心肌梗塞情境模擬溝通課程對提升護理人員溝通能力成效之研究

The Effect of a Scenario-Based Simulation Communication Course on Improving the Communication Skills of Nurses

背景：面對他者（ 人）是照顧病人時無法逃避的現實，但其深層意涵需要釐清。目的：本研究目的在探究護理人員面對他者的倫理態度。方法：採用質性研究法，以自由談的團體分析方式，進行團體治療實作指導的團體督導。此督導團體互動（對話）之過程記錄、研究者的工作日誌、及參與者的學習心得，成為本研究分析的文本。結果：結果發現，面對他者的倫理態度，是一個為人、問己、成己的發展歷程。並由為人的在場、問己的感知、成己的自我照顧，探究此發展歷程。結論／實務應用由為人服務到成就自己的專業主體，需要具備問己的功夫。自由談的團體對話，能使護理人員開展問己的能力，發展出關懷的倫理態度，值得推廣於護理實務。

Background: Limited disease knowledge is frequently the cause of disease-related anxiety in myocardial infarction patients. The ability to communicate effectively serves multiple purposes in the professional nursing practice. By communicating effectively with myocardial infarction patients, nurses may help reduce their anxiety by keeping them well informed about their disease and teaching them self-care strategies.Purpose: This research evaluates the communication skills of nurses following scenario-based simulation education in the context of communication with myocardial infarction patients.Methods: This study used an experimental design and an educational intervention. The target population comprised nurses of medicine (clinical qualified level N to N2 for nursing) working at a municipal hospital in Taipei City, Taiwan. A total 122 participants were enrolled. Stratified block randomization divided participants into an experimental group and a control group. The experimental group received clinical scenario-based simulation education for communication. The control group received traditional class-based education for communication. Both groups received a pre-test and a Communication Skills Checklist post-test assessment. Results were analyzed using SPSS 17.0 for Windows software.Results: A t-test showed significant increases in communication skills (p ＜ .001) in the experimental group and ANCOVA results identified significant between-group differences (p ＜ .001) in communication skills following the education intervention.Conclusions: The results indicate that clinical scenario-based simulation education for communication is significantly more effective than traditional class-based education in enhancing the ability of nurses to communicate effectively with myocardial infarction patients.