Centre for Quality and Patient Safety Research (QPS), School of Nursing and Midwifery, Faculty of Health, Deakin University, Victoria, Australia; Centre for Organisational Change in Person-Centred Healthcare, Deakin University, Australia.
Centre for Quality and Patient Safety Research (QPS), School of Nursing and Midwifery, Faculty of Health, Deakin University, Victoria, Australia; Barwon Health Partnership, Bellerine Street, Geelong, Victoria, Australia.
Nurse Educ Today. 2020 Jun;89:104405. doi: 10.1016/j.nedt.2020.104405. Epub 2020 Mar 20.
The objective of this systematic review was to identify, critically appraise and synthesise evidence for the effectiveness of communication skills training interventions in nursing practice.
A systematic review of literature.
Randomised controlled trials published in English from 1998 to 2018, identified in five computerised databases (Medline, Cinahl, Embase, Psychinfo and Cochrane Database). Studies were included if they reported an educational intervention to enhance nurses' communication with patients and contained an objective measure of communication skills and/or patient outcome measures.
The Preferred reporting Items for Systematic reviews and Meta-Analyses guided the review. Data were extracted regarding study design and effectiveness on nurses' communication skills. Trial quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. The heterogeneity of the included studies prohibited meta-analysis.
Of the 7811 papers identified, seven trials met the eligibility criteria. The quality was modest. Training programs varied significantly in duration, structure, location and use of outcome measurement tools. Five trials focused on communication with cancer patients using simulated patients. All trials found at least one statistically significant improvement for nurses' communication skills.
Educational interventions to enhance nurses' capacity to communicate with patients show promise. The paper reports the first systematic review of randomised controlled trials concerning the effect of communication skills training on nurses' abilities to communicate with patients, inclusive of non-cancer settings. The direct impact of educational interventions on nurses' communication skills is difficult to measure arising from non-standardised outcome measurement tools. Further research is particularly needed in acute, chronic illness, aged care and community settings.
本系统评价旨在确定、批判性评价并综合护理实践中沟通技巧培训干预措施的有效性证据。
文献系统评价。
从 1998 年至 2018 年，在五个计算机化数据库（Medline、Cinahl、Embase、Psychinfo 和 Cochrane Database）中检索发表的英文随机对照试验。如果研究报告了一项旨在提高护士与患者沟通的教育干预措施，并包含对沟通技巧和/或患者结果措施的客观衡量，则纳入研究。
本研究遵循系统评价和荟萃分析的首选报告项目。提取有关研究设计和护士沟通技巧效果的数据。使用 Joanna Briggs 研究所的批判性评价清单评估试验质量。由于纳入研究的异质性，因此无法进行荟萃分析。
在 7811 篇论文中，有 7 项试验符合入选标准。质量中等。培训计划在持续时间、结构、地点和结果测量工具的使用方面差异显著。五项试验专注于使用模拟患者与癌症患者进行沟通。所有试验均发现护士沟通技巧至少有一项具有统计学意义的改善。
增强护士与患者沟通能力的教育干预措施显示出前景。本文报告了第一项关于沟通技巧培训对护士与患者沟通能力影响的随机对照试验系统评价，包括非癌症环境。由于非标准化的结果测量工具，教育干预对护士沟通技巧的直接影响难以衡量。特别需要在急性、慢性疾病、老年护理和社区环境中开展进一步研究。
