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对患者的共情回应:肿瘤护理人员沟通技能培训模块的开发、实施与评估

Responding empathically to patients: Development, implementation, and evaluation of a communication skills training module for oncology nurses.

作者信息

Pehrson Cassandra, Banerjee Smita C, Manna Ruth, Shen Megan Johnson, Hammonds Stacey, Coyle Nessa, Krueger Carol A, Maloney Erin, Zaider Talia, Bylund Carma L

机构信息

Memorial Sloan Kettering Cancer Center, USA.

University of Pennsylvania, USA.

出版信息

Patient Educ Couns. 2016 Apr;99(4):610-616. doi: 10.1016/j.pec.2015.11.021. Epub 2015 Nov 24.

Abstract

OBJECTIVE

The purpose of this paper is to report on the development, implementation, and evaluation of a Communication Skills Training (CST) module for inpatient oncology nurses on how to respond empathically to patients.

METHODS

248 nurses from a USA cancer center participated in a CST module on responding empathically to patients. Nurses completed pre- and post-training Standardized Patient Assessments (SPAs), a survey on their confidence in and intent to utilize skills taught, and a six-month post-training survey of self-reported use of skills.

RESULTS

Results indicate that nurses were satisfied with the module, reporting that agreement or strong agreement to 5 out of 6 items assessing satisfaction 96.7%-98.0% of the time. Nurses' self-efficacy in responding empathically significantly increased pre- to post-training. Additionally, nurses showed empathy skill improvement in the post-SPAs. Finally, 88.2% of nurses reported feeling confident in using the skills they learned post-training and reported an increase of 42-63% in the use of specific empathic skills.

CONCLUSIONS

A CST module for nurses in responding empathically to patients showed feasibility, acceptability, and improvement in self-efficacy as well as skill uptake.

PRACTICE IMPLICATIONS

This CST module provides an easily targeted intervention for improving nurse-patient communication and patient-centered care.

摘要

目的

本文旨在报告为肿瘤内科住院护士开发、实施和评估一个关于如何对患者做出共情回应的沟通技能培训(CST)模块。

方法

来自美国一家癌症中心的248名护士参加了一个关于对患者做出共情回应的CST模块培训。护士们完成了培训前和培训后的标准化患者评估(SPA)、一项关于她们对所学技能的信心和使用意愿的调查,以及一项关于培训后六个月自我报告的技能使用情况的调查。

结果

结果表明护士们对该模块感到满意,报告称在评估满意度的6项内容中,有5项在96.7%-98.0%的时间里得到了同意或强烈同意。护士在做出共情回应方面的自我效能感在培训前到培训后显著提高。此外,护士们在培训后的SPA中表现出共情技能的提升。最后,88.2%的护士报告对使用培训后学到的技能感到自信,并报告特定共情技能的使用增加了42%-63%。

结论

一个针对护士对患者做出共情回应的CST模块显示出可行性、可接受性,以及自我效能感和技能应用方面的提升。

实践意义

这个CST模块为改善护患沟通和以患者为中心的护理提供了一个易于实施的干预措施。

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