Department of Nursing, Hungkuang University, No.34, Chung-Chie Rd, Shalu, Taichung County 43302, Taiwan, ROC.
Department of Nursing, Hungkuang University, No.34, Chung-Chie Rd, Shalu, Taichung County 43302, Taiwan, ROC.
Nurse Educ Pract. 2024 Jan;74:103837. doi: 10.1016/j.nepr.2023.103837. Epub 2023 Nov 13.
This study was conducted to examine the effectiveness of a virtual reality communication simulation (VRCS) in teaching communication skills in fundamentals of nursing practicum.
Effective communication skills are an integral part of the nursing profession and the foundation of high-quality nursing care. Effective communication not only addresses the needs of patients but is also necessary for maintaining patient safety. Many studies have reported the inadequacy of nursing students in communicating with patients. Nursing students often experience stress due to their lack of adequate skills to communicate effectively with patients and their family members.
A pragmatic randomized controlled trial research with four within-subjects assessments (at the baseline (T0), 1st week (T1) and 3rd week (T2) of the clinical practice and 1 week after the end of the clinical practice (T3)) and between-subjects assessments.
Eighty-four nursing students at a university of Science and Technology in central Taiwan.
The students were randomly assigned to an experimental group (n = 42) and a control group (n = 42). The experimental group received a VRCS, whereas the control group received the nurse-patient communication teaching video. The data were collected from April 2022 to August 2022. The Kalamazoo Essential Element Communication Checklist, Communication Self-Assessment Scale, Learning Satisfaction Questionnaire and Stress Scale for Nursing Students in Clinical Practice were used for data collection.
At baseline, the control group had higher scores on communication ability and confidence compared with the experimental group (t = -3.91, p <.001; and t = -2.35, p =.021). In the first week of clinical practice, the experimental group had significantly higher mean scores for communication ability compared with the control group (β = 15.99, 95 % confidence interval [CI] 13.79, 18.18) and communication confidence and learning satisfaction compared with controls at T1, T2 and T3 of the clinical practice (all, p <.001). The clinical practice stress scores of the experimental group were significantly lower than those of the control group at T1, T2 and T3 of the clinical practice (all, p <.05).
The newly developed VRCS is acceptable and worthwhile for training nursing students to develop communication abilities. This study suggests that VRCS practice should be arranged as early as possible in fundamentals of nursing practice courses and before the fundamentals of nursing practicum so as to facilitate the learning of effective communication. Follow-up research is needed to evaluate the long-term effects of virtual reality education in nursing practice.
本研究旨在检验虚拟现实沟通模拟（VRCS）在基础护理实习中教授沟通技巧的效果。
有效的沟通技巧是护理专业的重要组成部分，也是高质量护理的基础。有效的沟通不仅满足了患者的需求，而且对维护患者安全也是必要的。许多研究报告称，护理学生在与患者沟通方面存在不足。护理学生由于缺乏与患者及其家属进行有效沟通的足够技能而经常感到压力。
一项具有四个内部评估（在基线（T0）、第 1 周（T1）和第 3 周（T2）的临床实践以及临床实践结束后 1 周（T3））和组间评估的实用随机对照试验研究。
台湾中部一所科技大学的 84 名护理学生。
学生被随机分配到实验组（n = 42）和对照组（n = 42）。实验组接受 VRCS，而对照组接受护患沟通教学视频。数据收集于 2022 年 4 月至 2022 年 8 月。采用卡马祖基本要素沟通检查表、沟通自我评估量表、学习满意度问卷和临床实践中护理学生应激量表进行数据收集。
在基线时，与实验组相比，对照组在沟通能力和信心方面的得分更高（t = -3.91，p <.001；t = -2.35，p =.021）。在临床实践的第一周，实验组在沟通能力方面的平均得分显著高于对照组（β = 15.99，95%置信区间[CI] 13.79，18.18），在沟通信心和学习满意度方面的得分也显著高于对照组，在临床实践的 T1、T2 和 T3 时（均，p <.001）。实验组在临床实践的 T1、T2 和 T3 时的临床实践应激评分均显著低于对照组（均，p <.05）。
新开发的 VRCS 可接受且有助于培训护理学生发展沟通能力。本研究表明，应尽早在基础护理实践课程中安排 VRCS 实践，并在基础护理实习之前进行，以促进有效沟通的学习。需要进行后续研究以评估护理实践中虚拟现实教育的长期效果。
