Status quo and influencing factors of nurse-patient communication ability in undergraduate nursing students

Rongmei Geng, Baohua Li, Wenhui Zhang, Meihong Li, Chao Yan, Lin Ge, Si-qin Zhang
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Abstract

Objective To explore the status quo of nurse-patient communication ability in undergraduate nursing students in the early stage of clinical practice and its influencing factors, and provide a basis for clinical nursing education managers to formulate a training plan for communication skills of undergraduate nursing students in the clinical practice stage. Methods From August to September 2019, totally 960 undergraduate nursing students engaging in clinical nursing practice for≤3 months were investigated. The survey content included demographic data, training content of nurse-patient communication ability, and clinical communication ability of nursing students. The status quo and influencing factors of communication ability of undergraduate nursing students in the early stage of clinical practice were analyzed. Results The nurse-patient communication ability score of 960 undergraduate nursing students in the early stage of clinical practice was (2.18±0.21) , with the highest score in the dimension of acute listening (2.42±0.51) and the lowest score in the dimension of verification feeling (1.88±0.51) . Univariate analysis showed that there were statistically significant differences in the nurse-patient communication ability in the early stage of clinical practice between undergraduate nursing students with different gender, with or without training for nurse-patient communication in the early stage of clinical practice in the hospital and with different training forms (P<0.05) . Pearson correlation analysis revealed that the nurse-patient communication ability score of undergraduate nursing students in the early stage of clinical practice was positively correlated with the number of nurse-patient communication training sessions in the hospital (r=0.456, P<0.01) . According to multiple linear regression analysis, the number of training sessions and training forms in the hospital were main influencing factors to the nurse-patient communication ability of undergraduate nursing students in the early stage of clinical practice (P<0.05) . Conclusions The level of nurse-patient communication ability in undergraduate nursing students in the early stage of clinical practice is low and needs to be further improved. Clinical nursing teaching managers should formulate effective training programs based on its influencing factors to strengthen training accordingly. Key words: Students, nursing; Undergraduate; Communication ability; Early stage of clinical practice; Influencing factor
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本科护生护患沟通能力现状及影响因素
目的探讨护理本科生临床实习早期护患沟通能力的现状及其影响因素,为临床护理教育管理者制定护理本科生临床实践阶段沟通技能培养计划提供依据。方法2019年8月至9月,对960名从事临床护理实习≤3个月的护理本科生进行调查。调查内容包括人口学数据、护患沟通能力培训内容、护生临床沟通能力。分析了护理本科生临床实习初期沟通能力的现状及影响因素。结果960名护生临床实习初期护患沟通能力得分为(2.18±0.21),急性听力维度得分最高(2.42±0.51),验证感维度得分最低(1.88±0.51,Pearson相关分析显示,护理本科生临床实习早期的护患沟通能力得分与护患沟通次数呈正相关经多元线性回归分析,医院培训次数和培训形式是影响护理本科生临床实习早期护患沟通能力的主要因素(P<0.05)改进。临床护理教学管理者应根据其影响因素制定有效的培训方案,加强相应的培训。关键词:学生,护理;本科生;沟通能力;临床实践的早期阶段;影响因素
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