Author Affiliations: Alice Lee Center for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore (Ms Ng and Drs Shorey, Ang, and Lau); National University Health System, Singapore (Drs Shorey and Ang); Application, Architecture and Technology, National University of Singapore Information Technology (Mr Yap); and Control & Mechatronics, Department of Mechanical Engineering (Dr Chui), and Biostatistics Unit, Yong Loo Lin School of Medicine (Dr Chan), National University of Singapore.
Comput Inform Nurs. 2023 Jun 1;41(6):385-393. doi: 10.1097/CIN.0000000000000999.
Effective communication skills in nursing are necessary for high-quality nursing care, but given the decline in nursing students' attitudes and their low self-confidence in effective communication with patients, a participatory and experiential training method is needed. Therefore, a virtual counseling application was developed using artificial intelligence and a three-dimensional avatar to facilitate learning of communication skills. This study aimed to evaluate the effectiveness of this theory-based virtual intervention on nursing students' learning attitudes, communication self-efficacy, and clinical performance. A longitudinal quasi-experimental study was conducted. Ninety-three undergraduate nursing students received virtual patient trainings with four clinical scenarios over 2 years. Data were analyzed using McNemar test and analysis of variance. Virtual patient training improved students' learning attitudes toward communication skills for scenarios involving the pregnant woman (20.4%, P = .03) and depressed patient (17.1%, P = .01) and enhanced perceived self-efficacy for scenarios involving the pregnant woman (22.6%, P = .002) and stressed nursing student (18.3%, P = .002). Students received lower clinical communication scores for pediatric, obstetric, and medical practicums compared with a previous cohort who received no training. Overall, this virtual counseling application can provide a valuable and cost-effective communication learning resource for the nursing curriculum.
护理中的有效沟通技巧对于高质量的护理至关重要，但鉴于护理学生的态度下降以及他们在与患者进行有效沟通方面的自信心较低，需要一种参与式和体验式的培训方法。因此，开发了一种使用人工智能和三维头像的虚拟咨询应用程序，以促进沟通技巧的学习。本研究旨在评估基于理论的虚拟干预对护理学生学习态度、沟通自我效能感和临床表现的有效性。进行了一项纵向准实验研究。93 名本科护理学生在 2 年内接受了涉及 4 个临床场景的虚拟患者培训。使用 McNemar 检验和方差分析对数据进行分析。虚拟患者培训提高了学生对涉及孕妇（20.4%，P =.03）和抑郁患者（17.1%，P =.01）场景的沟通技能学习态度，并增强了对涉及孕妇（22.6%，P =.002）和压力大的护理学生（18.3%，P =.002）场景的感知自我效能感。与未接受培训的前一组学生相比，学生在儿科、产科和医学实习中的临床沟通得分较低。总的来说，这种虚拟咨询应用程序可为护理课程提供有价值且具有成本效益的沟通学习资源。
