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基于情景的沟通培训对护士沟通能力、自我效能感及心肌梗死知识的影响。

The effects of scenario-based communication training on nurses' communication competence and self-efficacy and myocardial infarction knowledge.

作者信息

Hsu Li-Ling, Huang Ya-Hsuan, Hsieh Suh-Ing

机构信息

Graduate Institute of Health Allied Education, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

Department of Nursing, Taipei City Hospital Renai Branch, Taipei, Taiwan.

出版信息

Patient Educ Couns. 2014 Jun;95(3):356-64. doi: 10.1016/j.pec.2014.03.010. Epub 2014 Mar 20.

Abstract

OBJECTIVE

The aim of the study was to determine the effects of a simulated communication training course on nurses' communication competence, self-efficacy, communication performance, myocardial infarction knowledge, and general satisfaction with their learning experience.

METHODS

A randomized controlled trial was conducted with a pre-test and two post-tests. The experimental group underwent simulated communication training course and the control group received a case-based communication training course.

RESULTS

The experimental group made more significant improvement in competence and self-efficacy in communication from pre-test to the second post-test than the control group. Although both groups' satisfaction with their learning experience significantly increased from the first post-test to the second post-test, the experimental group was found to be more satisfied with their learning experience than the control group. No significant differences in communication performance and myocardial infarction knowledge between the two groups were identified.

CONCLUSION

Scenario-based communication training can be more fully incorporated into in-service education for nurses to boost their competence and self-efficacy in communication and enhance their communication performance in myocardial infarction patient care.

PRACTICE IMPLICATIONS

Introduction of real-life communication scenarios through multimedia in communication education could make learners more motivated to practice communication, hence leading to improved communication capacity.

摘要

目的

本研究旨在确定模拟沟通培训课程对护士沟通能力、自我效能感、沟通表现、心肌梗死知识以及对学习体验的总体满意度的影响。

方法

进行了一项随机对照试验,包括一次预测试和两次后测试。实验组接受模拟沟通培训课程,对照组接受基于案例的沟通培训课程。

结果

从预测试到第二次后测试,实验组在沟通能力和自我效能感方面的改善比对照组更显著。尽管两组对学习体验的满意度从第一次后测试到第二次后测试都显著提高,但发现实验组对学习体验的满意度高于对照组。两组在沟通表现和心肌梗死知识方面未发现显著差异。

结论

基于情景的沟通培训可以更充分地纳入护士在职教育,以提高他们的沟通能力和自我效能感,并增强他们在心肌梗死患者护理中的沟通表现。

实践意义

在沟通教育中通过多媒体引入现实生活中的沟通情景可以使学习者更有动力练习沟通,从而提高沟通能力。

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