Department of Nursing, Faculty of Health Sciences, Institute for Health and Biomedical Research (ISABIAL), University of Alicante, 03690 San Vicente del Raspeig, Spain.
Department of Health Psychology, Faculty of Health Sciences, University of Alicante, 03690 San Vicente del Raspeig, Spain.
Int J Environ Res Public Health. 2021 Nov 6;18(21):11673. doi: 10.3390/ijerph182111673.
Standardised patient simulations seem to be useful for improving the communication skills of health sciences students. However, it is important to define the effectiveness of these types of interventions in complex scenarios linked to disease chronicity and end-of-life contexts.
A quasi-experimental study with pre- and post-intervention measures was carried out in a single group. A total of 161 nursing students completed different assessment instruments to measure their attitudes towards communication (Attitude Toward Communication Scale), self-efficacy (Self-Efficacy of Communication Skills, SE-12), and communication skills (Health Professionals Communication Skills Scale, EHC-PS) before and after simulation training with standardised patients. The objective of the program was to train students in non-technical skills for complex situations involving chronicity and end-of-life care. It comprised eight sessions lasting 2.5 h each.
The results showed notable baseline gender differences in attitudes towards communication and in the informative communication dimension, with women obtaining higher scores. The participants' self-efficacy and communication skills significantly improved after completing the intervention, with no significant differences being found for the attitudes towards communication variable.
The standardised patient simulation programme for complex scenarios related to chronicity and end-of-life contexts improved communication self-efficacy and communication skills in these nursing students. In future work it will be important to analyse the influence of gender and attitudes towards communication as variables in the learning of communication skills in nursing students.
标准化患者模拟似乎有助于提高卫生科学专业学生的沟通技巧。然而，在与疾病慢性和临终相关的复杂情境下，定义这些类型干预的有效性非常重要。
在一个单一的组中进行了一项准实验研究，具有前后干预措施。共有 161 名护理学生完成了不同的评估工具，以衡量他们对沟通的态度（沟通态度量表）、自我效能感（沟通技能自我效能感，SE-12）和沟通技能（卫生专业人员沟通技能量表，EHC-PS），这些评估工具是在与标准化患者进行模拟培训之前和之后进行的。该计划的目的是培训学生在涉及慢性和临终护理的复杂情况下的非技术技能。它包括八次会议，每次 2.5 小时。
结果显示，在沟通态度和信息沟通维度上，基线性别差异明显，女性得分较高。参与者的自我效能感和沟通技能在干预后显著提高，但沟通态度变量没有显著差异。
与慢性和临终相关的复杂情境的标准化患者模拟方案提高了这些护理学生的沟通自我效能感和沟通技能。在未来的工作中，分析性别和沟通态度作为护理学生沟通技能学习的变量的影响将非常重要。
