基于Calgary-Cambridge沟通模式的标准化病人教学在专科实习护生护患沟通培训中的应用

Application of standardized patient teaching based on Calgary-Cambridge communication model in nurse patient communication training for junior college interns

目的探讨基于Calgary-Cambridge沟通模式的标准化病人教学在专科实习护生护患沟通培训中的效果,丰富国内医疗机构护患沟通培训的教学方法。方法本研究为类实验研究。采用随机编码方法于2022年7月从山东第一医科大学第一附属医院的335名专科实习护生中抽取了78名作为研究对象,并采用抽签方法分为试验组(39名)和对照组(39名)。对照组接受医院常规护患沟通培训;试验组在常规培训的基础上采用基于Calgary-Cambridge沟通模式的标准化病人教学模式,即讲授沟通要点,基于Calgary-Cambridge沟通模式进行指导示范,引导性反思与探究。培训8周后比较2组专科实习护生护患沟通能力、护患沟通实践性技能、沟通自我效能感、培训满意度。结果培训后,试验组护患沟通能力测评总分(91.41 ± 5.35)分,高于对照组的(88.08 ± 7.40)分,差异有统计学意义(t=2.24,P<0.05);培训后试验组沟通自我效能感测评得分(30.21 ± 4.28)分,高于对照组的(27.94 ± 5.09)分,差异有统计学意义(t=2.09,P<0.05);试验组护患沟通实践性技能总分为(173.59 ± 18.48)分,高于对照组的(158.44 ± 15.57)分,差异有统计学意义(t=3.82,P<0.05);试验组沟通教学培训满意度总分为(16.77 ± 2.94)分,高于对照组的(15.22 ± 1.90)分,差异有统计学意义(t=2.68,P<0.05)。结论基于Calgary-Cambridge沟通模式的标准化病人教学能有效提高专科实习护生的护患沟通实践性技能,促进专科实习护生沟通自我效能感提升,有利于专科实习护生护患沟通能力的提高。

Objective To explore the effect of applying standardized patient teaching based on Calgary-Cambridge communication model in nurse patient communication training for junior college interns,and to enrich the teaching methods of nurse patient communication training in domestic medical institutions.Methods This study was a quasi-experimental study.In July 2022,78 students were selected from 335 junior college interns in the First Affiliated Hospital of Shandong First Medical University by random coding method,and were randomly divided into the experimental group(39 students)and the control group(39 students)by lot.The control group received routine training.The experimental group received standardized patient teaching based on Calgary Cambridge communication model:teaching the key points of communication,guiding demonstration based on Calgary Cambridge communication model,and guiding reflection and exploration.The nurse patient communication ability,nurse patient communication practice skills,communication self-efficacy,and teaching satisfaction of the two groups of interns were compared between the two groups after 8 weeks of training.Results After training,the total score of nurse patient communication ability evaluation in the experimental group was(91.41±5.35)points,higher than that in the control group(88.08±7.40)points,there was significant difference(t=2.24,P<0.05);after training,the communication self-efficacy score of the experimental group was(30.21±4.28)points,higher than that of the control group(27.94±5.09)points,there was significant difference(t=2.09,P<0.05);the total score of communication practice skills in the experimental group was(173.59±18.48)points,higher than that in the control group(158.44±15.57)points,there was significant difference(t=3.82,P<0.05);the total score of communication teaching and training satisfaction in the experimental group was(16.77±2.94)points,higher than that in the control group(15.22±1.90)points,and there was significant difference(t=2.68,P<0.05).Conclusions The standardized patient teaching based on Calgary Cambridge communication model can effectively improve the practical skills of nurse patient communication of junior college interns,and promote the improvement of their nurse patient communication self-efficacy,which is conducive to the improvement of nurse patient communication ability junior college intern.