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急诊护士沟通技巧培训。

Communication skills training for emergency nurses.

机构信息

Department of Psychiatry, Gulhane Military Medical Academy, GATA Psikiyatri AD.06018 Etlik, Ankara, Turkey.

出版信息

Int J Med Sci. 2011;8(5):397-401. doi: 10.7150/ijms.8.397. Epub 2011 Jun 22.

Abstract

OBJECTIVE

To determine the effects of a communication skills training program on emergency nurses and patient satisfaction.

METHODS

Sixteen emergency nurses attended a 6-week psychoeducation program that was intended to improve their communication skills. The first 3 sessions of the psychoeducation program consisted of theoretical education on empathy and communication. Other sessions covered awareness, active communication, and empathic skills on a cognitive behavioral basis using discussion, role play, and homework within an interactive group. The effects of the program were assessed using a communication skills scale, empathy scale, and patient satisfaction survey and were reflected by the reduction in the number of undesirable events between nurses and patients in the emergency department.

RESULTS

The mean communication skill score (177.8±20) increased to 198.8±15 after training (p=0.001). Empathy score also increased from 25.7±7 to 32.6±6 (p=0.001). The patient satisfaction survey of 429 patients demonstrated increased scores on confidence in the nurses (76.4±11.2 to 84.6±8.3; p=0.01); the nurse's respect, kindness, and thoughtfulness (72.2± 8.1 to 82.1 ± 6,5; p=0.01); individualized attention (71.3± 6.2 to 73.2 ± 9.8; p=0.2); devotion of adequate time to listening (84.6± 9.3 to 89.8 ± 7.6; p=0.03); and counseling and information delivery (71.1± 10.2 to 80.2 ± 9.7; p=0.01). The number of undesirable events and complaints during nurse-patient interactions decreased 66 % from 6 to 2.

CONCLUSION

"Communication Skills Training" can improve emergency nurses' communication and empathy skills with a corresponding increase in patient satisfaction and reduction of the undesirable events and complaints during nurse-patient interactions.

摘要

目的

确定沟通技巧培训计划对急诊护士和患者满意度的影响。

方法

16 名急诊护士参加了为期 6 周的心理教育计划,旨在提高他们的沟通技巧。心理教育计划的前 3 个课程包括同理心和沟通的理论教育。其他课程涵盖了意识、积极沟通和基于认知行为的同理心技能,使用讨论、角色扮演和作业,在互动小组内进行。通过沟通技巧量表、同理心量表和患者满意度调查来评估计划的效果,这些效果反映在急诊室护士和患者之间不良事件的数量减少。

结果

培训后,沟通技巧平均得分(177.8±20)提高到 198.8±15(p=0.001)。同理心得分也从 25.7±7 增加到 32.6±6(p=0.001)。429 名患者的患者满意度调查显示,对护士的信心增加(76.4±11.2 至 84.6±8.3;p=0.01);护士的尊重、善良和体贴(72.2±8.1 至 82.1±6.5;p=0.01);个性化关注(71.3±6.2 至 73.2±9.8;p=0.2);给予足够的倾听时间(84.6±9.3 至 89.8±7.6;p=0.03);以及咨询和信息传递(71.1±10.2 至 80.2±9.7;p=0.01)。护士与患者互动期间不良事件和投诉的数量减少了 66%,从 6 起减少到 2 起。

结论

“沟通技巧培训”可以提高急诊护士的沟通和同理心技能,相应提高患者满意度,并减少护士与患者互动期间的不良事件和投诉。

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