Abstract
Humor is said to be a powerful communication tool that may help to alleviate tension between patients and nurses. A literature review was conducted to identify situations in which medical professionals used humor during interactions with patients. Additionally, the patients' responses were evaluated. A search of relevant cases from 2001 to 2011 in the online version of Igakuchuozasshi (Japana Centra Revuo Medicina) was conducted. A total of 25 studies with relevant research questions met the inclusion criteria. A content analysis revealed six situations in which humor was used as a tool: (1) developing interpersonal relationships; (2) stimulating daily lives; (3) easing negative feelings; (4) controlling emotions; (5) eliciting feelings and desires; (6) using a therapeutic approach. 'The patients' reactions to the humor included: (1) feelings of light-heartedness; (2) relief from anxiety; (3) recovery of self. It is suggested that continuous use of humor in caring for people with mental illnesses may alleviate symptoms and aid recovery.
