Jin Juhye, Son Youn-Jung, Tate Judith A, Choi JiYeon
Department of Nursing, College of Health and Life Science, 542851Korea National University of Transportation, Jeungpyeong, South Korea.
Red Cross College of Nursing, 26729Chung-Ang University, Seoul, South Korea.
Eval Health Prof. 2022 Dec;45(4):411-419. doi: 10.1177/01632787221076911. Epub 2022 Mar 25.
Intensive care unit (ICU) nurses are expected to facilitate effective day-to-day communication with patients and family members at the bedside. To date, communication training for ICU health care professionals has targeted mainly intensivists-in-training, but there is limited data on communication experience and needs to be evaluated among ICU nurses. This qualitative study used focus group interviews to explore daily communication experiences with patients' families and communication training needs and preferences among ICU nurses in South Korea. Five focus group interviews were conducted with 27 ICU nurses (4-6 nurses per group). The results of inductive qualitative content analysis highlighted four main categories: "Perceived difficulties during communication," "burden from working conditions," "endeavors to promote communication skills," and "strategies for cultivating effective communication." Regarding suggestions for future communication training, nurses preferred interactive learning with peer-support over traditional methods (e.g., lectures). Nurses also suggested that communication training for ICU nurses should include learning skills appropriate for difficult situations (e.g., angry family members). Findings from this study can serve as a framework for stakeholders in ICU care and healthcare education (e.g., hospital and nursing administrators, nurse educators) when designing communication training to support ICU nurses with their practical knowledge and communication skills.
重症监护病房（ICU）护士需要在床边与患者及其家属进行有效的日常沟通。迄今为止，针对ICU医护人员的沟通培训主要针对实习重症医学专家，但关于沟通经验的数据有限，且需要对ICU护士进行评估。这项定性研究采用焦点小组访谈，以探讨韩国ICU护士与患者家属的日常沟通经验以及沟通培训需求和偏好。对27名ICU护士（每组4 - 6名护士）进行了五次焦点小组访谈。归纳定性内容分析的结果突出了四个主要类别：“沟通中的感知困难”、“工作条件带来的负担”、“提升沟通技巧的努力”以及“培养有效沟通的策略”。关于未来沟通培训的建议，护士们更喜欢有同伴支持的互动式学习，而非传统方法（如讲座）。护士们还建议，针对ICU护士的沟通培训应包括学习适用于困难情况（如愤怒的家属）的技巧。这项研究的结果可为ICU护理和医疗教育领域的利益相关者（如医院和护理管理人员、护士教育工作者）在设计沟通培训时提供一个框架，以支持ICU护士掌握实践知识和沟通技巧。
