A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance
A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance
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DOI：
10.1016/j.pec.2010.02.013
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发表时间：
2011-01-01
影响因子：
3.5
通讯作者：
Thompson, Scott
中科院分区：
文献类型：
--
作者：
Doyle, Daniel;Copeland, H. Liesel;Thompson, Scott
目的：为了评估的影响，沟通技巧课程的护士如何处理困难的沟通情况下，在他们的日常work.Methods：一个7小时的课程开发使用的“意识，感觉，听，解决”（AFLS）的结构。采用了以学习者为中心的体验式教学法。课程评价采用了随机对照设计与前和后的自我效能和performance.Results措施：41名护士自愿和33名护士完成了所有分配的部分研究。在自我评估方面，自我效能有显著改善（F = 24.43，p < 0.001），但情绪意识没有改善。在绩效方面，干预组和对照组之间没有显著改善（F = 3.46，p = 0.073）。结论：短期课程的护士处理困难的沟通情况取得了显着改善自我效能，但没有在performance.Practice的影响：教学沟通技巧，在社区为基础的设置是重要的安全性和有效性的病人护理。发起组织应权衡可行性与实现可衡量的业绩改进之间的利弊。一种可能的方法是专注于特定的沟通技能，而不是一整套技能。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objective: To evaluate the impact of a communication skills course for nurses on how to handle difficult communication situations in their daily work.Methods: A 7-h course was developed using a construct of "Awareness, Feelings, Listen, Solve" (AFLS). A pedagogy of experiential, learner-centered learning was adopted. The course evaluation used a randomized controlled design with pre- and post-measures of self-efficacy and performance.Results: Forty-one nurses volunteered and thirty-three nurses completed all assigned parts of the study. On self-assessment, there was significant improvement for self-efficacy (F = 24.43, p < 0.001), but not for emotional awareness. On performance, there was no significant improvement between intervention and control groups (F = 3.46, p = 0.073).Conclusion: A short course for nurses on handling difficult communication situations achieved significant improvements in self-efficacy but not in performance.Practice implications: Teaching communication skills in community-based settings is important for the safety and effectiveness of patient care. Sponsoring organizations should weigh trade-offs between feasibility and achievement of measurable improvements in performance. One possible approach is to focus on specific communication skills rather than a full suite of skills. (C) 2010 Elsevier Ireland Ltd. All rights reserved.