Continuous Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Public Health, Bushehr University of Medical Sciences, Bushehr, Iran.
Invest Educ Enferm. 2024 Apr;42(1). doi: 10.17533/udea.iee.v42n1e13.
This study aimed to the effects of the Health Action Process Approach (HAPA) in promoting the quality of nurses' communication skills among nurses.
The present quasi-experimental research was conducted on 148 nurses (76 in the intervention and 72 in the control group) in Yazd province (Iran). In this study, the total number of nurses in one hospital was selected as the intervention group, while the nurses from another hospital were chosen as the control group. The participants were recruited from public hospitals in Ardakan and Meibod cities. The data collection instrument was a questionnaire based on the Health Action Process Approach (HAPA) Constructs and a communicative skill questionnaire. The data were collected from the two groups before, one month after, and four months after the intervention. The control group did not receive any educational training during the course of the study.
In the pretest, no statistically significant difference was found between the intervention and control groups regarding the behavioral stages of effective communication with patients. In the posttest, the mean task self-efficacy score was significantly increased in the intervention group compared to the control (p<0.001). The mean coping self-efficacy score was also significantly higher in the intervention group than the control in the posttest (p<0.001). Moreover, the mean coping planning score was significantly increased in the post-test intervention group(p < 0.001). The mean communicative skill score was also significantly increased in the intervention group compared to the post-test control (p=0.03).
The intervention used in the present study based on the target model (HAPA) significantly affected nurses' self-efficacy and communicative skills in the experimental group.
本研究旨在探讨健康行动过程方法（HAPA）对提高护士沟通技巧质量的影响。
本准实验研究在伊朗亚兹德省（Iran）对 148 名护士（干预组 76 名，对照组 72 名）进行了研究。在这项研究中，选择了一家医院的护士总数作为干预组，而另一家医院的护士则作为对照组。参与者是从 Ardakan 和 Meibod 市的公立医院招募的。数据收集工具是基于健康行动过程方法（HAPA）结构和沟通技巧问卷的问卷。两组参与者在干预前、干预后一个月和干预后四个月进行了调查。在研究过程中，对照组未接受任何教育培训。
在预测试中，干预组和对照组在与患者有效沟通的行为阶段方面没有统计学上的显著差异。在测试后，干预组的任务自我效能感评分明显高于对照组（p<0.001）。干预组的应对自我效能感评分也明显高于对照组（p<0.001）。此外，干预组的应对计划评分在测试后也明显升高（p<0.001）。干预组的沟通技巧评分也明显高于对照组（p=0.03）。
本研究中使用的基于目标模型（HAPA）的干预措施显著影响了实验组护士的自我效能感和沟通技巧。
