TYPES OF BARRIERS TO COMMUNICATION IN EMERGENCY ROOM BETWEEN NURSE AND PATIENT’S FAMILY IN DOLOKSANGGUL HOSPITAL

: Aisyah,

organizations is strongly associated with effective communication between patients and healthcare staff and the type of relationship determines patient safety. However, cultural communication conflicts, as well as misunderstandings caused by ignorance, differences of opinion and interests between patients and healthcare providers often occur in care centers which damages these relationships. In addition, the lack of understanding of the patient's condition also interferes with effective communication and collaboration.
So in this case the researcher is interested in analyzing the communication barriers that occur in the families of patients who seek treatment in the emergency room of the Doloksanggul Hospital that leads to misunderstandings which have to be addressed carefully to ensure the patient's wellbeing.

METHODOLOGY
This research design was specifically chosen by the authors as the best way to obtain data through communication that occurred during the treatment period in the emergency room and make it in the form of a written report to reveal the actual situation. This study uses a qualitative design to fully describe data about the problem of communication barriers that occur.
This study focuses on the results of conversations between nurses and patient families during the emergency treatment period in the emergency room. In this study, all data obtained was in the form of words or statements that were transcribed.
This study was conducted based on qualitative research method. The data of this study were sentences during conversation between nurse and patients family in Doloksanggul hospital. The sources of data in this study were 10 patient's family and 5 nurses. Furthermore, participant observation technique was performed to collect the data.

FINDINGS AND DISCUSSIONS
The data of this study were the results of interviews and observations regarding the type of communication barriers between the nurses and patients' families. This research applied the three steps in analyzing the data, they were data condensation, data display and the conclusion drawing. These three steps were to describe three Based on the result of data analysis, the findings of the study are formulated as the following. Theoretically Eisenberg (2010) argues that the types of barriers are (process barriers, physical and cultural barriers, semantic barriers, psychosocial barriers and perception. From the number of data, it is found that 4% related to process barriers, 32% related to semantic barriers, 12% related to physical and cultural barriers, 1 % related to psychological barriers, and 16% related to perception. From the types of barrier to communication proposed by Eisenberg, the researcher analized the realization of how communication barrier by classified the recording of conversation between nurse and patients' family, from the amount of data, Psychological barriers data was the largest number, it showed that unstable mental condition or panic because of the patient's family situation which worried the patient create barrier to communicaton. From the data analysis, it was found that from five types proposed by Eisenberg (2010), all types appropriate with the theory. The description of patients basic personal data can be seen in this table 1. As can be seen from the above description of the patient's basic personal data, which is based on the classification of emergency levels based on the severity of the disease based on triage at the emergency department of the patient's disease, 7 of them are in an emergency condition, namely patients with numbers 2, 3, 6, 7, 8, 9, 10, then 2 patients with emergency conditions but not serious, namely patient numbers 4 & 5, and 1 patient with a non-emergency position, namely patient number 1 (Kemenkes RI, 2010). The realization of how communication barrier by classified the recording of conversation between nurse and patients' family, from the amount of data, Psychological barriers data was the largest number, it showed that unstable mental condition or panic because of the patient's family situation which worried the patient create barrier to communicaton. From the data analysis, it was found that from five types proposed by Eisenberg (2010), all types appropriate with the theory.