Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Stockholm, Sweden.
Nurse Educ Pract. 2019 Aug;39:136-141. doi: 10.1016/j.nepr.2019.08.011. Epub 2019 Aug 28.
The aim of this article is to present a communication skills training curriculum for nursing students, based upon phenomenology. Research shows that nurses have difficulty prioritizing dialogue with patients, due to lack of time, organizational and cultural factors. Like other health care professionals, nurses may also have difficulties communicating with patients due to personal fears and shortcomings. The communication training curriculum based upon phenomenology aims at systematically training students to stay focused upon patients' and relatives' narratives, allowing them to reflect upon and better understand their current situation. This approach to communication is applicable in any clinical situation where it important to provide space for the patients' experiences. The philosophical principles guiding the training are presented here as well as the practical steps in the program. Finally, the approach is compared to other common communication methods used in nursing (motivational interviewing, caring conversations, empathy training). The authors hope that the article will highlight the nurses' role as dialogue partner as well as emphasize the importance of communication skills training in nursing education. This approach can be refined, tested and modified in future research and may serve as an inspirational model for creating a generic communicative competence for nurses. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
本文旨在基于现象学为护理学生设计一门沟通技巧培训课程。研究表明,由于时间、组织和文化等因素的限制,护士在与患者对话时往往难以把握重点。与其他医疗保健专业人员一样,护士可能也会因为个人的恐惧和不足而难以与患者进行沟通。基于现象学的沟通培训课程旨在系统地培训学生专注于患者和家属的叙述,使他们能够反思并更好地理解他们的现状。这种沟通方法适用于任何需要为患者体验提供空间的临床情况。本文还介绍了指导培训的哲学原则以及课程中的实际步骤。最后,将该方法与护理中常用的其他沟通方法(动机性访谈、关怀对话、同理心培训)进行了比较。作者希望本文能够强调护士作为对话伙伴的角色,并重视护理教育中的沟通技巧培训。未来的研究可以对该方法进行改进、测试和调整,并可能为培养护士通用沟通能力提供启示性模式。本研究未获得任何来自公共、商业或非营利部门的资助机构的特定资助。