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A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance.

Abstract：

OBJECTIVE:to evaluate the impact of a communication skills course for nurses on how to handle difficult communication situations in their daily work. METHODS:a 7-h course was developed using a construct of "Awareness, Feelings, Listen, Solve" (AFLS). A pedagogy of experiential, learner-centered learning was adopted. The course evaluation used a randomized controlled design with pre- and post-measures of self-efficacy and performance. RESULTS:forty-one nurses volunteered and thirty-three nurses completed all assigned parts of the study. On self-assessment, there was significant improvement for self-efficacy (F=24.43, p<0.001), but not for emotional awareness. On performance, there was no significant improvement between intervention and control groups (F=3.46, p=0.073). CONCLUSION:a short course for nurses on handling difficult communication situations achieved significant improvements in self-efficacy but not in performance. PRACTICE IMPLICATIONS:teaching communication skills in community-based settings is important for the safety and effectiveness of patient care. Sponsoring organizations should weigh trade-offs between feasibility and achievement of measurable improvements in performance. One possible approach is to focus on specific communication skills rather than a full suite of skills.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Doyle D,Copeland HL,Bush D,Stein L,Thompson S

doi

10.1016/j.pec.2010.02.013

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

100-9

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(10)00047-9

journal_volume

82

pub_type

杂志文章,随机对照试验

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