行動病房溝通訓練對提升護理系學生護病溝通能力成效之探討

論文名稱(中/英文)	研究生	指導教授
行動病房溝通訓練對提升護理系學生護病溝通能力成效之探討 The Effectiveness of a Communication Training Program in a Web-based Action Ward Environment on the Enhancement of Communication Ability Among Undergraduate Nursing Students	李延慧	鄭夙芬博士
[ 摘要 ]
背景：良好的溝通技巧是護理專業的基石，對護理職場中的病人或家屬，除運用專業知識與實務經驗提供適切照護外，還需顧及病人感受、重視溝通與傾聽。因此培育一位護理專才時，不僅需教授專業知能，更應強調溝通能力的養成，方能使其展現專業能力。研究目的：旨在瞭解「行動病房溝通訓練」教學策略介入方案，對提升護理學生溝通能力之成效。研究方法：採類實驗、雙組前後測、重複測量之追蹤性研究，為台灣北部及南部兩所大學護理系三年級正修習兒童護理學課程的學生，共有160位學生參與本研究，包含實驗組98位與對照組62位，實驗組學生參與「行動病房溝通訓練」，對照組為傳統課室教學，兩組學生皆於課程開始前、課程結束後、實習結束後一週及第八週進行溝通能力的評量。研究工具為研究者自擬之溝通能力量表，該量表有良好的專家內容效度及建構效度，其信度為 .92。研究結果：「行動病房溝通訓練」教學策略方案介入前，二組學生的溝通能力未達顯著差異，介入措施後以概化估計方程式GEE之AR1模式估計，實驗組比對照組護理學生在第一次後測比前測之溝通能力量表得分差異達顯著提升，另針對實驗組學生進行介入措施的滿意度調查結果，也可發現護理學生對介入措施感到相當滿意(X= 8.41 ~ 9.14)，「案例情境」、「標準病人與研究者給予的回饋幫助」以及「面對家屬自信心」與「增進溝通能力」之間有高度相關。結論：研究結果證實以情境模擬理論創見之「行動病房溝通訓練」可有效提升護理學生的溝通能力及學習的滿意度，建議可做為各校溝通訓練課程設計之參考，以增進護理學生於臨床實習時的護病間溝通技巧，進而提升照護品質，共同為培育健康照護產業中所需的護理專業實務人才耕耘。
[ Abstract ]
Good communication skill is a critical foundation for the nursing profession. Nurses not only need to utilize professional knowledge and practical experience for the delivery of appropriate care, but also need to attend to patients’ feelings and stress the importance of communication and listening. Therefore, it is critical to emphasize cultivation of communication skills for the purpose of professional role development. Purpose: To examine the effectiveness of action-ward communication training protocol and factors that impact the effectiveness. Methods: A quasi experimental pre- and post-test repeated measure research design was used. 160 junior nursing students from two universities in south Taiwan were recruited. The participants were assigned to the experimental and comparison groups with the experimental group (n=98) receiving the “action-ward communication training” and the comparison group (n=62) receiving traditional classroom teaching. Both groups were evaluated on the communication skills four times: before and after the training, and one week and eight weeks after completion of practicum's. A communication inventory, developed by the researcher (content and construct validity established, Cronbach's alpha: .92) , was used for the evaluation. Results: There was no significant difference on communication ability between the two groups before implementation of the “action ward communication training. AR1 of GEE model was used to evaluate the effectiveness of “action ward communication training program”. The results revealed a significant improvement after implementation of the training program. Nursing students were satisfied with the intervention (X= 8.41~9.14). The satisfaction regarding “case scenarios”, “feedback from standard patients and researcher” and “confidence level of facing patient’s family members” showed moderate correlation with “improving community ability”(r= .40 ~ .66, p< .05). Conclusion: The action ward communication training program” effectively improved the communication skills for nursing students, and bridged the gap between theory and practice.