College of Nursing, Seoul National University, Seoul 03080, Korea.
Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Mar 17;18(6):3108. doi: 10.3390/ijerph18063108.
Simulation-based communication education has improved nursing students' communication knowledge and skills. However, communication patterns that students commonly exhibit in simulated situations and students' responses to specific clinical situations have not been systematically examined. The specific aims of the present study were (1) to identify non-therapeutic communication patterns that nursing students exhibit in simulated situations in the computer simulation-based education (ComEd) program, and (2) explore students' responses to challenging clinical situations. This study used a mixed-method research design and a convenience sampling method to recruit participants. Frequency analysis and a conventional content analysis method were used to analyze answers provided by participants. A total of 66 students from four Korean nursing schools participated in the study. "False reassurance" was found to be the most common non-therapeutic communication pattern used by nursing students. Nursing students had difficulty in clinical situations such as reporting a patient's condition to a doctor, communicating with a patient and perform basic nursing skills at the same time, and managing conflicts between patients. Technology-based communication simulation programs, which reflect various clinical situations, are considered a new alternative that can supplement the limitations of clinical practicum and improve the quality of nursing education.
基于模拟的沟通教育提高了护理学生的沟通知识和技能。然而，学生在模拟情境中常见的沟通模式以及学生对特定临床情境的反应尚未得到系统检查。本研究的具体目的是：(1)确定护理学生在计算机模拟教育(ComEd)计划中的模拟情境中表现出的非治疗性沟通模式；(2)探讨学生对具有挑战性的临床情境的反应。本研究采用混合方法研究设计和便利抽样方法招募参与者。使用频率分析和常规内容分析方法分析参与者的回答。共有来自四所韩国护理学校的 66 名学生参加了这项研究。研究发现，“虚假保证”是护理学生最常用的非治疗性沟通模式。护理学生在某些临床情况下感到困难，例如向医生报告患者的情况、同时与患者沟通和进行基本的护理技能，以及处理患者之间的冲突。基于技术的沟通模拟程序可以反映各种临床情况，被认为是一种新的替代方案，可以弥补临床实习的局限性，提高护理教育的质量。
