The implementation and evaluation of a communication skills training program for oncology nurses
The implementation and evaluation of a communication skills training program for oncology nurses
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DOI：
10.1007/s13142-017-0473-5
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发表时间：
2017-09-01
影响因子：
3.6
通讯作者：
Parker, Patricia A.
中科院分区：
文献类型：
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作者：
Banerjee, Smita C.;Manna, Ruth;Parker, Patricia A.
许多护士表示难以与患者沟通，特别是在肿瘤学环境中，在诊断和治疗过程中存在许多挑战和高风险决策。提供沟通技巧的具体培训是加强护士与患者之间沟通的一种方法。我们开发并实施了一个护士沟通技巧培训计划，包括三个教学模块：对病人的同情;讨论死亡，临终关怀和临终关怀的目标;并应对与家人的互动挑战。培训包括教学和体验式小组角色扮演。本文介绍了程序评估，自我效能，和行为示范的学习沟通技巧的结果。342名住院肿瘤科护士参加了为期1天的沟通技巧培训计划，并完成了课程评估，自我报告，以及前后标准化的患者评估。参与者对培训的评价很好，他们报告说，在各种情况下与患者沟通的能力方面，自我效能感有了显着提高。参与者还表现出显着的改善，在几个移情技能，以及在澄清技能。我们的工作表明，在一个主要的癌症中心实施护士沟通技能培训计划是可行的和可接受的，并对参与者的自我效能和沟通技能的摄取有显着的影响。
Many nurses express difficulty in communicating with their patients, especially in oncology settings where there are numerous challenges and high-stake decisions during the course of diagnosis and treatment. Providing specific training in communication skills is one way to enhance the communication between nurses and their patients. We developed and implemented a communication skills training program for nurses, consisting of three teaching modules: responding empathically to patients; discussing death, dying, and end-of-life goals of care; and responding to challenging interactions with families. Training included didactic and experiential small group role plays. This paper presents results on program evaluation, self-efficacy, and behavioral demonstration of learned communication skills. Three hundred forty-two inpatient oncology nurses participated in a 1-day communication skills training program and completed course evaluations, self-reports, and pre- and post-standardized patient assessments. Participants rated the training favorably, and they reported significant gains in self-efficacy in their ability to communicate with patients in various contexts. Participants also demonstrated significant improvement in several empathic skills, as well as in clarifying skill. Our work demonstrates that implementation of a nurse communication skills training program at a major cancer center is feasible and acceptable and has a significant impact on participants' self-efficacy and uptake of communication skills.