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ISBARR对中国本科护生跨专业沟通技能知识及态度的影响。

The effect of ISBARR on knowledge of and attitudes about interprofessional communication skills among Chinese undergraduate nursing students.

作者信息

Wang Weiwen, Shen Juan, Greene W Brian, Ren Dianxu, Sherwood Paula

机构信息

Department of Acute and Tertiary Care, University of Pittsburgh, School of Nursing, 3500 Victoria Street, 336 Victoria Building, Pittsburgh, PA 15261, USA.

Nursing Department, Suzhou Vocational Health Collage, Suzhou, Jiangsu 215000, China.

出版信息

Nurse Educ Today. 2022 Feb;109:105207. doi: 10.1016/j.nedt.2021.105207. Epub 2021 Nov 6.

Abstract

BACKGROUND

Interprofessional communication is essential for the coordination and collaboration of healthcare team members during patient care, especially in critical situations. Therefore, nursing students must learn and practice interprofessional communication skills throughout their education and clinical training. Previous studies evaluating standardized communication frameworks in the United States (e.g., ISBARR [identify, situation, background, assessment, recommendation, and repeat]) suggest that nursing students feel more confident about interprofessional communication and collaboration through familiarity with these frameworks.

OBJECTIVE

To evaluate the effect of an ISBARR workshop on knowledge of and attitude about effective communication among Chinese undergraduate students.

DESIGN

A pre- and posttest quasi-experimental study.

PARTICIPANTS

A convenience sample of 90 undergraduate nursing students at a vocational health college in China.

METHOD

The two-part ISBARR workshop featured a lecture and a video-simulation exercise. Differences in students' knowledge of and attitudes about interprofessional communication skills using ISBARR were compared pre- and post-workshop.

RESULTS

We observed a statistically significant (p < 0.001) improvement in overall mean scores of students' knowledge of and attitudes about utilizing ISBARR post-workshop. We also observed a statistically significant (p < 0.001) improvement in the overall mean scores of students' knowledge of and attitudes about ISBARR after the video-simulation exercise.

CONCLUSION

The ISBARR workshop improved Chinese nursing students' knowledge and attitudes about interprofessional communication. Incorporating ISBARR into the nursing healthcare team eventually can lead to improved patient safety. Subsequent studies should target nursing faculty and clinical instructors to evaluate their knowledge and attitudes about teaching ISBARR and interprofessional education. Improving these attitudes can help establish a positive interprofessional communication learning environment for nursing students in China and other cultural contexts worldwide.

摘要

背景

跨专业沟通对于医疗团队成员在患者护理过程中的协调与协作至关重要,尤其是在危急情况下。因此,护理专业学生在整个教育和临床培训过程中必须学习和实践跨专业沟通技能。先前评估美国标准化沟通框架(如ISBARR[识别、情况、背景、评估、建议和重复])的研究表明,护理专业学生通过熟悉这些框架,对跨专业沟通与协作更有信心。

目的

评估ISBARR工作坊对中国本科护生有效沟通知识和态度的影响。

设计

一项前后测准实验研究。

参与者

中国一所职业卫生学院的90名本科护生的便利样本。

方法

两部分的ISBARR工作坊包括一次讲座和一次视频模拟练习。比较工作坊前后学生使用ISBARR的跨专业沟通技能知识和态度的差异。

结果

我们观察到,工作坊后学生使用ISBARR的知识和态度的总体平均得分有统计学显著提高(p<0.001)。我们还观察到,视频模拟练习后学生对ISBARR的知识和态度的总体平均得分有统计学显著提高(p<0.001)。

结论

ISBARR工作坊提高了中国护生对跨专业沟通的知识和态度。将ISBARR纳入护理医疗团队最终可提高患者安全。后续研究应针对护理教师和临床指导教师,评估他们对教授ISBARR和跨专业教育的知识和态度。改善这些态度有助于为中国及全球其他文化背景下的护生建立积极的跨专业沟通学习环境。

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