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评估护理学生在模拟远程咨询中的沟通情况:一项横断面研究。

Evaluation of the communication of nursing students in the simulated teleconsultation: A cross-sectional study.

机构信息

School of Nursing, University of Las Américas, Santiago, Chile.

出版信息

Nurse Educ Today. 2022 Jun;113:105382. doi: 10.1016/j.nedt.2022.105382. Epub 2022 Apr 25.

Abstract

INTRODUCTION

The COVID-19 pandemic presented universities with the challenge of virtualizing the teaching-learning process. Simulated teleconsultation has been used in undergraduate training, which allows nursing students to interact with simulated patients remotely. Studies have identified that distance imposes communication barriers on all elements-sender, receiver and message-and in both forms of transmission: verbal and nonverbal.

OBJECTIVE

To describe the communication of nursing students in teleconsultation with simulated patients in the context of primary health care.

METHODS

This was a descriptive, cross-sectional study of 92 fifth-year nursing students. The communication variable was measured with the Connect Identify Understand Agree Help scale. In the data analysis, the mean and standard deviation of the scores on the 29 items of the scale were determined, as were the mean values for the total scale and for the 3 domains of the scale.

RESULTS

The items that presented an average of less than 1 were primarily those related to the Agree and Help to Act domain. The total mean was 1.15, and the means for the domains Connect, Identify and Understand Problems and Agree and Help to Act were 1.53, 0.90 and 1.28, respectively. A weakness in the exploration of the psychosocial context of the simulated patients was observed.

CONCLUSIONS

The results of this study, which evaluated communication in the context of distance care, corroborate the evidence regarding communication in real or simulated face-to-face situations. Studies that compare communication in various teaching-learning contexts, whether real or virtual, face-to-face or at a distance, are recommended.

摘要

简介

新冠疫情大流行给大学带来了将教学过程虚拟化的挑战。模拟远程问诊已经被用于本科培训中,使护理学生能够远程与模拟患者互动。研究表明,距离会给所有的沟通要素(发送者、接收者和信息)以及两种传播形式(言语和非言语)带来障碍。

目的

描述护理学生在初级卫生保健背景下与模拟患者进行远程问诊时的沟通情况。

方法

这是一项针对 92 名五年级护理学生的描述性、横断面研究。沟通变量通过“连接-识别-理解-同意-帮助”量表进行测量。在数据分析中,确定了量表 29 个项目的得分均值和标准差,以及量表总分和 3 个分量表的均值。

结果

平均分低于 1 的项目主要与“同意和帮助行动”分量表有关。总平均分是 1.15,“连接”“识别和理解问题”以及“同意和帮助行动”分量表的平均分分别为 1.53、0.90 和 1.28。观察到对模拟患者的心理社会背景的探索不足。

结论

这项评估远程护理背景下沟通情况的研究结果与真实或模拟面对面情况下的沟通证据相符。建议进行比较各种教学环境(无论是真实的还是虚拟的、面对面的还是远程的)下的沟通的研究。

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