commitment to organizational mission: A study of nurses. J Nurs Admin 2005;35(6):304-10.
Fallowfield L, Jenkins V. Effective communication skills are the key to good cancer care. Eur J Cancer 1999;35:1592-7.
Taylor C, Graham J, Potts H, Candy J, Richards M, Ramirez AJ. Impact of hospital consultants’ poor mental health on patient care. B J Psych 2007;190:268-9.
McAllister M. Competency standards: clarifying the issues. Contemp Nurse 1998;7(3):131-7.
Chapman H. Some important limitations of competency-based education with respect to nurse education: an Australian perspective. Nurse Educ Today 1999;19(2):129-35.
Hollins Martin CJ. Transactional analysis: A method of analysing communication. Br J Midwifery 2011;19(9):587-93.
Eric B. Games People Play. New York:Grove; 1964.
Harris TA. I'm OK, You're OK; A Practical Guide to Transactional Analysis. New York: Harper & Row; 1969.
James M, Jongeward D, Karpman SB. Born to Win: Transactional Analysis with Gestalt Experiments. Reading, MA: Addison-Wesley;1971.
Avary B. Ego states: Manifestations of psychic organs. Transactional Anal J 1980;10(4):291-4.
Udai P, Surabhi P. Training Instruments in HRD and OD. New Delhi: Tata McGraw-Hill;2002.
Whitley-Hunter BL. Validity of transactional analysis and emotional intelligence in training nursing students. JAdv Med Edu & Profess2014;2(4):138.
LM Prasad. Organisational Behaviour. New Delhi: Sultan Chand & Sons; 2014.
Eric B. What Do You Say After You Say Hello?. New York: Bantam Books; 1973.
Saxena K. Transactional Styles of Nurses and Strategies to Enhance their Effectiveness at SDM Hospital, Jaipur, PGDHM Dissertation. IIHMR, Jaipur; 2000.
Peplau H.E. Interpersonal Relations in Nursing. London: MacMillan Education; 1988.
Severston B.M. Therapeutic communication demystified. J Nurs Edu 1990;29:190-2.
Wilkinson S. Schering plough clinical lecture communication: it makes a difference. Cancer Nurs1999;22:17–20.
Attree M. Patients’ and relatives’ experiences and perspectives of ‘Good’ and ‘Not so Good’ quality care. JAdv Nurs2001;33:456-66.
Thorsteinsson LSCH. The quality of nursing care as perceived by individuals with chronic illnesses: The magical touch of nursing. J Clin Nurs2002;11:32-44.
Crotty M. Communication between nurses and their patients. Nurs Educ Today1985;2:130-4.
Reid NG. Wards in Chancery?: Nurse Training in the Clinical Area. Royal College of Nursing of the United Kingdom;1985.
Hodges V, Sanford D,Elzinga R. The role of ward structure on nursing staff behaviours: an observational study of three psychiatric wards. Acta Psychiatr Scand1986;73:6–11.
Menzies IEP. A case study in the functioning of social systems as a defence against anxiety. Human Relations 1960;13:95–121.
Burton M. The environment, good interactions and interpersonal skills in nursing. In: Kagan CM, editor. Interpersonal Skills in Nursing; Research and Applications. London: Croom Helm; 1985. p. 76–88.
McMahon R. Power and collegial relations among nurses on wards adopting primary nursing and hierarchical ward management structures. J Adv Nurs1990;15: 232-9.
Telford A. Nurses must learn to communicate. Br JNurs 1992;2: 4.
Chant SBA, Jenkinson T, Randle J, Russell G. Communication skills: some problems in nursing education and practice. J Clin Nurs 2002;11: 12–21.
McCabe C. Nurse–patient communication: an exploration of patients’ experiences. J Clin Nurs 2004;13(1):41-9.
Sheikhmoonesi F, Zarghami M, Tirgari A, Khalilian A. Effect of transactional analysis education to nurses on patient’s satisfaction. Shiraz E Medical J 2013;14(2):102-11.
Pratt K, Mbaligontsi M. Transactional analysis transforms community care workers in South Africa. Transactional Anal J 2014;44(1):53-67.
Smith IJ. The Joint Commission Guide to Improving Staff Communication. Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace, IL: Joint Commission Resources;2005.
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