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应对护士的沟通挑战:评估一项针对护士沟通知识与技能的混合式学习项目。

Responding to nurses' communication challenges: Evaluating a blended learning program for communication knowledge and skills for nurses.

作者信息

Kerr Debra, Milnes Sharyn, Martin Peter, Ammentorp Jette, Wolderslund Maiken, Chiswell Meg

机构信息

School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Organisational Change in Person-Centred Healthcare, Deakin University, Victoria, Australia.

Barwon Health, Geelong, Australia.

出版信息

Patient Educ Couns. 2022 Jul;105(7):2285-2291. doi: 10.1016/j.pec.2021.11.019. Epub 2021 Nov 27.

Abstract

OBJECTIVES

To evaluate the effectiveness of the Blended Communication Skills Training Program for Nurses (CSTN). The program aims to improve nurses' knowledge about communication skills and structure for interactions with individuals who a have life limiting illness.

METHODS

This was a quasi-experimental study using a pre- and post-test quiz and self-efficacy questionnaire undertaken in Victoria, Australia. Nurses employed across three wards participated. The Blended CSTN comprised two major components: Asynchronous Web-Based Education Program and Experiential Workshop. The program focused on specific communication challenges: Gathering Information, Dealing with Difficult Questions, and Articulating Empathy. The primary outcome was improvement in knowledge of communication skills and structure. Self-efficacy and perceived importance of communication skills were assessed as secondary outcomes.

RESULTS

Eighteen nurses completed both Web-Based and Workshop components. Statistically significant increases in knowledge regarding communication skills and structure were found, with a large effect size for Gathering Information (r = 0.80) and moderate effect for Articulating Empathy (r = 0.62), and Responding to Difficult Questions (r = 0.532). Self-efficacy significantly increased for all measured communication skills.

CONCLUSIONS

Knowledge improvements and perceived self-efficacy in communication were observed after nurses participated in a blended education program PRACTICE IMPLICATIONS: A blended CSTN may improve nurse-patient communication in the clinical setting, worthy of further study.

摘要

目的

评估护士混合式沟通技能培训项目(CSTN)的效果。该项目旨在提高护士关于与患有生命受限疾病的个体进行互动的沟通技能和沟通结构的知识。

方法

这是一项在澳大利亚维多利亚州进行的准实验研究,采用了前后测试问卷和自我效能感调查问卷。来自三个病房的护士参与其中。混合式CSTN包括两个主要部分:基于网络的异步教育项目和体验式工作坊。该项目聚焦于特定的沟通挑战:收集信息、处理难题以及表达同理心。主要结果是沟通技能和沟通结构知识的提高。自我效能感和沟通技能的感知重要性作为次要结果进行评估。

结果

18名护士完成了基于网络和工作坊两个部分。在沟通技能和沟通结构方面发现了统计学上显著的知识增加,对于收集信息有较大效应量(r = 0.80),对于表达同理心有中等效应(r = 0.62),对于回答难题有中等效应(r = 0.532)。所有测量的沟通技能的自我效能感都显著提高。

结论

护士参与混合式教育项目后,观察到沟通方面的知识有所提高且自我效能感增强。实践意义:混合式CSTN可能改善临床环境中的护患沟通,值得进一步研究。

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