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新生儿重症监护室护士沟通培训的需求与益处

Need and benefit of communication training for NICU nurses.

作者信息

Bry Anna, Wigert Helena, Bry Kristina

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, 413 46 Gothenburg, Sweden.

Division of Neonatology, Sahlgrenska University Hospital, Diagnosvägen 15, 416 50 Gothenburg, Sweden.

出版信息

PEC Innov. 2023 Feb 14;2:100137. doi: 10.1016/j.pecinn.2023.100137. eCollection 2023 Dec.

DOI:10.1016/j.pecinn.2023.100137
PMID:37214501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10194117/
Abstract

OBJECTIVES

To assess the effects of a new communication course for neonatal intensive care unit (NICU) nurses on nurses' confidence in communicating with families, and to explore communication-related issues experienced by the nurses and their relationship to burnout.

STUDY DESIGN

Twenty-nine nurses participated in an interactive course based on communication cases from the NICU. Participants' experience of communication with parents was assessed. They completed the Maslach Burnout Inventory. Self-reported communication skills were assessed before and after the course and at four-month follow-up.

RESULTS

Only one nurse reported previous nursing-related communication training. High burnout scores were associated with communication-related difficulties, especially lack of time for communication. The course improved participants' confidence in their communication skills in challenging situations, including those where parents express distress or ask questions the nurse cannot answer. Participants found the course highly interesting, useful and necessary for their work.

CONCLUSION

Interactive, learner-centered training addressing issues specific to communication at the NICU was effective and highly appreciated.

INNOVATION

The course centered on a unique variety of reality-based communication cases from the NICU, relevant to the nurses' work and stimulating their reflection. An innovative feature was the emphasis on nurses' perspective and the importance of communication for their coping.

摘要

目的

评估一门针对新生儿重症监护病房(NICU)护士的新型沟通课程对护士与患儿家属沟通信心的影响,并探讨护士所经历的与沟通相关的问题及其与职业倦怠的关系。

研究设计

29名护士参加了一门基于NICU沟通案例的互动课程。评估了参与者与患儿家长沟通的经历。他们完成了马氏职业倦怠量表。在课程前后以及四个月的随访时评估自我报告的沟通技巧。

结果

只有一名护士报告曾接受过与护理相关的沟通培训。高职业倦怠得分与沟通相关的困难有关,尤其是缺乏沟通时间。该课程提高了参与者在具有挑战性的情况下,包括家长表达痛苦或提出护士无法回答的问题时,对自身沟通技巧的信心。参与者认为该课程非常有趣、有用且对他们的工作很有必要。

结论

以学习者为中心的互动式培训,解决了NICU沟通的特定问题,是有效的且广受好评。

创新点

该课程围绕NICU各种独特的基于现实的沟通案例展开,这些案例与护士的工作相关并能激发他们的思考。一个创新之处在于强调护士的视角以及沟通对他们应对工作的重要性。

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