临床实习护生临床沟通能力的纵向研究

Longitudinal study on clinical communication competence of nursing students during clinical practice

目的调查护生在临床实习不同阶段临床沟通能力的变化,旨在为临床护理教育者制订更好的实习护生临床沟通能力培训方案提供依据。方法采用分层抽样法,选取河南省12所高校已经进入临床实习的护生280名,于2019年7月30日—2020年2月17日在护生实习的3个阶段进行调查,采用护生临床沟通能力测评量表在护生进入临床实习第2、5、8个月时进行3轮网络问卷调查。第1轮问卷应答254名(90.7%),第2轮应答210名(75.0%),第3轮问卷应答193名(68.9%)。结果在3个阶段的测评中,护生临床沟通能力测评量表总分分别为(3.27±0.39)、(3.29±0.35)、(3.27±0.37)分,差异无统计学意义(P>0.05)。结论实习护生的临床沟通能力未随着实习时间的增加而提高,提示临床护理管理者应适当增加护生在临床实习阶段护患沟通技巧的课程及培训。

Objective To investigate clinical communication competence among nursing students during different stage of clinical practice,so as to provide evidence for clinical nursing educators to formulate better training plans for clinical communication competence of nursing students.Methods Using stratified sampling,a total of 280 nursing students who entered clinical practice from 12 colleges and universities in Henan Province were selected.The survey was conducted in three stages of nursing students internship from July 30,2019 to February 17,2020.Using Clinical Communication Ability Assessment Scale for Nursing Students,3 rounds of online questionnaire surveys were conducted when the nursing students entered the clinical practice in the second,fifth,and eighth months.There were 254(90.7%)responses in the first round of the questionnaire,210(75.0%)in the second round and 193(68.9%)in the third round of the questionnaire.Results In the three-stage assessment,the total scores of Clinical Communication Ability Assessment Scale for Nursing Students were respectively(3.27±0.39),(3.29±0.35)and(3.27±0.37),and the difference was not statistically significant(P>0.05).Conclusions The clinical communication ability of nursing students does not improve with the increase of practice time,suggesting that clinical nursing managers should appropriately increase the curriculum and training of nurse-patient communication skills of nursing students in the clinical practice stage.