Banerjee Smita C, Manna Ruth, Coyle Nessa, Penn Stacey, Gallegos Tess E, Zaider Talia, Krueger Carol A, Bialer Philip A, Bylund Carma L, Parker Patricia A
Memorial Sloan Kettering Cancer Center, 641 Lexington Ave., 7th Floor, New York, NY, 10022, USA.
Hamad Medical Corporation, Doha, Qatar.
Transl Behav Med. 2017 Sep;7(3):615-623. doi: 10.1007/s13142-017-0473-5.
Many nurses express difficulty in communicating with their patients, especially in oncology settings where there are numerous challenges and high-stake decisions during the course of diagnosis and treatment. Providing specific training in communication skills is one way to enhance the communication between nurses and their patients. We developed and implemented a communication skills training program for nurses, consisting of three teaching modules: responding empathically to patients; discussing death, dying, and end-of-life goals of care; and responding to challenging interactions with families. Training included didactic and experiential small group role plays. This paper presents results on program evaluation, self-efficacy, and behavioral demonstration of learned communication skills. Three hundred forty-two inpatient oncology nurses participated in a 1-day communication skills training program and completed course evaluations, self-reports, and pre- and post-standardized patient assessments. Participants rated the training favorably, and they reported significant gains in self-efficacy in their ability to communicate with patients in various contexts. Participants also demonstrated significant improvement in several empathic skills, as well as in clarifying skill. Our work demonstrates that implementation of a nurse communication skills training program at a major cancer center is feasible and acceptable and has a significant impact on participants' self-efficacy and uptake of communication skills.
许多护士表示在与患者沟通方面存在困难，尤其是在肿瘤护理环境中，在诊断和治疗过程中存在诸多挑战和重大决策。提供沟通技巧方面的特定培训是加强护士与患者之间沟通的一种方式。我们为护士开发并实施了一项沟通技巧培训计划，该计划由三个教学模块组成：对患者做出共情回应；讨论死亡、临终及临终护理目标；应对与家属的挑战性互动。培训包括理论讲授和体验式小组角色扮演。本文介绍了关于该计划评估、自我效能感以及所学沟通技巧的行为示范的结果。342名肿瘤内科住院护士参加了为期一天的沟通技巧培训计划，并完成了课程评估、自我报告以及标准化患者评估的前后测。参与者对培训给予了好评，他们报告称在与患者在各种情况下沟通的能力方面，自我效能感有显著提高。参与者在多项共情技巧以及澄清技巧方面也有显著改善。我们的工作表明，在一家大型癌症中心实施护士沟通技巧培训计划是可行且可接受的，并且对参与者的自我效能感和沟通技巧的掌握有重大影响。
