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教导资深护士如何教授肿瘤学中的沟通技巧。

Teaching senior nurses how to teach communication skills in oncology.

作者信息

Fallowfield L, Saul J, Gilligan B

机构信息

CRC Psychosocial Oncology Group, School of Biological Sciences, University of Sussex, Falmer, Brighton, BN1 9QG, United Kingdom.

出版信息

Cancer Nurs. 2001 Jun;24(3):185-91.

PMID:11409062
Abstract

Many nurses acknowledge that their nursing practice is hampered by inadequate teaching about communication skills during their nursing education. Ineffective communication has negative effects on patient care and causes stress when nurses interact with each other, with medical colleagues, with patients and their relatives. Many senior nurses teach junior staff about communication and feel uncertain about their competence to do so despite recognition of its importance. This article reports data from a training initiative endorsed by the Royal College of Nursing in the United Kingdom (UK) aimed at helping senior nurses to identify their personal strengths and weaknesses when communicating, learn new teaching methods and encourage new teaching initiatives. A residential 2-day course, based on learner-centered methods was employed. One hundred and twenty nine nurses from UK cancer centers worked on personal communication problems via group discussions, video demonstrations, small group teaching exercises and role-plays with professional actors. Post-course, participants reported significantly greater confidence in handling 14 common communication problem areas in cancer (p < .0001) and in 8 different areas of teaching. Participants were very enthusiastic about the course overall and especially valued the training approach and teaching materials provided. Three months post-course 91% reported changing their own teaching practice and 85% had initiated new communication skills teaching.

摘要

许多护士承认,在护理教育期间,沟通技巧方面的教学不足阻碍了他们的护理实践。无效沟通对患者护理产生负面影响,并在护士与彼此、医疗同事、患者及其亲属互动时造成压力。许多资深护士会教导初级员工有关沟通的知识,但尽管认识到其重要性,他们对自己进行教导的能力仍感到不确定。本文报告了一项由英国皇家护理学院认可的培训计划的数据,该计划旨在帮助资深护士在沟通时识别自身的优点和缺点,学习新的教学方法并鼓励新的教学举措。采用了一个基于以学习者为中心方法的为期两天的住宿课程。来自英国癌症中心的129名护士通过小组讨论、视频演示、小组教学练习以及与专业演员进行角色扮演,来解决个人沟通问题。课程结束后,参与者报告称在处理癌症方面14个常见沟通问题领域(p < .0001)以及8个不同教学领域时,信心显著增强。参与者总体上对该课程非常热情,尤其重视所提供的培训方法和教学材料。课程结束三个月后,91%的人报告称改变了自己的教学实践,85%的人开展了新的沟通技巧教学。

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