Nursing, Physiotherapy and Medicine Department, Faculty of Health Sciences, Universidad de Almeria, 04007 Almería, Spain.
Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London NW4 4BT, UK.
Int J Environ Res Public Health. 2019 Nov 16;16(22):4534. doi: 10.3390/ijerph16224534.
Nursing students experience difficulties when communicating in clinical practice. Their self-efficacy in clinical communication should be explored as part of their competence assessment before they are exposed to real human interactions in the clinical setting. The aim of this study was to design and psychometrically evaluate a toolkit to comprehensively assess nursing students' self-efficacy in clinical communication. The study followed an observational cross-sectional design. A sample of 365 nursing students participated in the study. The 'Clinical Communication Self-Efficacy Toolkit' (CC-SET) was comprised of three tools: the 'Patient-Centered Communication Self-efficacy Scale' (PCC-SES), the 'Patient clinical Information Exchange and interprofessional communication Self-Efficacy Scale' (PIE-SES), and the 'Intrapersonal communication and Self-Reflection Self-Efficacy Scale' (ISR-SES). The tools' reliability, validity (content, criterion, and construct) and usability were rigorously tested. The Cronbach's alpha coefficient of the three tools comprising the CC-SET was very high and demonstrated their excellent reliability (PCC-SES = 0.93; PIE-SES = 0.87; ISR-SES = 0.86). The three tools evidenced to have excellent content validity (scales' content validity index > 0.95) and very good criterion validity. Construct validity analysis demonstrated that the PCC-SES, PIE-SES, and ISR-SES have a clear and theoretically-congruent structure. The CC-SET is a comprehensive toolkit that allows the assessment of nursing students' self-efficacy in interpersonal, interprofessional, and intrapersonal communication.
护理专业的学生在临床实践中沟通存在困难。在他们进入临床环境与真实的人互动之前，应该评估他们的临床沟通自我效能感，并将其作为能力评估的一部分。本研究旨在设计和心理计量评估一套工具包，以全面评估护理专业学生的临床沟通自我效能感。该研究采用观察性横断面设计。365 名护理专业学生参与了这项研究。“临床沟通自我效能工具箱”（CC-SET）由三个工具组成：“以患者为中心的沟通自我效能感量表”（PCC-SES）、“患者临床信息交流和跨专业沟通自我效能感量表”（PIE-SES）和“人际沟通和自我反思自我效能感量表”（ISR-SES）。对工具的可靠性、有效性（内容、标准和结构）和可用性进行了严格的测试。CC-SET 中包含的三个工具的克朗巴赫系数非常高，表明其具有极好的可靠性（PCC-SES=0.93；PIE-SES=0.87；ISR-SES=0.86）。三个工具均具有极好的内容有效性（量表的内容有效性指数>0.95）和非常好的标准有效性。结构有效性分析表明，PCC-SES、PIE-SES 和 ISR-SES 具有清晰且与理论一致的结构。CC-SET 是一个全面的工具包，可用于评估护理专业学生在人际、跨专业和自我沟通方面的自我效能感。
