College of Nursing, Seoul National University, Jongno-gu, Seoul 03080, Republic of Korea; Research Institute of Nursing Science, Seoul National University, Jongno-gu, Seoul 03080, Republic of Korea.
College of Nursing, Seoul National University, Jongno-gu, Seoul 03080, Republic of Korea.
Nurse Educ Today. 2023 Sep;128:105879. doi: 10.1016/j.nedt.2023.105879. Epub 2023 Jun 16.
Effective and standardized technology-based communication simulations addressing diverse clinical situations for novice nurses are limited.
This study evaluated the efficacy of the Technology-based Interactive Communication Simulation for Nurses on communication competency (knowledge, self-efficacy, skills, and clarity), compassion, and assertiveness among novice nurses.
We used a randomized controlled repeated-measures design. Participants were randomly assigned to either the intervention (Technology-based Interactive Communication Simulation for Nurses) or attention control group and completed the assigned program, the questionnaire thrice (i.e., before, immediately after, and four weeks after the program), and the e-simulation twice (i.e., immediately after and four weeks after the program).
Korean nurses with six months to two years of experience recruited from five secondary and tertiary hospitals participated in the study at a private, quiet place of their choice.
The intervention comprises two simulation cases across different formats: (1) an interactive communication simulation for various clinical situations followed by a tailored debriefing; and (2) a video showing a conflict between a nurse and caregiver and between nurses, followed by a self-reflection activity. Communication skills and clarity were also evaluated by raters. Data analyses included descriptive analyses, t-tests, chi-square tests, and a generalized estimating equation model.
In total, 142 nurses (73 in the intervention and 69 in the attention control groups) participated in the programs, and 128 participated through the four-week follow-up. Technology-based Interactive Communication Simulation for Nurses significantly improved communication knowledge and self-efficacy and compassion among novice nurses compared to the attention control program, and its effects were maintained for four weeks. The group difference in communication skills and clarity evaluated by the raters was also significant.
Technology-based Interactive Communication Simulation for Nurses is effective in enhancing the communication competence of novice nurses. Future studies should analyze assertiveness in Korean healthcare settings.
针对新手护士的各种临床情况，有效的、标准化的基于技术的沟通模拟仍然有限。
本研究评估了基于技术的护士互动沟通模拟对新手护士沟通能力（知识、自我效能、技能和清晰度）、同情心和自信的影响。
我们采用随机对照重复测量设计。参与者被随机分配到干预组（基于技术的护士互动沟通模拟）或对照组，并完成指定的程序，三次填写问卷（即程序前、程序后即刻和程序后四周），两次进行电子模拟（即程序后即刻和程序后四周）。
从五所二级和三级医院招募了有 6 个月至 2 年工作经验的韩国护士，他们在私人、安静的地方选择参加研究。
干预措施包括两种不同格式的模拟案例：（1）针对各种临床情况的互动沟通模拟，随后进行定制的讨论；（2）展示护士与护理人员以及护士之间冲突的视频，随后进行自我反思活动。沟通技巧和清晰度也由评估者进行评估。数据分析包括描述性分析、t 检验、卡方检验和广义估计方程模型。
共有 142 名护士（干预组 73 名，对照组 69 名）参加了该计划，其中 128 名护士参加了四周的随访。与对照组相比，基于技术的护士互动沟通模拟显著提高了新手护士的沟通知识、自我效能和同情心，并且效果在四周内持续。评估者评估的沟通技能和清晰度的组间差异也具有统计学意义。
基于技术的护士互动沟通模拟可有效提高新手护士的沟通能力。未来的研究应在韩国医疗保健环境中分析自信。
