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沟通技巧培训提高了护士在新生儿重症监护病房对父母情绪做出共情反应的能力。

Communication skills training enhances nurses' ability to respond with empathy to parents' emotions in a neonatal intensive care unit.

作者信息

Bry Kristina, Bry Maija, Hentz Elisabet, Karlsson Håkan L, Kyllönen Hanna, Lundkvist Malin, Wigert Helena

机构信息

Department of Pediatrics, Division of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Division of Neonatology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

Acta Paediatr. 2016 Apr;105(4):397-406. doi: 10.1111/apa.13295. Epub 2016 Jan 21.

DOI:10.1111/apa.13295
PMID:26648201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5066675/
Abstract

AIM

We quantitatively analysed the effect of a course in communication on the content of nurse-parent encounters and the ability of nurses to respond to the empathic needs of parents in a level III neonatal intensive care unit.

METHODS

We evaluated 36 and 45 nurse-parent encounters audio recorded before and after 13 neonatal nurses attended a communication course. The number of empathic opportunities, the nurses' responses to these and the ways they involved parents in their infants' care were studied.

RESULTS

Both before and after the course, the nurses talked more than the parents during the conversations. This nurse-centredness decreased after the course. The use of empathic or exploring responses to empathic opportunities increased from 19.9 ± 9.0% to 53.8 ± 8.9% (p = 0.027), whereas ignoring the feelings of the parents or giving inadequate advice decreased from 63.0 ± 10.0% to 27.5 ± 8.4% (p = 0.043) after the course. Use of statements expressing caring for the parents and encouragement for parents to participate in the care of their infant increased after the course (p = 0.0034 and p = 0.043, respectively). The nurses felt the course was very useful for their profession.

CONCLUSION

A course in communication techniques improved nurses' ability to respond to parents' feelings with empathy.

摘要

目的

我们定量分析了一门沟通课程对三级新生儿重症监护病房护士与家长交流内容以及护士回应家长共情需求能力的影响。

方法

我们评估了13名新生儿护士参加沟通课程前后分别录制的36次和45次护士与家长的交流音频。研究了共情机会的数量、护士对这些机会的回应以及他们让家长参与婴儿护理的方式。

结果

课程前后，对话中护士说话都比家长多。这种以护士为中心的情况在课程后有所减少。对共情机会使用共情或探索性回应的比例从19.9±9.0%增至53.8±8.9%（p = 0.027），而忽视家长感受或提供不充分建议的比例在课程后从63.0±10.0%降至27.5±8.4%（p = 0.043）。课程后表达对家长关心以及鼓励家长参与婴儿护理的表述使用增加（分别为p = 0.0034和p = 0.043）。护士们觉得该课程对他们的职业非常有用。

结论

沟通技巧课程提高了护士共情回应家长感受的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/1c9f8eafd87d/APA-105-397-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/5db8c41d220e/APA-105-397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/25e05f9557a8/APA-105-397-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/f423599b49e5/APA-105-397-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/1c9f8eafd87d/APA-105-397-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/5db8c41d220e/APA-105-397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/25e05f9557a8/APA-105-397-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/f423599b49e5/APA-105-397-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/5066675/1c9f8eafd87d/APA-105-397-g004.jpg

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