心肌梗塞情境模擬溝通課程對提升護理人員溝通能力成效之研究

The Effect of a Scenario-Based Simulation Communication Course on Improving the Communication Skills of Nurses

黃雅萱(Ya-Hsuan Huang) ； 謝素英(Suh-Ing Hsieh) ； 許麗齡(Li-Ling Hsu)

《護理雜誌》 61卷2期 (2014/04) Pp. 33-43

https://doi.org/10.6224/JN.61.2.33

摘要

Background: Limited disease knowledge is frequently the cause of disease-related anxiety in myocardial infarction patients. The ability to communicate effectively serves multiple purposes in the professional nursing practice. By communicating effectively with myocardial infarction patients, nurses may help reduce their anxiety by keeping them well informed about their disease and teaching them self-care strategies.Purpose: This research evaluates the communication skills of nurses following scenario-based simulation education in the context of communication with myocardial infarction patients.Methods: This study used an experimental design and an educational intervention. The target population comprised nurses of medicine (clinical qualified level N to N2 for nursing) working at a municipal hospital in Taipei City, Taiwan. A total 122 participants were enrolled. Stratified block randomization divided participants into an experimental group and a control group. The experimental group received clinical scenario-based simulation education for communication. The control group received traditional class-based education for communication. Both groups received a pre-test and a Communication Skills Checklist post-test assessment. Results were analyzed using SPSS 17.0 for Windows software.Results: A t-test showed significant increases in communication skills (p ＜ .001) in the experimental group and ANCOVA results identified significant between-group differences (p ＜ .001) in communication skills following the education intervention.Conclusions: The results indicate that clinical scenario-based simulation education for communication is significantly more effective than traditional class-based education in enhancing the ability of nurses to communicate effectively with myocardial infarction patients.

關鍵字

情境模擬教學 ； 溝通能力 ； 心肌梗塞

並列摘要

Background: Limited disease knowledge is frequently the cause of disease-related anxiety in myocardial infarction patients. The ability to communicate effectively serves multiple purposes in the professional nursing practice. By communicating effectively with myocardial infarction patients, nurses may help reduce their anxiety by keeping them well informed about their disease and teaching them self-care strategies.Purpose: This research evaluates the communication skills of nurses following scenario-based simulation education in the context of communication with myocardial infarction patients.Methods: This study used an experimental design and an educational intervention. The target population comprised nurses of medicine (clinical qualified level N to N2 for nursing) working at a municipal hospital in Taipei City, Taiwan. A total 122 participants were enrolled. Stratified block randomization divided participants into an experimental group and a control group. The experimental group received clinical scenario-based simulation education for communication. The control group received traditional class-based education for communication. Both groups received a pre-test and a Communication Skills Checklist post-test assessment. Results were analyzed using SPSS 17.0 for Windows software.Results: A t-test showed significant increases in communication skills (p ＜ .001) in the experimental group and ANCOVA results identified significant between-group differences (p ＜ .001) in communication skills following the education intervention.Conclusions: The results indicate that clinical scenario-based simulation education for communication is significantly more effective than traditional class-based education in enhancing the ability of nurses to communicate effectively with myocardial infarction patients.

並列關鍵字

scenario-based simulation ； communication capability ； myocardial infarction