Communication Skills Of Nurses Research Articles

The Effect of Nursing Communication Skills Training on Satisfaction of Patients Undergoing Hemodialysis

Background: Communication skills of nurses include two important verbal and non-verbal communication dimensions and have of great importance in hemodialysis patients. This study aimed to investigate the effect of nursing communication skills training on satisfaction of patients undergoing hemodialysis.
 Methods: This quasi-experimental (pretest and posttest design) was carried out on 64 nurses working in the dialysis ward and 90 hemodialysis patients in the hospitals affiliated with Alborz University of Medical Sciences. In this study, nurses and patients were selected by convenience and randomized sampling methods, respectively. In this regard, subjects were selected from the hemodialysis wards of Bahonar, Rajaei and Shariati hospitals in Karaj.
 Results: Most nurses were female (76.7%) and the age range of the participants was 23-54 years. Nurses achieved a high score in all dimensions of communication skills and a high total score of communication skills after the intervention, and none of them obtained a low score. There was a significant increase in nurses' communication skills after the intervention, compared to before the intervention (106.98±4.18 and 117.97±3.35) (P<0.001). Moreover, the results showed a significant change in nurses’ perception after the intervention in various dimensions of communication skills, such as ability to receive and send messages, emotional control, listening skills, nurses' insight into the communication process and assertive communication skills, compared to before the intervention (66.90±5.15 and 95.62±5.34) (P<0.001).
 Conclusion: Studying communication skills in the form of educational workshops could increase these skills in nurses and clinical personnel in general. More importantly, improved communication skills in nurses could increase patient satisfaction, which is the ultimate goal of healthcare centers.

The effect of education on function and communication skill of nurse with intubated patient in intensive care unit

Context: Communicating with intubated patients is one of the main challenges for nurses. Aims: This study aimed to evaluate the effect of education on function and communication skills of nurses with intubated patients. Setting and Design: This quasi-experimental study with pretest–posttest design was carried out. Statistical Analysis Used: The data analyzed using Mann–Whitney test Wilcoxon, and Spearman's correlation coefficient at significance level less than 0.05 and study power of 80%. Material and Methods: The research instruments were the nurse–patient relationship checklist and communication skill questionnaire. Results: The mean ± standard deviation of communication function and verbal and nonverbal skills of nurses showed a significant difference (P = 0.039 andP Conclusions: The training of communication skills with intubated patients to the nurses improves their function and communication skills.

A Study to Assess the Relationship between the Professional Identity and Clinical Competency among Nursing Students Studying at selected Nursing Institute at Rajkot

The Clinical competency and professional identity in Nurses can increase their skills with additional resources including practice guidelines, research instrument information and legal cases. Resources also include full text for books covering a wide range of topics including drug information, nursing communication skills, critical thinking skills and more. The research design adopted was Descriptive Co relation study. The conceptual framework for this study was Pender theory. The study has conducted in Shree H. N. Shukla Nursing institute and Kamdar Nursing Institute Rajkot. The sample size was 150. The collected data were analyzed by using inferential statistical method. Karl-Pearson co relation test was used to evaluate the Relation between clinical competency and professional identity. The obtained value was 1.00. This showed highly significant levels. Hence there is a relation between clinical competency and professional identity.

Validation of the Communication Skills Scale in nursing professionals

The Communication Skills Scale (CSS) is an instrument for evaluating communication skills in different health professionals; however, a differential analysis of their psychometric properties by professions and specific scales has not been performed. Therefore, the aim of the present study was to analyze the psychometric properties of the CSS and develop T-scores for the scale for nursing professionals. We developed an instrumental study to analyze the psychometric properties of the CSS, evaluating its items, reliability, evidence of validity and its internal structure. For this purpose, a battery of questionnaires was administered, which included the CSS, the General Self-efficacy Scale and the Specific Self-efficacy Scale for communication in difficult situations. The questionnaires were applied to 692 nurses. Discrimination indices >0,30 were obtained in all items. The confirmatory factor analysis of the two models (with four oblique factors and adding a second-order factor) revealed that all items had adequate factor loadings and the fit indices of both models were good. The internal consistency was 0,88 for the total scale and between 0,70 and 0,77 for the dimensions. A positive relationship between communication skills and general and specific self-efficacy was obtained. The CSS displayed appropriate psychometric properties (item analysis, internal structure, reliability and evidence of validity), relating the communication skills of nurses with their general and specific self-efficacy in communication in difficult situations.

The Correlation between the Anxiety of the Family Members of the Patients Referring to the Emergency Department and Their Views on the Communication Skills of Nurses

The Correlation between the Anxiety of the Family Members of the Patients Referring to the Emergency Department and Their Views on the Communication Skills of Nurses

Palyatif Bakım Hemşirelerinin Empatik Eğilim Düzeyleri ve İletişim Becerilerini Etkileyen Faktörler

Aim: This study was planned as a descriptive study to determine the factors affecting the empathic tendency levels and communication skills of palliative care nurses. Method: The study was conducted in two hospitals affiliated with Samsun Province Public Hospitals General Directorate between the dates of 01/12/2017-30/12/2017. The sample consisted of 60 nurses, including 30 nurses responsible for the care of palliative care patients, 30 nurses working in internal and surgical units. The data was collected using a questionnaire consisting of 23 questions introducing the socio-demographic and professional characteristics of the nurses and Empathic Tendency Scale and Communication Skills Assessment Scale. In the evaluation of the data, percentage calculation, Kruskal Wallis, Spearman correlation test, Mann Whitney U test were used. Findings: The total score of the Empathic Tendency Scale of the nurses was 72.21 ± 7.22 and the mean of the Communication Assessment Scale was 80.23 ± 7.82. The mean Empathic Tendency Scale score of the nurses in the palliative care units was 71.46 ± 7.53, and their mean Communication Skills Assessment Scale score was 80.03 ± 8.42. The mean Empathic Tendency Scale score of the nurses in internal and surgical units was 72.96±9.94, and their mean Communication Skills Assessment Scale score was 80.43±11.30. A weak positive correlation was found between the Empathic Tendency Scale scores of the nurses and the Communication Skills Assessment Scale scores (r=0.298 p<0,05). Conclusion: No statistically significant difference was found between the Empathic Tendency Scale and Communication Skills Assessment Scale scores of the nurses working in palliative care nurses and internal and surgical units (p>0.05).

Caring for Patients With Ventricular Assist Devices: A Mini-Review of the Literature

Heart transplantation, one of the treatment options for end-stage heart failure, is still regarded as the gold standard treatment to improve quality and length of life. However, the rapid increase in the number of patients waiting for heart transplantation and the inadequate number of donors makes heart transplantation a less feasible option and increases the need for ventricular assist devices as an alternative. The success of ventricular assist device implantation requires the collaboration of a multidisciplinary team consisting of cardiac surgeons, nurses, ventricular assist device coordinators, cardiologist, cardiac anesthesia specialists, perfusionists, and physiotherapists. Nurses working in different fields such as intensive care units, operating rooms, outpatient clinics, and ventricular assist device coordination units have important responsibilities in multidisciplinary teams. In this study, national and international studies on the responsibilities of nurses for the management and care of ventricular assist devices were reviewed. Nurses undertake many tasks, especially in the postoperative care of patients and in preparing them for discharge. Important responsibilities of nurses in the care of patients with ventricular assist devices include monitoring complications, managing equipment and emergency situations, establishing dressing change protocols, organizing daily life activities, determining rehabilitation needs, ensuring use of medicines, and providing comprehensive discharge education. Organizational and communication skills of nurses working with multidisciplinary teams are very important for the success of the ventricular assist device implantation process.

Communication Skills among Nursing staff at Azadi Teaching Hospital

Communication is an important topic, perceived as inevitable for providing effective and high-quality health care among both patients and health care providers.” To assess nurse’s communication skills and identify the relationship between socio-demographic characteristics and nurse’s communication skills. Quantitative design, a descriptive study had been carried out at Azadi Teaching Hospital and from the period of 5th November 2017 to 8th May 2018. To assess nurse’s communication skills and identify the relationship between socio-demographic characteristics and nurse’s communication skills. The collected data coded and entered to the SPSS software version 22. In this study, the data were analyzed by using inferential statistical and descriptive analysis. The mean score of the communication skills items ranging from (3.21-3.74), on the other hand 65% of the sample had Moderate communication skills and male nurses had higher communication skills. In inferential analysis indicate a significant relationship between Nurses Communication Skills and Educational level, in addition to a significant Association between Age and Years of Experience. Overall sample level of communication skill of the current study was moderate level and male nurses had higher communication skills. Levels of communication skills increase with increasing Professional satisfaction and Professional interest. Giving priority to communication skills during courses of study for the nursing students and conducting communication skill training course for the staff.

The Effect of Reflection on Nurse-Patient Communication Skills in Emergency Medical Centers.

Introduction: Reflection is formed through deep reflection on the event or a certain clinical position. The aim of this study was to determine the effect of reflection on nurse-patient communication skills of nurses working in emergency departments.Methods: This interventional study was conducted on intervention and control groups and with a pretest-posttest design. 142 nurses working in the emergency departments of hospitals affiliated to Golestan University of Medical Sciences were enrolled in the study in 2015, and randomly divided into two groups. During eight weeks of the study, the intervention group was asked to write their clinical experiences with regard to communication issues with their patients. Before the intervention, the communication skills of both groups were compared using a questionnaire. Data analysis was performed, using independent t-test, paired t-test, Mann-Whitney and Wilcoxon tests.Results: Of the 142 nurses, 122 nurses had full participation. In the intervention group the mean scores of verbal communication skills, non-verbal communication skills, general communication skills and communication skills based on patient safety were statistically significant, but there was no significant difference in the control group.Conclusion: The results showed that eight weeks of reflection by nurses is an effective intervention in dimensions of communication skills. We therefore suggest that a reflective writing be encouraged as a vital tool for improving communication competency among emergency department nurses.

Relationship between Emotional Intelligence and Self- Efficacy among Psychiatric Mental Health Nurses in Clinical Practice

: Emotional intelligence affects working relationships. In adequate self-efficacy could lead to poor performance. The purpose of this study was to explore the relationship between emotional intelligence and self-efficacy among psychiatric-mental health nurses in clinical practice. Setting and sample type: This study was conducted at Benha Psychiatric-Mental Health Hospital. A convenient sample of 150 nurses working in different departments was chosen. Research design: A descriptive correlational research design was utilized in this study to be achieving the purpose of this study. Instruments: one Instrument consisted of three parts were used in data collection. Part one: Social characteristics of nurses. Part two: Nurses’ emotional intelligence liker scale. Part three: self-efficacy likert scale. Results 65.2% of nurses had a high level of emotional intelligence and 51.1% had high level of self-efficacy. Conclusion: Study concluded that there was a positive correlation between the overall score of self-efficacy & emotional intelligence. Recommendations: Role play and role models are needed to increase self-awareness and social communication skills for nurses in the workplace. In addition, nursing research should focus on the factors that influence on emotional intelligence and self-efficacy of nurses at clinical practice.

A Brief Communication Curriculum Improves Resident and Nurse Communication Skills and Patient Satisfaction.

Despite the ever-expanding role that the patient experience plays in healthcare, effective strategies proven to increase patient satisfaction ratings remain scarce. At the University of Pittsburgh Medical Center, we identified patient-doctor and patient-nurse communication as an area for intervention to improve suboptimal patient satisfaction among medicine inpatients. We posited that the likely reasons for underperformance in this area were a lack of adequate training in bedside communication skills. We developed and evaluated a curriculum for medicine residents and nurses focused on clear communication at the bedside. A total of 76 internal medicine residents and 85 medical service nurses participated in 2016. The curriculum utilized didactics, video demonstrations, and role play, and was evaluated using pre- and post-surveys of participants' health literacy knowledge, attitudes, and confidence. Communication skills were evaluated using pre- and post-direct observation at the bedside with a communication skills checklist. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores were compared 3months before and after the curriculum to assess changes in patient satisfaction. Knowledge and attitudes improved significantly for both residents and nurses. Residents' and nurses' observed clinical communication skills improved significantly in most domains, and there was moderate increase in communication-specific HCAHPS scores. A small investment of curricular time devoted to clear communication skills improved residents' and medical nurses' knowledge, attitudes, skills, and communication-specific HCAHPS scores. This curriculum, focused on improving bedside communication skills, could be implemented in a variety of settings to improve patient satisfaction and patient experience.

The Effect of Education Based on the BASNEF Model on Nurses Communication Skills with Patients in Hospitals Affiliated to Tehran University of Medical Sciences

The Effect of Education Based on the BASNEF Model on Nurses Communication Skills with Patients in Hospitals Affiliated to Tehran University of Medical Sciences

The effects of communication skills levels of health professionals on the dimensions of the Johari Window model

ABSTRACT In this study, it is aimed at determining the effects of communication skills levels of health professionals on Self-Disclosure and Feedback levels and whether the sociodemographic characteristics of individuals change according to their communication skills. In this context, the study conducted on 463 sampled, the level of communication skills of physicians, nurses and administrators differ according to various variables. According to the results obtained, the communication skills of the individuals participating in the research communication skills differed according to age, gender, educational status, professional status, administrator status and working time. When the level of communication skills of individuals is examined on the level of Self-Disclosure and Feedback levels, Self-Disclosure was found to be affected by the dimensions of the communication skills Social Behaviour Competence (SBC), Harmony Competence (HC), Human Relations (HR), Feedback was found to be affected by the dimensions of the communication skills Social Behaviour (SBC), Individual Aspect in Communication (IAC), Sensitivity Competence (SC), Encouragement to Communicate Competence (ECC) and Human Relationship (HR).

Relationship between communication skills and emotional intelligence among nurses.

Nurses' emotional intelligence (EI) affects many of their behavioural skills. Given the importance of communication skills, the aim of this study is to investigate the relationship between EI and the communication skills of emergency department nurses. 253 nurses working in five hospitals affiliated to Ardabil University of Medical Sciences took part in this cross-sectional analytical study. Participants completed Goleman's EI Scale and a researcher-designed communication skills questionnaire. Validity and reliability of the tools were measured throughout the study. Data analysis was carried out using analysis of variance, Pearson correlation and Spearman correlation tests in SPSS v18. The mean EI score was estimated to be 78.31 with the highest and lowest scores related to self-awareness (20.83) and self-management (18.19) dimensions respectively. The mean total score of communication skills was estimated to be 70.91. There was a significant relationship between total EI score and total communication skills score ( r =0.775, P <0.01) and a strong significant relationship between the four dimensions of EI and the total score of communication skills. Since EI and its dimensions have a positive effect on nurses' communication skills hospital managers can enhance EI by organising training sessions and promoting communication skills and provide the ground for continuous improvement of hospital services.

Communication Training: Needs Among Oncology Nurses Across the Cancer Continuum.

Oncology nurses are responsible for communication-aimed prognosis, patient education about cancer care and treatment, survivorship, and care coordination. Communication difficulties and uncomfortable communication topics put nurses at risk for compassion fatigue. Supporting nurse communication skills requires institutional policies and structures to foster patient-centered communication. This study reports on communication training needs for oncology nurses to inform future development of communication curricula and institutional training. A national survey of oncology nurse teams (N = 355) attending one of four communication training courses was used. Surveys were used to evaluate institutions' current patient-centered communication practices and to ascertain institutional communication training needs. Nurses' role in communicating prognosis remains unclear, and training is needed for discussing survivorship. Curriculum development should be congruent with institutionally defined roles for nurse communication.

Nurses' perspectives on the personal and professional impact of providing nurse-led primary palliative care in outpatient oncology settings.

Palliative care (PC) workforce shortages have led to a need for primary PC provided by non-specialists. The Care Management by Oncology Nurses (CONNECT) intervention provides infusion room oncology nurses with training and support to provide primary PC. To describe nurses' perspectives on the personal and professional impact of training and provision of primary PC as part of CONNECT. This qualitative study consisted of in-depth telephone interviews with 11 nurses at oncology practices in Pennsylvania. Data was analysed using qualitative content analysis. Nurses reported a sense of personal and professional fulfillment from providing primary PC, while noting the risk of increased emotional attachment to patients. Participation improved nursing communication skills. A supportive workplace helped to minimise stress related to incorporating primary PC into busy treatment schedules. Providing primary PC challenges the task-oriented paradigm of nursing practice and will potentially alter the professional roles and workloads of infusion room nurses.

SBAR를 활용한 의사소통 인수인계 시뮬레이션 기반 교육의 효과 : 신규 간호사들을 대상으로

Purpose: The purpose of this study was to examine the effects of simulation-based training applying situation-background-assessment-recommendation on self- efficacy and communication skills in new nurses. Method: This study applied a one group pretest-posttest design, with 88 new nurses in a general hospital in S city, Korea. Data were collected from March to November 2017. The participants completed their simulation education program in 4 weeks. Data were analyzed using paired t-test with SPSS program. Results: After SBAR simulation education, self- efficacy (t=-2.40, p=.014) and communication skills (t=-5.24, p<.001) significantly improved. Conclusion: This suggests that simulation-based training applying SBAR, improved self- efficacy and communication skills in new nurses.

SBAR를 활용한 의사소통 인수인계 시뮬레이션 기반 교육의 효과 : 신규 간호사들을 대상으로

SBAR를 활용한 의사소통 인수인계 시뮬레이션 기반 교육의 효과 : 신규 간호사들을 대상으로

Nurses Communication Skills Training and Its Effect on Patients’ Satisfaction in Teaching Hospitals of Shiraz University of Medical Sciences

Background and purpose: Communication skill is a key ability and an integral part of the nursing profession. This study aimed to investigate the effect of communication skills training of nurses on patients’ satisfaction with nursing staff in teaching hospitals affiliated to Shiraz University of Medical Sciences.Method: This Cross-sectional study was carried out in 2017. The research population consisted of the patients visiting 13 SUMS-affiliated hospitals, 581 nurses who participated in communication skills training courses, and 2,207 nurses who did not receive this training. From this population, a total of 400 patients were selected through convenience sampling and 50 trained nurses and 50 untrained nurses were chosen randomly. The data collection instruments were the Nurse Quality of Communication with Patient Questionnaire (NQCPQ) and La Monica-Oberst Patient Satisfaction Scale (LOPSS). Data were analyzed in SPSS using T-test, ANOVA, Tukey test, and Pearson correlation coefficient at α = 5%.Results: A significant correlation was found between nursing-patient commination score and patient satisfaction (LOPSS) score (P=0.021, r = 0.647). Patients under the care of trained nurses were also found to be more satisfied with nursing services than those served by untrained nurses (P=0.011, t=2.56). The results showed that patient satisfaction had a significant relationship with age and marital status (p =0.027).Conclusions: The results of the present study showed that the implementation of communication skills training courses for nurses can lead to improved patient satisfaction. Hospital directors were then recommended to hold regular communication skills training courses for their nursing staff.

Engaging Nursing Students in a Rural Native American Community to Facilitate Cultural Consciousness

ABSTRACTIntegrating cultural consciousness into nursing curricula is important for preparing a global nursing workforce. This article evaluated the impact of a teaching strategy designed to facilitate nursing students’ cultural consciousness beyond the classroom during a 1-week field experience within a rurally isolated Native American community. Cultural consciousness health care is a central element of health care delivery that integrates clinical knowledge, sensitivity, and cultural understanding. This study used an intrinsic single case study design bounded by 30 nursing students’ perceptions of their week-long immersion experience within a rurally isolated American Indian community. The reality of the situations they encountered did not match their expressed expectations nor their tacit assumptions. Evidence taken in situ from clinical reflections demonstrated most of the students wrestled with this mismatch, although they improved their clinical assessment, technical nursing, and intercultural communication skills. Evidence from end of course reflections demonstrated that two-thirds of the students integrated their preconceptions and their immersion experiences with cultural consciousness emerging in their reflections.