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护士以患者为中心的沟通技能培训评估(KOMPAT):一项随机对照试验的研究方案

Evaluation of a patient-centered communication skills training for nurses (KOMPAT): study protocol of a randomized controlled trial.

作者信息

Lindig Anja, Mielke Kendra, Frerichs Wiebke, Cöllen Katja, Kriston Levente, Härter Martin, Scholl Isabelle

机构信息

Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Center for Health Care Research and Public Health, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

出版信息

BMC Nurs. 2024 Jan 2;23(1):2. doi: 10.1186/s12912-023-01660-8.

Abstract

BACKGROUND

To ensure high quality of nurses' communication as part of patient-centered care, training of communication skills is essential. Previous studies indicate that communication skills trainings can improve communication skills of nurses and have a positive effect on emotional and psychological burden. However, most show methodological limitations, are not specifically developed for nurses or were developed for oncological setting only.

METHODS

This study aims to evaluate the effectiveness of a needs-based communication skills training for nursing professionals and to derive indications for future implementation. A two-armed randomized controlled trial including components from both effectiveness and implementation research will be applied. Additionally, a comprehensive process evaluation will be carried out to derive indications for future implementation. Nurses (n=180) of a university medical center in Germany will be randomized to intervention or waitlist-control group. The intervention was developed based on the wishes and needs of nurses, previously assessed via interviews and focus groups. Outcomes to measure effectiveness were selected based on Kirkpatrick's four levels of training evaluation and will be assessed at baseline, post-training and at 4-weeks follow-up. Primary outcome will be nurses' self-reported self-efficacy regarding communication skills. Secondary outcomes include nurses' communication skills assessed via standardized patient assessment, knowledge about patient-centered communication, mental and work-related burden, and participants' satisfaction with training.

DISCUSSION

To our knowledge, this is the first study systematically evaluating the effectiveness of a patient-centered communication skills training for nursing professionals in Germany. Results will yield insight whether a needs-based intervention can improve nurses' self-efficacy regarding communication skills and other secondary outcomes.

TRIAL REGISTRATION

Clinical trial registration number: NCT05700929, trial register: ClinicalTrials.gov (date of registration: 16 November 2022).

摘要

背景

为确保作为以患者为中心的护理一部分的护士沟通质量,沟通技能培训至关重要。先前的研究表明,沟通技能培训可以提高护士的沟通技能,并对情绪和心理负担产生积极影响。然而,大多数研究存在方法学上的局限性,并非专门为护士开发,或仅针对肿瘤学环境开发。

方法

本研究旨在评估针对护理专业人员的基于需求的沟通技能培训的有效性,并为未来的实施提供指导。将采用一项双臂随机对照试验,包括有效性研究和实施研究的组成部分。此外,将进行全面的过程评估,以得出未来实施的指导意见。德国一家大学医学中心的护士(n = 180)将被随机分为干预组或等待名单对照组。干预措施是根据护士的意愿和需求制定的,此前通过访谈和焦点小组进行了评估。基于柯克帕特里克的培训评估四个层次选择衡量有效性的结果,并将在基线、培训后和4周随访时进行评估。主要结果将是护士自我报告的沟通技能自我效能感。次要结果包括通过标准化患者评估评估的护士沟通技能、以患者为中心的沟通知识、心理和工作相关负担以及参与者对培训的满意度。

讨论

据我们所知,这是第一项系统评估德国针对护理专业人员的以患者为中心的沟通技能培训有效性的研究。结果将深入了解基于需求的干预措施是否可以提高护士在沟通技能和其他次要结果方面的自我效能感。

试验注册

临床试验注册号:NCT05700929,试验注册库:ClinicalTrials.gov(注册日期:2022年11月16日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ba4/10759369/08f1e779c28e/12912_2023_1660_Fig1_HTML.jpg

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