Analysis on The Effective Ways of Strengthening The Cultivation of Communication Ability between Nurses and Patients in Higher Vocational Nursing Education

Nowadays,under the condition of the lack of nursing staff, the state began to cultivate nursing students vigorously, and higher vocational nursing education has gradually become one of the most important majors in many full-time colleges and universities.The students who are trained in professional nursing,after several years of study, they will be gradually distributed to various regions,excellent students will even be sent to hospitals with better conditions and higher medical level.ln fact, the nursing work is not as easy as people know.Nursing workers not only need to directly face different patients,but also need to have certain nursing technology and ability of adjusting to changing circumstances.Cultivating the nursing ability and ability of communicating well with patients of these students is the main purpose of higher vocational nursing education.

Practical Exploration of Strengthening Team Communication and Cooperation in Head Nurse Nursing Management

This study explores the practical application of nursing management led by head nurses to enhance team communication and collaboration within clinical settings.By integrating leadership theories with nursing practice,this research adopts a qualitative methodology to examine the effects of strategic communication and teamwork enhancement initiatives.Through interviews,observations,and the analysis of case studies in various hospital departments,the study identifies key barriers to effective team communication and collaboration,including hierarchical structures,lack of standardized communication protocols,and insufficient training.Solutions implemented involve targeted communication skills training,the establishment of interdisciplinary teamwork protocols,and leadership workshops for head nurses.The outcomes indicate significant improvements in team efficiency,patient care quality,and staff satisfaction.This research underscores the importance of head nurses in fostering an environment conducive to open communication and collaborative practice,thereby advancing patient care and team performance.

Application Effect of Nurse Patient Communication in Oncology Nursing

Objective:To explore the clinical significance of strengthening nurse patient communication in oncology department.Methods:The study was carried out in our hospital.Taking 100 patients selected from May 2020 to May 2021 as an example,all patients were cancer patients.When they were treated,they cooperated with nursing,carried out grouping experiments,adopted different nursing methods,and compared and analyzed the recovery of patients under different nursing interventions.Results:There were significant differences in nursing satisfaction and compliance between the experimental group and the control group,expressed as P<0.05.In contrast,the experimental group had higher satisfaction,better compliance and better effect.Conclusion:Strengthening nurse patient communication in oncology patients is helpful to improve patients’understanding,improve patients’bad mood and promote patients’compliance.It has positive significance and remarkable effect on patients.

Evaluation of undergraduate students’nursing assessment and communication skills through an objective structured clinical examination within a high-fidelity simulation using a student-simulated patient

Objective:To evaluate nursing students’assessment and communication skills through an objective structured clinical examination(OSCE)within a high-fidelity simulation using a student-simulated patient(SSP)and analyze the validity,reliability,degree of difficulty,and discriminability of the OSCE.Methods:A descriptive study was conducted at one nursing school in Macao.All scenarios were designed using a high-fidelity simulator combined with SSPs.A convenience sample of 54 baccalaureate nursing students completed the OSCE.The nursing assessment OSCE checklist(NAOC)and the communication evaluation rubric(CER)were used as observational measurements with three-point Likert scales(2=Achieved,1=Partly achieved,0=Not completed/Incorrect).Results:Difficulty coefficients of the exam were 0.63 for nursing assessment skills and 0.56 for communication skills.The discrimination index of the majority items of the NAOC(86.4%)was>0.20,showing a better to good discriminability.The items of the CER had satisfactory indexes of item discrimination(from 0.38 to 0.84).Students received high scores in conducting blood oxygen saturation and cardiac and lung auscultation but low scores in vomiting and diarrhea assessment.Students presented good communication skills in eye contacting and listening,but culture assessment needs to be improved.The students with experiences in simulation or simulated patient(SP)interactions had better assessment and communication skills than students without those experiences.There was a positive relationship between nursing assessment and communication skills(r=0.67,P=0.000).Conclusions:SSPs were involved in enhancing the realism of interactions in simulated scenarios.Nursing students can conduct nursing assessments specific to patient conditions,explain the conditions to the patient,and ensure that the patient remains informed at all times of the precautions to be taken.However,students’cultural awareness and some communication skills need further training.With moderate difficulty and high discrimination index,OSCE showed satisfactory reliability and validity.

The effects of Professional Commitment and Patient Safety knowledge-attitude-practice on Undergraduate nursing students’ Humanistic Care Ability in clinical practice

Objective:To describe the status quo of humanistic care ability,the knowledge-attitude-practice of Patient Safety and professional commitment among Undergraduate Nursing Students in clinical practice,and to determine the effects of professional commitment and patient safety knowledge-attitude-practice on humanistic care ability.Methods:Two hundred and thirty-two undergraduate nursing students in clinical practice were investigated with the general questionnaire,Caring Ability Inventory(CAI),Patients Safety knowledge-attitude-practice(KAP)Questionnaire and the Nursing Professional Commitment Scale.Results:The score of humanistic care ability of nursing undergraduates was 185.19±20.95,patients safety KAP score was 106.94±11.62,professional commitment score was 74.93±10.44.Undergraduate nursing students’humanistic care ability were positively correlated with professional commitment and patients safety KAP(P<0.05).Multiple Linear regression analysis showed that professional commitment,patient safety KAP entered the humane care equation(F=24.051,P<0.001),and explained 39.1%of the total variation in humane care.Intermediate effect analysis shows that patient safety played a partial mediating role in professional commitment and humane care.Conclusion:The professional commitment and patient safety KAP of undergraduate nursing students were positively related to their humanistic care ability.Improving the professional commitment and knowledge and patients safety KAP of nursing students can strengthen their humanistic care ability to provide high-quality nursing for patients.

Model of Verbal Communication with Blind Patient:Application in Nursing Appointment

It was aimed at validating the applicability of the Model of Verbal Communication with blind people in nursing appointment in the stages of the nursing process. A methodology of quantitative study was used with 30 nurses and 30 blind people who participated in the study, divided in control and experimental groups. 30 nursing appointments took place;they were recorded and analyzed by three judges. The experimental group had excellent performance in following protocol (95.6%);taking notes informing the reason for silence (93.4%);and avoiding long silence (100%). In interventions, it presented excellence in all the items, in the evaluation stage, there were no bad/terrible actions. In none of the actions the control group presented better performance than the experimental one. The use of the Model is recommended in nursing appointment with blind patient.

Healing Humor: The Use of Humor in the Nurse-Patient Relationship

Objective: To identify the importance of using humor in patient/nurse relationship, its factors, its conditions and the barriers that might limit its use. Methods: We systematically searched PubMed, Science Direct and Google Scholar, for relevant articles published in English between 2010 and 2019. We included the studies that investigated humor between nurses and their patient’s relationship. Results: From the initial 287 articles found, 15 were included for final revision. Data allowed retrieving information on humor definition;its applicability as a nursing intervention;humor as a tool to improve nurse-patient communication and relationship;influencing factors;humor benefits in health care context and the limits that come against its use. Conclusion: Humor is considered a powerful communication tool, it promotes well-being, relieves anxiety and stress, helps deal with stressful situations but it should be used cautiously in order to prevent undesired consequences.

Satisfaction with Nursing Care among Patients Attending Oncology Center in Basra City, Iraq

This study was carried out on a sample of 100 patients attending outpatient oncology center in Basra governorate located in south of Iraq. In order to assess their satisfaction with nursing care quality and identify the relationship between their satisfaction rate and selected variables. The results showed that high satisfaction rate for the technical quality 87 （87%） followed by interpersonal communication dimension 86 （86%） while the lowest satisfaction rate was for the information given by the nurse 64 （64%）. There were no statistical differences among the age of the patients, their education, their marital status and occupation. Furthermore, the satisfaction level with nursing care except for females who reported significantly higher level of satisfaction with nursing technical quality.

Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context—An Integrative Review

The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl’s integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains;safety culture and multidisciplinary capacity building. The dominant dimension in the safety culture domain is respectful communication, which implies sharing experiences that lead to a sense of control during labour and birth and is related to the women’s feeling of personal capacity. The dominant dimensions in the multidisciplinary capacity building domain are collaborative teamwork, coordination and risk management, knowledge sharing and patient-centred communication. In conclusion, to enhance patient safety, it is necessary to develop patient-focused, evidence-based skills and guidelines as well as a supportive organization. Due to their interaction with patients, midwives’ communication competence on the part of midwives is essential for supporting the birth and fulfilling the women’s needs and expectations.

OSCE实训联合PBL教学法在提升规培护士临床工作能力中的应用

目的:探讨OSCE实训联合PBL教学法在提升规培护士临床工作能力中的应用效果。方法:选取2016年至2018年新入职的70名护士作为研究对象,随机分为对照组和试验组,每组35人。对照组采用常规教学法,试验组在对照组基础上采用OSCE实训联合PBL教学法。分别于培训前后对两组护士进行临床工作能力考核,且培训结束后对两组护士进行患者满意度调查。分析两组护士的考核成绩及患者满意度调查结果。结果:试验组的临床工作能力明显高于对照组(P<0.01);试验组护士的患者满意度明显高于对照组(P<0.01)。结论:OSCE联合PBL教学法能显著提高规培护士的临床工作能力及患者满意度。

案例教学法联合角色扮演+互换教学法在产科护士规培中的应用

目的探讨案例教学法联合角色扮演+互换教学法在产科规范化培训(简称规培)中的价值。方法选取2021年8月—2022年8月在南京医科大学附属妇产医院产科规培的138名护士为研究对象,采用随机数表法分为观察组(n=69)与对照组(n=69)。对照组应用常规教学法,观察组应用案例教学法联合角色扮演+互换教学法。评价观察组和对照组在规培前后的护患沟通能力、学习能力、规培效果,通过问卷调查规培护士的满意度情况。结果规培前,2组护患沟通能力、学习能力各项得分以及理论知识和实践操作考核成绩比较,差异无统计学意义(P>0.05)。规培后,观察组护患沟通能力、学习能力各项得分均高于对照组,差异有统计学意义(P<0.05)。观察组理论知识和实践操作考核成绩均高于对照组,差异有统计学意义(P<0.05)。观察组教学总满意率(94.20%)高于对照组(81.16%),差异有统计学意义(P<0.05)。结论案例教学法联合角色扮演+互换教学法可有效提高规培护士的护患沟通能力、学习能力以及专业能力,增加护士对教学工作的满意度。

以患者需求为导向的循证护理在颈动脉狭窄支架置入术患者中的应用

目的:探讨以患者需求为导向的循证护理在颈动脉狭窄支架置入术患者中的应用效果。方法:选取2022年3月1日~2023年3月1日收治的142例颈动脉狭窄患者为研究对象,按照抽签法分为观察组和对照组各71例,对照组实施常规围术期护理模式,观察组在对照组基础上实施以患者需求为导向的循证护理模式;比较两组卧床时间、住院时间、并发症、自护能力[采用自我护理能力测定量表(ESCA)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:观察组康复时间短于对照组(P<0.01);观察组并发症总发生率低于对照组(P<0.05);干预后,两组ESCA评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组SAS、SDS评分低于干预前(P<0.05),且观察组低于对照组(P<0.01)。结论:以患者需求为导向的循证护理能够有效缩短患者卧床及住院时间,减少术后并发症的发生,增强其自护能力,从而缓解负性情绪。

信息叠加教育对中青年牙周炎病人口腔健康素养及自我管理能力的影响

目的:探究信息叠加教育对中青年牙周炎病人口腔健康素养及自我管理能力的影响。方法:选取2021年7月—2022年12月我院收治的中青年牙周炎病人150例作为研究对象,采用随机数字表法分为对照组和观察组,各75例。对照组采取常规宣教,观察组在对照组基础上应用信息叠加教育进行干预。干预2周后,比较两组病人口腔健康素养及自我管理能力。结果:干预后,观察组病人口腔健康素养量表各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组病人口腔卫生自我管理能力评价高于对照组,差异有统计学意义(P<0.05)。结论:中青年牙周炎病人应用信息叠加教育干预后,能提升病人口腔健康素养水平,有助于提高自我管理能力。

心理危机多维度干预联合患者参与管理对肝癌介入治疗患者效果研究

目的:探究肝癌介入患者接受心理危机多维度干预联合患者参与管理对睡眠改善效果。方法:选取2022年10月至2023年10月福建医科大学附属泉州市第一医院疼痛科收治的肝癌患者86例作为研究对象,按照随机数字表法随机分成对照组和观察组,每组43例。对照组开展常规护理,观察组开展心理危机多维度干预联合患者参与管理模式。评估干预前后患者心理状态、失眠程度、主观睡眠质量变化。结果:观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)干预后较对照组明显降低(P<0.05)。观察组失眠严重程度指数量表(ISI-C)、匹兹堡睡眠质量指数(PSQI)干预后较对照组明显降低(P<0.05)。结论:肝癌介入患者接受心理危机多维度干预联合患者参与管理,有助于改善负面情绪,减轻失眠症状,改善睡眠质量。

高龄住院病人能力的潜在剖面分析

目的:探讨高龄住院病人能力的潜在类别,并分析不同潜在类别的影响因素。方法:选取2022年1月—12月入住江苏省人民医院老年医学科的85岁及以上病人为研究对象。采用一般人口学资料调查表、老年人能力评估标准表(试行)进行调查,采用潜在剖面分析探索老年人能力的潜在类别及特征差异,采用Logistic回归分析老年人能力不同潜在类别的影响因素。结果:老年人能力分为4个潜在类别,其中,轻度受损型281例(50.4%),重度受损-全面受损型46例(8.2%),重度受损-认知沟通保留型108例(19.4%),中度受损型123例(22.0%)。多因素Logistic回归分析结果显示,年龄、患病种类、是否患有冠心病或痴呆对老年病人能力的潜在类别有影响(P<0.05)。结论:老年人能力的潜在类别存在差异,应根据不同类别能力特点采取针对性措施进行干预。

沟通案例比赛在护理临床实习教学中的应用

目的探讨沟通案例比赛在护理临床实习教学中的应用效果。方法便利抽样选取2021年7—11月在浙江大学医学院附属金华医院的153名护生作为研究对象,将参加沟通案例比赛的护生设为试验组,未参加沟通案例比赛的护生设为对照组。在4个月的实习过程中,试验组采用医院的沟通与冲突的理论培训及带教老师的实践指导,2个月后参加沟通案例比赛,比赛后继续实习2个月;对照组采用医院的沟通与冲突的理论培训及带教老师的实践指导。4个月后比较2组护生的沟通能力,同时调查试验组护生对沟通案例比赛教学方式的评价。结果试验组护生沟通能力测评得分为(87.31±10.26)分,高于对照组[(82.76±10.98)分],差异有统计学意义(P<0.05);试验组护生对沟通案例比赛教学方式的认可度均高于95.0%。结论沟通案例比赛的实施不仅提升了护生临床沟通能力,还有助于提高临床教学效果,优化教学过程。

基于同理心地图的护患沟通教学在护士规范化培训中的应用

目的:探究基于同理心地图的护患沟通教学在护士规范化培训中的应用效果。方法:选择2020年1月—2022年12月参加我院规范化培训的护士200名为研究对象,按随机数字表法分为对照组和观察组,对照组采取常规教学模式,观察组在对照组基础上应用基于同理心地图的护患沟通教学,比较两组护士的护患沟通及共情能力。结果:干预后,观察组护士护患沟通能力及共情能力优于对照组,差异有统计学意义(P<0.05)。结论:基于同理心地图的护患沟通教学能提升规范化培训护士的护患沟通能力及共情能力。

基于护患合作的干预模式在老年肺癌患者中的效果及对自我管理能力的影响

目的 探讨老年肺癌患者应用基于护患合作的干预模式的效果。方法 选取2023年1月至2023年12月漳州市第二医院收治的老年肺癌患者78例,随机分为两组。对照组应用常规护理,研究组在此基础上应用基于护患合作的干预模式,对比两组的肺功能、术后一般资料、卡氏评分、心理状态评分、自我管理能力及生活质量。结果 与对照组比较,研究组排痰、下床活动及住院时间均更短,且干预后肺功能相关指标更优,抑郁和焦虑评分更低,自我管理能力、生活质量及卡氏评分更高(P <0.05)。结论 老年肺癌患者给予基于护患合作的干预模式可以有效改善其不良心理状态,提高其自我管理能力,且在缩短康复周期、改善肺功能指标方面有积极作用,有利于患者行动能力及生活质量的提高,应用价值较高。

学生标准化病人在妇产科护理教学中的应用效果

目的 探讨学生标准化病人(standardized patients,SP)在妇产科护理教学中的应用效果。方法 选取2021年1月-2023年1月某校的80名学生,按照随机数字表法将其分为研究组和对照组,每组40名。对照组采用常规教学模式,研究组采用学生SP教学模式。比较2组学生的考核成绩和对教学模式的满意度。结果 研究组的考核成绩为(83.22±10.91)分,高于对照组的(76.28±15.37)分,差异有统计学意义(P <0.05)。研究组学生的自主学习能力培养(85.00%)、临床思维能力提高(87.50%)、沟通交流能力培养(90.00%)及团队合作精神培养(90.00%)满意度均高于对照组(65.00%、67.50%、70.00%、72.50%),差异有统计学意义(P <0.05)。结论 将学生SP教学模式应用于妇产科护理教学中,能够有效提高学生对于学科疾病的了解程度,促进学生自主能力、临床思维以及沟通交流能力等的提升,进而提高学生的临床护理水平。

护士-患者-照护者协同康复训练在促进腰椎骨折伴脊髓损伤患者康复中的作用分析

目的探讨护士-患者-照护者协同康复训练在促进腰椎骨折伴脊髓损伤(spinal cord injury,SCI)患者康复中的作用。方法使用随机数表法将2022年1月-2023年1月在空军军医大学第二附属医院就诊的68例腰椎骨折伴SCI患者分为对照组(n=34)和观察组(n=34)。给予对照组常规护理,在此基础上给予观察组护士-患者-照护者协同康复训练干预。比较两组干预前后自我护理能力测量表(exercise of self-care agency scale,ESCA)评分、家庭支持自评量表(family support scale,PSS-Fa)评分、改良Barthel指数(modified barthel index,MBI)、功能独立性评定量表(function independent measure,FIM)评分。结果干预后,两组ESCA评分、PSS-Fa评分、MBI指数和FIM评分均显著上升(P<0.05),且观察组干预后ESCA评分、PSS-Fa评分、MBI指数和FIM评分均显著高于对照组(P<0.05)。结论护士-患者-照护者协同康复训练可有效提高腰椎骨折伴SCI患者自护能力和家庭支持水平,对于提高康复训练效果、促进患者自主生活能力恢复有积极作用。