International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

Frequency: 12

line decor
  
line decor

 Volume 12, Issue 10 (October 2025), Pages: 100-107

----------------------------------------------

 Original Research Paper

A modified framework for understanding provider–patient communication in healthcare

 Author(s): 

 Shadaid Alanezi *

 Affiliation(s):

 Health Information Management and Technology Department, College of Applied Medical Science, University of Hafr Albatin, Hafr Albatin, Saudi Arabia

 Full text

    Full Text - PDF

 * Corresponding Author. 

   Corresponding author's ORCID profile:  https://orcid.org/0009-0002-6667-5150

 Digital Object Identifier (DOI)

  https://doi.org/10.21833/ijaas.2025.10.012

 Abstract

Effective communication between healthcare providers and patients is vital for delivering safe, high-quality, and culturally sensitive care. Despite the availability of various communication models, there remains a lack of an integrated framework that supports practice across diverse clinical settings. This study develops a modified framework by synthesizing Peplau’s Interpersonal Relations Theory, the Patient-Centered Care (PCC) framework, and Cultural Competence models. Using a theoretical synthesis approach, each theory was critically reviewed for its key concepts, communication principles, and clinical relevance, and thematic mapping was applied to identify overlaps in communication stages, relational dynamics, cultural awareness, and patient autonomy. These findings were combined into a unified framework that aligns theoretical rigor with practical application, providing healthcare professionals with guidance to strengthen therapeutic relationships, address cultural diversity, and improve communication outcomes, particularly in complex or high-stakes care situations. The proposed model offers a structured approach to enhance patient engagement, satisfaction, and safety in contemporary healthcare systems.

 © 2025 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

 Provider–patient communication, Patient-centered care, Cultural competence, Therapeutic relationships, Healthcare framework

 Article history

 Received 11 March 2025, Received in revised form 14 August 2025, Accepted 24 September 2025

 Acknowledgment

No Acknowledgment. 

 Compliance with ethical standards

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Alanezi S (2025). A modified framework for understanding provider–patient communication in healthcare. International Journal of Advanced and Applied Sciences, 12(10): 100-107

  Permanent Link to this page

 Figures

  Fig. 1  Fig. 2  Fig. 3  Fig. 4 

 Tables

  Table 1 

----------------------------------------------   

 References (27)

  1. Albougami A, Pounds K, and Alotaibi J (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. International Archives of Nursing and Health Care, 2: 053.  https://doi.org/10.23937/2469-5823/1510053    [Google Scholar]
  2. Alshammari M, Duff J, and Guilhermino M (2019). Barriers to nurse–patient communication in Saudi Arabia: An integrative review. BMC Nursing, 18: 61.  https://doi.org/10.1186/s12912-019-0385-4    [Google Scholar] PMid:31827387 PMCid:PMC6892156
  3. Bello O (2017). Effective communication in nursing practice: A literature review. Bachelor's Thesis, Laurea University of Applied Sciences, Vantaa, Finland.    [Google Scholar]
  4. Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, and Arora NK (2015). Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Education and Counseling, 98(10): 1274–1279.  https://doi.org/10.1016/j.pec.2015.06.005    [Google Scholar] PMid:26146237 PMCid:PMC4573283
  5. Blanch-Hartigan D, Chawla N, Moser RP, Rutten LJF, Hesse BW, and Arora NK (2016). Trends in cancer survivors’ experience of patient-centered communication: Results from the health information national trends survey (HINTS). Journal of Cancer Survivorship, 10: 1067–1077.  https://doi.org/10.1007/s11764-016-0550-7    [Google Scholar] PMid:27193357
  6. Brandenburg SJ (2017). Nurse perceived barriers to effective nurse-client communication in an acute care setting. Ph.D. Dissertation, University of Central Florida, Florida, USA.    [Google Scholar]
  7. Cai D, Kunaviktikul W, Klunklin A, Sripusanapan A, and Avant PK (2017). Developing a cultural competence inventory for nurses in China. International Nursing Review, 64: 205–214.  https://doi.org/10.1111/inr.12350    [Google Scholar] PMid:28102571
  8. Campinha-Bacote J (2001). A model of practice to address cultural competence in rehabilitation nursing. Rehabilitation Nursing, 26(1): 8–11.  https://doi.org/10.1002/j.2048-7940.2001.tb02201.x    [Google Scholar] PMid:12035201
  9. Campinha-Bacote J (2002a). Cultural competence in psychiatric nursing: Have you “ASKED” the right questions? Journal of the American Psychiatric Nurses Association, 8(6): 183–187.  https://doi.org/10.1067/mpn.2002.130216    [Google Scholar]
  10. Campinha-Bacote J (2002b). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3): 181–184.  https://doi.org/10.1177/10459602013003003    [Google Scholar] PMid:12113146
  11. Campinha-Bacote J (2009). A culturally competent model of care for African Americans. Urologic Nursing, 29(1): 49–54.    [Google Scholar]
  12. Deane WH and Fain JA (2016). Incorporating Peplau’s theory of interpersonal relations to promote holistic communication between older adults and nursing students. Journal of Holistic Nursing, 34(1): 35–41.  https://doi.org/10.1177/0898010115577975    [Google Scholar] PMid:25854267
  13. Epstein RM and Street RL Jr (2007). Patient-centered communication in cancer care: Promoting healing and reducing suffering. National Cancer Institute, U.S. Department of Health and Human Services, National Institutes of Health, Bethesda, USA.  https://doi.org/10.1037/e481972008-001    [Google Scholar]
  14. Gao Q, Zhang B, Zhou Q, Lei C, Wei X, and Shi Y (2024). The impact of provider-patient communication skills on primary healthcare quality and patient satisfaction in rural China: Insights from a standardized patient study. BMC Health Services Research, 24: 579.  https://doi.org/10.1186/s12913-024-11020-0    [Google Scholar] PMid:38702670 PMCid:PMC11069204
  15. Hagerty TA (2015). Testing Peplau's theory of interpersonal relations in nursing using data from patient experience surveys. Ph.D. Dissertation, University of New York, New York, USA.    [Google Scholar]
  16. Hagerty TA, Samuels W, Norcini-Pala A, and Gigliotti E (2017). Peplau's theory of interpersonal relations: An alternate factor structure for patient experience data? Nursing Science Quarterly, 30(2): 160–167.  https://doi.org/10.1177/0894318417693286    [Google Scholar] PMid:28899257 PMCid:PMC5831243
  17. Leininger MM (1999). What is transcultural nursing and culturally competent care? Journal of Transcultural Nursing, 10(1): 9.  https://doi.org/10.1177/104365969901000105    [Google Scholar] PMid:10476143
  18. McCormack LA, Treiman K, Rupert D et al. (2011). Measuring patient-centered communication in cancer care: A literature review and the development of a systematic approach. Social Science and Medicine, 72(7): 1085–1095.  https://doi.org/10.1016/j.socscimed.2011.01.020    [Google Scholar] PMid:21376443
  19. Pedersen P (1988). A handbook for developing multicultural awareness. Third Edition, American Association for Counseling, Alexandria, USA.    [Google Scholar]
  20. Peplau HE (1952). Interpersonal relations in nursing. AJN, American Journal of Nursing 52(6): 765.  https://doi.org/10.1097/00000446-195206000-00062    [Google Scholar]
  21. Rey Velasco E, Pedersen HS, and Skinner TC (2022). Methodological approaches applicable to patient-provider interaction analysis: A mini-review. Frontiers in Communication, 7: 1034427.  https://doi.org/10.3389/fcomm.2022.1034427    [Google Scholar]
  22. Senn JF (2013). Peplau’s theory of interpersonal relations: Application in emergency and rural nursing. Nursing Science Quarterly, 26(1): 31–35.  https://doi.org/10.1177/0894318412466744    [Google Scholar] PMid:23247346
  23. Sheldon LK (2009). Communication for nurses: Talking with patients. Second Edition, Jones and Bartlett Publishers, Burlington, USA.    [Google Scholar]
  24. Suh EE (2004). The model of cultural competence through an evolutionary concept analysis. Journal of Transcultural Nursing, 15(2): 93–102.  https://doi.org/10.1177/1043659603262488    [Google Scholar] PMid:15070491
  25. Treiman K, McCormack L, Olmsted M et al. (2017). Engaging patient advocates and other stakeholders to design measures of patient-centered communication in cancer care. The Patient - Patient-Centered Outcomes Research, 10: 93–103.  https://doi.org/10.1007/s40271-016-0188-6    [Google Scholar] PMid:27658673
  26. Treiman K, McCormack L, Wagner L et al. (2018). Factors affecting the communication experiences of newly diagnosed colorectal cancer patients. Patient Education and Counseling, 101(9): 1585–1593.  https://doi.org/10.1016/j.pec.2018.04.016    [Google Scholar] PMid:29803565
  27. Washington GT (2013). The theory of interpersonal relations applied to the preceptor–new graduate relationship. Journal for Nurses in Professional Development, 29(1): 24–29.  https://doi.org/10.1097/NND.0b013e31827d0a8a    [Google Scholar] PMid:23486153