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題名：情境模擬溝通課程對提升新進護理人員溝通自信心之研究
書刊名：護理雜誌
作者：黃玉純／許麗齡 引用關係／謝素英 引用關係
作者(外文)：Huang, Yu-chun／Hsu, Li-ling／Hsieh, Suh-ing
出版日期：2011
卷期：58:5
頁次：頁53-62
主題關鍵詞：情境模擬；護理人員；溝通自信心；標準化病人；Scenario-based；Nurses；Self-confidence in communication；Standardized patients
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(7) 博士論文(1) 專書(0) 專書論文(0)
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  • 共同引用共同引用:0
  • 點閱點閱:458
背景 : 護理人員輪流 24小時照護住院病人，必須掌握病人病情相關資訊，並在臨床中扮演著醫師和病人間的橋樑，此需藉著護理人員的敏銳觀察力和運用良好的溝通技巧，來確認及解決病人的問題，由此可見溝通技巧是護理人員於臨床實務中必備的知能。 目的 : 本研究探討情境模擬溝通課程介入後對新進護理人員溝通自信心之改變。 方法 : 本研究為類實驗性實驗組與控制組前後測設計，非隨機叢集取樣北市某醫學大學附屬 A和 B醫院為控制組， C醫院為實驗組，到職未滿一年之護理人員 (n = 118) 為研究對象，實驗組接受 3小時之「情境模擬溝通教學課程」，控制組則接受 2小時之「一般課室溝通教學課程」。本研究以「溝通自信心自評表」測量情境模擬溝通課程介入後之成效，研究資料使用 SPSS 17.0 Window套裝軟體進行各項統計分析。 結果 : 控制組與實驗組前後測相依樣本 t檢定護理人員的自評平均溝通自信心達統計上顯著不同 (p < .001)，顯示兩組教學課程之介入，均有助於提昇護理人員溝通自信心。 ANCOVA分析發現溝通自信心自評平均分數在實驗組 (48.92, SD = 5.04) 與控制組 (48.18, SD = 5.14) 無統計上之顯著差異 (p = .14)。 結論 : 兩組教學課程之介入，均有助於提昇護理人員溝通自信心，但情境模擬溝通課程對護理人員溝通自信心之提昇，並未大於一般課室溝通教學課程。
Background: Nurses are expected to have keen observation skills to monitor inpatient conditions and good communication skills to facilitate doctor–inpatient communications. Communication skills are thus a core attribute required of professional nurses. Purpose: This study explored the effectiveness of a scenario-based communication course on increasing the self-confidence of novice nurses in communicating with inpatients. Methods: This study used a quasi-experimental pre-test and post-test study design based on non-random cluster sampling and tests were administered on 118 novice nurses with less than one year of clinical experience at one of three training hospitals in Taipei City. The control group (nurses working at hospitals A and B) received a two-hour standard course in communications; The experimental group (nurses working at hospital C) received a three-hour scenario-based communications course. Data was provided by subjects via a self-rated scale that assessed respondent self-confidence in communicating with inpatients. Statistical analyses were performed using the SPSS statistical software package for Microsoft Windows (version 17.0). Results: Results of a dependent paired t-test show that average posttest scores for both groups were significantly higher (p < .001) than average pretest scores. This demonstrated that both interventions were effective raising nurse confidence with inpatient communications. An ANCOVA showed no significant difference (p = .14) in average self-rated Confidence in Communication Scale scores between the two groups (experimental: 48.92, SD = 5.04; control: 48.18, SD = 5.14). Conclusions: Findings suggest the positive effect of both courses in increasing nurse confidence in communicating with inpatients. The scenario-based communications course was no more effective than the ordinary classroom communications course in making nurses more confident in communicating with inpatients.
期刊論文
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3.Mishel, M. H.(1981)。The Measurement of Uncertainty in Illness。Nursing Research，30(5)，258-263。  new window
4.Brown, John Seely、Collins, Allan、Duguid, Paul(1989)。Situated Cognition and the Culture of Learning。Educational Researcher，18(1)，32-42。  new window
5.Winn, W.(1993)。Instructional design and situated learning: Paradox or partnership?。Educational Technology，33(3)，16-21。  new window
6.Brennan, P. F.、Anthony, M. K.(2000)。Measuring nursing practice models using multi‐attribute utility theory。Research in Nursing & Health，23(5)，372-382。  new window
7.Lloyd, H.、Craig, S.(2007)。A guide to taking a patient's history。Nursing Standard，22(13)，42-48。  new window
8.Maguire, P.、Faulkner, A.、Booth, K.、Elliott, C.、Hillier, V.(1996)。Helping cancer patients disclose their concerns。European Journal of Cancer，32(1)，78-81。  new window
9.McGilton, K.、Irwin-Robinson, H.、Boscart, V.、Spanjevic, L.(2006)。Communication enhancement: nurse and patient satisfaction outcomes in a complex continuing care facility。Journal of Advanced Nursing，54(1)，35-44。  new window
圖書
1.Jeffries, P. R.(2007)。Simulation in nursing education: From conceptualization to evaluation。New York, NY：Lippincott Williams & Wilkins。  new window
2.Arrow, H.、McGrath, J. E.、Berdahl, J. L.(2000)。Small groups as complex systems: formation, coordination, development, and adaptation。Sage。  new window
3.Ellis, Donald(1999)。Crafting Society: Ethnicity, Class, and Communication Theory。Mahwah, NJ：Lawrence Erlbaum。  new window
4.Mehrabian, A.(1981)。Silent messages: Implicit communication of emotions and attitude。Belmont, CA：Wadsworth。  new window
5.Joyce, B.、Weil, M.、Calhoun, E.(2000)。Models of teaching。Allyn and Bacon。  new window
6.McLellan, H.(1996)。Situated Learning Perspectives。Educational Technology Publications。  new window
其他
1.汪翠瀅、施陳美津、吳明宜Wang, T. Y., Chen-Sea, M. J., & Wu, M. Y.(2004)。影教學應用於人際溝通訓練之效果Teaching interpersonal communication skill with video recording。  延伸查詢new window
2.林啟禎、黃崑巖Lin, C. J., & Huang, K. Y(1999)。臨床溝通演練作為醫學通識課程之檢討The evaluation of clinical communication drills as general education in medicine。  延伸查詢new window
3.楊博仁、顏啟華、李孟智Yang, P. J., Yen, C. H., & Lee, M. C.(2008)。臨終病情的溝通模式與技巧Communication skill about end-of-life care。  延伸查詢new window
4.Arthur, D.(1999)。Assessing nursing student’ basic communication and interviewing skills: The development and testing of a rating scale。  new window
5.Attree, M.(2001)。Patients’ and relatives’ experiences and perspectives of “good” and “not so good” quality care。  new window
6.Burnard, P., & Morrison, P.(1989)。What is an interpersonally skilled person?。  new window
7.Fallowfield, L., Saul, J., & Gilligan, B.(2001)。Teaching senior nurses how to teach communication skills in oncology。  new window
8.Fosbinder, D.(1994)。Patient perceptions of nursing care: An emerging theory of interpersonal competence。  new window
9.Gerrish, K.(2001)。The nature and effect of communication difficulties arising from interactions between district nurses and South Asian patients and their carers。  new window
10.McCabe, C.(2004)。Nurse-patient communication: An exploration of patients’ experiences。  new window
11.Peplau, H. E.(1988)。The art and science of nursing: Similarities, differences, and relations。  new window
12.Ramsay, J., Keith, G., & Ker, J. S.(2008)。Use of simulated patients for a communication skills exercise。  new window
13.Wilkinson, S., Perry, R., Blanchard, K., & Linsell, L.(2008)。Effectiveness of a three-day communication skills course in changing nurses’ communication skills with cancer/palliative care patients: A randomised controlled trial。  new window
14.Wilkinson, S., Linsell, L., & Blanchard, K.(2008)。Communication skills training for nurses working with patients with heart disease。  new window
 
 
 
 
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