Omura Mieko, Levett-Jones Tracy, Stone Teresa E
School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Callaghan, New South Wales, Australia.
Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
J Clin Nurs. 2019 May;28(9-10):1990-1998. doi: 10.1111/jocn.14813. Epub 2019 Feb 18.
The aims of this paper are to (a) outline the design and implementation of an evidence-based assertiveness communication workshop for Japanese nursing students; and (b) report on the evaluation of nursing students' satisfaction with the workshop using the Satisfaction with Assertiveness Communication Training Program Survey.
A body of research attests to the relationship between assertive communication and patient safety. This paper reports the design and evaluation of an assertiveness communication training programme designed to enhance students' ability to communicate safety in clinical practice.
A culturally appropriate and evidence-based assertiveness communication workshop, informed by Gagne's instructional design principles, was implemented for third-year nursing students in two Japanese higher educational institutions in December 2017. A descriptive study design was used to evaluate the workshop.
Students' perceptions of the workshop were evaluated using the Satisfaction with Assertiveness Communication Training Program Survey, which includes ten items that are rated using a 5-point Likert scale from strongly disagree [1] to strongly agree [5]. Data were analysed using descriptive statistics. The Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) guidelines were used in the reporting of this study.
A total of 111 students from a population of 150 participated in the study giving a response rate of 74%. The overall mean satisfaction score was 4.12 indicating a high level of agreement with each of the survey items. With the exception of two items, the mean scores were above 4.0. "Confidence in using assertiveness communication skills" and "Utilising role-plays to practice learnt skills" received mean scores of 3.71 and 3.90, respectively.
Given the compelling research about the importance of assertive communication in health care, the results from this study support continuing investment in assertiveness communication training programmes for nursing students.
Assertive communication is an essential communication skill for safe nursing practice. Culturally appropriate assertiveness communication training programmes are of particular relevance in hierarchical healthcare contexts.
本文旨在（a）概述为日本护理专业学生开展的基于证据的自信沟通工作坊的设计与实施；（b）使用“自信沟通培训项目满意度调查问卷”报告对护理专业学生对该工作坊满意度的评估情况。
大量研究证实了自信沟通与患者安全之间的关系。本文报告了一项旨在提高学生在临床实践中传达安全信息能力的自信沟通培训项目的设计与评估情况。
2017年12月，依据加涅教学设计原则，为日本两所高等教育机构的三年级护理专业学生开展了一个符合文化背景且基于证据的自信沟通工作坊。采用描述性研究设计对该工作坊进行评估。
使用“自信沟通培训项目满意度调查问卷”评估学生对工作坊的看法，该问卷包含10个项目，采用从“强烈不同意”[1]到“强烈同意”[5]的5级李克特量表进行评分。使用描述性统计方法分析数据。本研究报告遵循《卓越质量改进报告修订标准》（SQUIRE 2.0）指南。
150名学生中有111名参与了研究，回复率为74%。总体平均满意度得分为4.12，表明对每个调查项目的认可度较高。除两个项目外，平均得分均高于4.0。“运用自信沟通技巧的信心”和“通过角色扮演练习所学技巧”的平均得分分别为3.71和3.90。
鉴于有关自信沟通在医疗保健中重要性的有力研究，本研究结果支持继续为护理专业学生的自信沟通培训项目投入资源。
自信沟通是安全护理实践的一项基本沟通技能。在等级分明的医疗环境中，符合文化背景的自信沟通培训项目尤为重要。
