Sánchez Expósito Judit, Leal Costa César, Díaz Agea José Luis, Carrillo Izquierdo María Dolores, Jiménez Rodríguez Diana
Nursing Department, Catholic University of Murcia (UCAM), Spain.
Intensive Crit Care Nurs. 2018 Feb;44:85-91. doi: 10.1016/j.iccn.2017.08.010. Epub 2017 Sep 29.
The aim of this study was to analyse the communication skills of students in interactions with simulated critically-ill patients using a new assessment tool to study the relationships between communication skills, teamwork and clinical skills and to analyse the psychometric properties of the tool.
A cross-sectional study was conducted to assess the communications skills of 52 students with critically-ill patients through the use of a new measurement tool to score video recordings of simulated clinical scenarios.
The 52 students obtained low scores on their skills in communicating with patients. The reliability of the measuring instrument showed good inter-observer agreement (ICC between 0.71 and 0.90) and the validity yielded a positive correlation (p<0.01).
The results provide evidence that nursing students lack skills when communicating with critically ill patients in simulated scenarios. The measuring instrument used is therefore deemed valid and reliable for assessing nursing students through a clinical simulation.
本研究旨在使用一种新的评估工具分析学生与模拟重症患者互动时的沟通技巧，以研究沟通技巧、团队合作和临床技能之间的关系，并分析该工具的心理测量特性。
进行了一项横断面研究，通过使用一种新的测量工具对模拟临床场景的视频记录进行评分，来评估52名学生与重症患者的沟通技巧。
52名学生在与患者沟通的技能方面得分较低。测量工具的可靠性显示出良好的观察者间一致性（组内相关系数在0.71至0.90之间），有效性产生了正相关（p<0.01）。
结果表明，护理专业学生在模拟场景中与重症患者沟通时缺乏技能。因此，所使用的测量工具被认为对于通过临床模拟评估护理专业学生是有效且可靠的。
