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护士的专业沟通能力。

Professional communication competences of nurses.

作者信息

Włoszczak-Szubzda Anna, Jarosz Mirosław Jerzy

机构信息

Department of Health Informatics and Statistics, Institute of Rural Health, Lublin, Poland.

出版信息

Ann Agric Environ Med. 2012;19(3):601-7.

Abstract

INTRODUCTION

Dissonance between the high 'technical' professionalism of nurses and the relatively low level of patient satisfaction with care received is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between nurses and patients.

METHODS

Three basic scopes of communication competences were involved in the research process: a) motivation, b) knowledge, c) skills, and the following three methods were used: 1) documentation analysis (standards, plans and educational programmes); 2) diagnostic survey concerning professional communication competences of nurses in nursing care--a questionnaire form designed by the authors; 3) self-reported communication skills in nursing care--adjective check list. The study group covered a total number of 108 respondents in the following subgroups: 1) professional nurses who, as a rule, were not trained in interpersonal communication (42 respondents); students of nursing covered by a standard educational programme (46 respondents); 3) students of nursing who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications nursing (20 respondents). The data obtained were subjected to statistical analysis with the use of descriptive statistics and hypothesis testing.

RESULTS

The results of studies indicate poor efficacy of shaping communication competences of nurses based on education in the area of general psychology and general interpersonal communication. Communication competences acquired during undergraduate nursing education, are subject to regression during occupational activity.

DISCUSSION

Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences rather than on general communication skills.

摘要

引言

护士高度的“技术”专业性与患者对所接受护理的满意度相对较低之间存在不一致,这是许多国家都观察到的现象。许多研究表明,这种情况发生在护士与患者之间人际沟通不足的情况下。

方法

研究过程涉及沟通能力的三个基本范围:a)动机,b)知识,c)技能,并使用了以下三种方法:1)文件分析(标准、计划和教育计划);2)关于护理中护士专业沟通能力的诊断性调查——作者设计的问卷形式;3)护理中自我报告的沟通技巧——形容词检查表。研究组共有108名受访者,分为以下亚组:1)通常未接受人际沟通培训的专业护士(42名受访者);接受标准教育计划的护理专业学生(46名受访者);3)除标准教育计划外,还参加专业人际沟通护理额外课程的护理专业学生(20名受访者)。所获得的数据进行了描述性统计和假设检验的统计分析。

结果

研究结果表明,基于普通心理学和一般人际沟通领域的教育来塑造护士沟通能力的效果不佳。本科护理教育期间获得的沟通能力在职业活动中会出现倒退。

讨论

沟通能力评估方法有助于构建侧重于特定沟通能力而非一般沟通技巧的团体和个人计划。

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