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提升老年护理中的沟通与共情能力:护士对基于模拟的患者互动与教育培训的反思

Enhancing Communication and Empathy Skills in Geriatric Care: Nurses' Reflections on Simulation-Based Training for Patient Interaction and Education.

作者信息

Mohammed Sobhia Ahmed Abdel Kader, Shaban Mostafa

机构信息

Department of Psychology, College of Education, King Khalid University, Abha, Saudi Arabia.

Community Health Nursing Department, College of Nursing, Jouf University, Sakaka, Saudi Arabia.

出版信息

J Clin Nurs. 2025 Jan 14. doi: 10.1111/jocn.17662.

DOI:10.1111/jocn.17662
PMID:39809584
Abstract

AIM

To explore the impact of simulation-based training on communication and empathy skills among nurses working with elderly patients in the Abha region of Saudi Arabia. The study also aimed to identify the barriers and facilitators to applying these skills in real-world clinical practice.

DESIGN

A qualitative study.

METHOD

Semi-structured interviews were conducted between June and July 2024 with 17 nurses from urban and rural healthcare settings in the Abha region. Data were analysed using both deductive framework analysis, guided by social support theory, and inductive thematic analysis to identify key themes related to communication, empathy, and the application of simulation-based skills in practice. We adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

RESULTS

The study involved 17 participants aged 22-50 years, with diverse educational backgrounds and work experience. The findings indicated that simulation-based training significantly improved nurses' confidence in delivering difficult news and their ability to empathise with elderly patients. Nurses working in urban settings with regular access to simulation training reported better outcomes compared to those in rural settings with less frequent training opportunities.

CONCLUSION

Simulation-based training has a positive impact on enhancing communication and empathy skills among nurses, but challenges in real-world application remain. Efforts should be made to improve the accessibility of simulation training and address the barriers preventing its effective implementation in clinical practice.

IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE: Healthcare practitioners and policymakers should prioritise simulation-based training in nursing education and professional development to improve the quality of care for elderly patients.

REPORTING METHOD

The Consolidated Criteria for Reporting Qualitative Research (COREQ).

PATIENT OR PUBLIC CONTRIBUTION

The engagement and interview data from nursing participants provided valuable insights into the impact of simulation-based training on communication and empathy in elderly care.

摘要

目的

探讨基于模拟的培训对沙特阿拉伯阿卜哈地区照顾老年患者的护士沟通和共情能力的影响。该研究还旨在确定在实际临床实践中应用这些技能的障碍和促进因素。

设计

一项定性研究。

方法

2024年6月至7月,对阿卜哈地区城乡医疗机构的17名护士进行了半结构式访谈。数据采用演绎框架分析(以社会支持理论为指导)和归纳主题分析相结合的方法进行分析,以确定与沟通、共情以及基于模拟的技能在实践中的应用相关的关键主题。我们遵循了定性研究报告的综合标准(COREQ)清单。

结果

该研究涉及17名年龄在22至50岁之间的参与者,他们具有不同的教育背景和工作经验。研究结果表明,基于模拟的培训显著提高了护士传达坏消息的信心以及对老年患者的共情能力。与培训机会较少的农村地区护士相比,经常接受模拟培训的城市地区护士报告的效果更好。

结论

基于模拟的培训对提高护士的沟通和共情能力有积极影响,但在实际应用中仍存在挑战。应努力提高模拟培训的可及性,并消除阻碍其在临床实践中有效实施的障碍。

对专业和/或患者护理的意义:医疗从业者和政策制定者应在护理教育和专业发展中优先考虑基于模拟的培训,以提高老年患者的护理质量。

报告方法

定性研究报告的综合标准(COREQ)。

患者或公众贡献

护理参与者的参与情况和访谈数据为基于模拟的培训对老年护理中沟通和共情的影响提供了宝贵见解。

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