J Nurs Educ. 2015 Jan;54(1):22-7. doi: 10.3928/01484834-20141228-01. Epub 2014 Dec 28.
High-fidelity simulation is commonplace in nursing education. However, critical thinking, decision making, and psychomotor skills scenarios are emphasized. Scenarios involving communication occur in interprofessional or intraprofessional settings. The importance of effective nurse-patient communication is reflected in statements from the American Nurses Association and Quality and Safety Education for Nurses, and in the graduate outcomes of most nursing programs. This qualitative study examined the patterns of communication observed in video recordings of a medical-surgical scenario with 71 senior students in a baccalaureate program. Thematic analysis revealed patterns of (a) focusing on tasks, (b) communicating-in-action, and (c) being therapeutic. Additional categories under the patterns included missing opportunities, viewing the "small picture," relying on informing, speaking in "medical tongues," offering choices…okay?, feeling uncomfortable, and using therapeutic techniques. The findings suggest the importance of using high-fidelity simulation to develop expertise in communication. In addition, the findings reinforce the recommendation to prioritize communication aspects of scenarios and debriefing for all simulations.
高保真模拟在护理教育中很常见。然而，重点是批判性思维、决策和心理运动技能场景。涉及沟通的场景发生在跨专业或专业内部环境中。美国护士协会和护士质量和安全教育，以及大多数护理项目的研究生成果都反映了有效护患沟通的重要性。这项定性研究调查了在一个医疗外科场景的视频记录中观察到的沟通模式，该场景涉及 71 名学士学位课程的高年级学生。主题分析揭示了以下沟通模式：(a)专注于任务，(b)行动中的沟通，和(c)具有治疗性。这些模式下的其他类别包括错失机会、关注“小画面”、依赖告知、使用“医学术语”、提供选择……好吗？、感到不舒服和使用治疗技术。研究结果表明，使用高保真模拟来发展沟通专业知识非常重要。此外，研究结果还加强了建议，即应优先考虑所有模拟的场景和讨论的沟通方面。
