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Background:

This study aimed to illuminate the meaning of the patient–nurse communication during a hospital stay as

narrated by patients after a myocardial infarction (MI).

Methods:

Narrative interviews from 10 patients were analyzed, using a phenomenological-hermeneutic method.

Results:

The nursing dialogue meant a safe mooring point on the trajectory from initial chaos after a MI to a reoriented

life. Nurses’ presence and availability for non-verbal and verbal communication created a trustful relationship where new

knowledge was acquired and motivational strength for life-style changes was mobilized. A person-centered perspective

was preferred, where relatives were invited into the conversation.

Conclusions:

These results highlight that patient–nurse communication based on the patient’s view is possible in acute

care after MI, and is an issue of attitude rather than time. Trust lays the foundation for a person-centered communication

and is developed through the nurse’s presence and availability not only in the emergency phase, but throughout

hospitalization. Discussions focused on personal action plans with emphasis on the patient’s health assets may facilitate a

successful rehabilitation.