Communication Skills Of Nurses Research Articles

Effect Of Communication Training Rubric On Empathic Communication Skills Of Nurses At A Tertiary Care Hospital: A Randomized Controlled Trial

Effect Of Communication Training Rubric On Empathic Communication Skills Of Nurses At A Tertiary Care Hospital: A Randomized Controlled Trial

Effectiveness of a task-sharing collaborative care model for the detection and management of depression among adults receiving antiretroviral therapy in primary care facilities in South Africa: A pragmatic cluster randomised controlled trial

BackgroundHIV is characterised by high rates of comorbidity with mental health conditions including depression, as such, the detection and treatment of comorbid depression is critical to achieve viral load suppression. This study evaluated the effectiveness of a collaborative care intervention for depression among adults with comorbid depression symptoms receiving ART in primary health care (PHC) facilities. MethodsWe conducted a pragmatic cluster-randomised trial in 40 clinics in the North West province of South Africa. PHC clinics were stratified by sub-district and randomised in a 1:1 ratio. Participants were ≥ 18 years, receiving ART, and had depression symptoms indicated by Patient Health Questionnaire-9 (PHQ-9) score ≥ 9. Intervention clinics received: i) supplementary mental health training and clinical communication skills for PHC nurses; ii) workshops for PHC doctors on treating depression; and iii) lay counselling services. Using mixed effects regression models, we assessed co-primary outcomes of PHQ-9 response at 6 months (≥50 % reduction in baseline PHQ-9 score) and viral load suppression at 12 months (viral load<1000 copies/mL). ResultsThe intervention had no effect in PHQ-9 response (49 % vs 57 %, risk difference (RD) = −0.08, 95 % CI = -0.19; 0.03, p = 0.184) or viral load suppression (85 % vs 84 %, RD = 0.02, 95 % CI = −0.01; 0.04, p = 0.125). Nurses referred 4298 clinic patients to counsellors, however, only 66/1008 (7 %) of intervention arm participants were referred to counsellors at any point during the study. LimitationsThe highly pragmatic approach of this trial limited exposure to the counselling component of the intervention and referral to doctors for initiation of antidepressant treatment was extremely low. ConclusionThe trial showed no effect of a district-based intervention to strengthen collaborative care for depression. The trial revealed the extent of the treatment gap in the context of scaling up mental health services. Trial registrationClinicalTrials.gov (NCT02407691); Pan African Clinical Trials Registry (201504001078347).

Nurse-patient communication experiences from the perspective of Iranian cancer patients in an outpatient oncology clinic: a qualitative study

BackgroundEffective communication between nurses and cancer patients is essential for patient satisfaction and optimal health outcomes in outpatient oncology settings. This study explored the communication experiences of Iranian cancer patients receiving outpatient treatment.MethodsSemi-structured interviews were conducted with 14 adult cancer patients undergoing chemotherapy, radiotherapy, or follow-up treatment at an outpatient clinic in Urmia, Iran. Qualitative content analysis was used to analyze the data. This study adhered to the standards set forth in the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.ResultsThree main categories emerged from the interviews with Iranian cancer patients: communication dynamics, barriers to communication, and effective communication outcomes. Patients expressed a desire for nurses who actively listen, provide emotional support, and offer thorough education about their disease and treatment options. However, they also identified barriers to effective communication, including negative nurse behaviors (such as lack of empathy), heavy workloads, gender and language discordance, and logistical challenges within the clinic setting. When communication was positive, patients reported increased commitment to their treatment plans, improved coping mechanisms, reduced stress levels, and greater satisfaction with their overall care.ConclusionsThis study revealed the multifaceted nature of communication in outpatient oncology settings from the patient’s perspective. Findings underscore the need for interventions that enhance nurse communication skills, address workload issues, promote cultural sensitivity, and optimize clinic logistics. These efforts can significantly improve patient experiences and treatment outcomes during cancer treatment.

Patient trust in nurses: exploring the relationship with care quality and communication skills in emergency departments

BackgroundPatient trust in medical staff is an important ethical issue that can influence various patient behaviors and attitudes, such as seeking healthcare, sharing confidential information, accepting treatment, and adhering to recommendations. This study aimed to assess patient trust in nurses and its relationship to the quality of care and communication skills of nurses in emergency departments.MethodsThis descriptive correlational study was conducted in 2023 in the emergency departments of medical training centers of Ardabil University of Medical Sciences, Iran. A total of 378 patients was selected using a quota sampling method. Data were collected using three valid and reliable tools: the Quality Patient Care (QUALPAC) scale, the Health Communication Feedback Questionnaire (HCFQ), and the Trust in Nurses Scale (TNS).The data were analyzed using independent t-tests, one-way analysis of variance, and Pearson's correlation coefficient tests using SPSS version 24.ResultsThe majority of patients (99.2%) rated nurses' communication skills as moderate, with none rating them as poor. The average scores were 27.59 ± 2.76 for patient trust in nurses, 72.43 ± 3.30 for nurses' communication skills, and 198.30 ± 14.60 for the quality of nursing care. A significant correlation was found between patient trust in nurses and the overall quality of nursing care (r = 0.256, P < 0.001) as well as its dimensions. However, there was no significant relationship between patient trust in nurses and patient's perception of the nurses' communication skills (r = 0.046, P = 0.369).ConclusionsThe findings indicate that patient trust in nurses is positively and significantly associated with the perceived quality of nursing care. As the quality of care improves, patient trust in nurses also increases. Therefore, nurses should focus on providing high-quality care to enhance patient trust.

Development and validation of a patient-centered communication scale for nurses

BackgroundPatient-centered care aims to prevent disease and promote well-being by actively involving patients in treatment and decision-making that is based on respecting the patients and their families. However, no scales have been developed to assess patient-centered care from the nurse’s perspective. This study aimed to develop a scale to measure nurses’ level of patient-centered communication and confirm its validity and reliability.MethodsA methodological cross-sectional study was adopted to develop and validate the Patient-Centered Communication Scale (PCCS). The items were developed through a literature review and online interviews with nurses. Content validity was assessed by experts and the content validity index was calculated. A pretest of the questionnaire was conducted with 10 clinical nurses. To evaluate the factor structure and internal consistency reliability, the PCCS was administered online to 325 nurses in South Korea. Data were analyzed using descriptive statistics, explanatory factor analysis (EFA), and confirmatory factor analysis (CFA).ResultsThe final instrument consisted of 12 items and three factors: (1) information sharing, (2) patient-as-person, and (3) therapeutic alliance. EFA revealed a distinct three-factor structure, explaining 59.0% of the total variance. CFA confirmed the adequacy of the model fit and validated the inclusion of the final items. The Cronbach’s alpha values ranged from 0.60 to 0.77, indicating acceptable internal consistency. Convergent validity was evidenced by the correlation between the PCCS and a measure of interpersonal communication competence.ConclusionsThe 12-item PCCS showed good reliability, construct validity, and convergent validity. The scale has utility for measuring the level of patient-centered communication skills in nurses.

Research trends in nurse-parent partnership: A scoping review of the paediatric field in South Korea.

To analyse and describe the trends concerning nurse-parent partnerships in South Korean research, presenting their implications in paediatric care and guiding future directions for partnership research. A scoping review. The scoping review was conducted according to the framework outlined by Arksey and O'Malley. This review method consists of five stages: (1) identifying a research question, (2) identifying relevant studies, (3) selecting relevant studies, (4) charting the data extraction and (5) collating, summarizing and reporting the results. The studies reviewed were searched from electronic databases. Thirty studies were analysed for general characteristics, type of research method and findings from quantitative and qualitative research. Among the quantitative research, factors associated with partnerships, such as self-efficacy, quality of care and coping, were commonly associated with nurse-parent partnerships regardless of parent-, child- and nurse-related factors. The intervention methods included active parental participation and the development of educational materials. In the review of qualitative research, parents and paediatric nurses experienced that even when both groups occupied the same environment simultaneously, a disparity existed between the paediatric nurses' and parents' perceptions of their partnership experiences. Strengthening nurse-parent partnerships is crucial in improving health outcomes and quality of life for paediatric patients in South Korea. Effective collaboration, emphasizing mutual respect, effective communication, and shared decision-making, is essential in paediatric nursing care. This requires ongoing research, including both parents and a multidisciplinary approach to build supportive relationships across various age groups. Recognizing parents as key members of the care team, with valuable insights and contributions, enhances care quality. Additionally, enhancing paediatric nurses' self-efficacy, empowerment, and communication skills through continuous education is vital to improving parents' perceived quality of nursing. Partnership-centred practices not only boost care quality but also fortify the bond between healthcare providers and families, promoting better health outcomes. This work did not incorporate patient or public contributions, as its methodology was centred on a scoping review approach.

Effects of a Nonviolent Dialogue Program Based on the Empathetic Communication Model on Nurses' Interpersonal Skills, Communication Skills, Empathy, and Job Stress

Effects of a Nonviolent Dialogue Program Based on the Empathetic Communication Model on Nurses' Interpersonal Skills, Communication Skills, Empathy, and Job Stress

How to take a comprehensive patient history.

A significant proportion of diagnoses are made based on history taking, often alongside physical assessments and laboratory investigations. Taking a thorough patient history is fundamental for the accurate diagnosis and effective management of health conditions. This article outlines a step-by-step process for taking a comprehensive patient history and discusses the evidence for this procedure. • History taking is a structured but flexible process of gathering relevant information from patients to inform diagnosis and treatment. • Important communication skills for nurses when history taking include active listening, empathetic communication and cultural sensitivity. • By actively engaging the patient in a conversation about their health issues, the nurse facilitates their participation and autonomy. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when taking a patient history. • How you could use this information to educate nursing students or colleagues on taking a patient history.

Barriers to Effective Communication Between Nurses and Patients from the Perspective of Emergency Nurses at Educational-Therapeutic: A Cross-Sectional Study

Background: Effective communication between nurses and patients is essential for delivering quality patient care, particularly in high-pressure settings such as emergency departments. Objectives: This study aimed to assess the barriers hindering effective nurse-patient communication, as perceived by emergency nurses employed at the teaching hospitals associated with Mazandaran University of Medical Sciences in Iran in 2023. Methods: This cross-sectional study recruited 184 emergency nurses from five university hospitals using a census method. The sample population consisted of nurses working in emergency departments affiliated with Mazandaran University of Medical Sciences from May to August 2023, in Iran. Data were collected using demographic and the Barriers to Nurse-Patient Communication questionnaires, a validated and reliable instrument that assesses four domains hindering effective communication between nurses and patients. The data were analyzed using SPSS version 22. Results: According to the calculations, 65.2% of the participants were female, with ages ranging from 23 to 54 years and work experience between 1 and 27.5 years. Additionally, 92.4% held a bachelor's degree, and 7.6% had a master's degree. The results showed that, according to the emergency nurses, the barriers to communication between nurses and patients in the four investigated areas, ranked from highest to lowest score, were occupational characteristics, environmental factors, personal-social factors, and patient’s clinical conditions. The highest obstacles identified were: In the field of personal-social factors, patient’s excessive expectations (4.05 ± 0.88); in the field of occupational characteristics, heavy workload (4.32 ± 0.90); in the field of patient’s clinical conditions, presence of a companion (3.17 ± 1.29); and in the field of environmental factors, lack of appreciation of nurses by officials (3.96 ± 1.09). The barrier scores did not significantly correlate with nurses’ demographic variables. Conclusions: According to the results, the biggest obstacles were in the field of job characteristics of the emergency nurses. Therefore, the findings of this research can help nursing managers identify and adjust communication barriers between nurses and patients to adopt more effective strategies for teaching and evaluating nursing communication skills, ultimately fostering effective communication between nurses and patients.

Cancer patients’ perceptions of nursing: Expectations & realities, a phenomenological study

PurposeDetermining the perception and expectations of cancer patients will inform nurses' understanding of how to conduct nursing care to meet patients' needs. Studies have mainly used quantitative methods to understand nursing image from the perspective of the public and the profession, and there are no recent studies to date on nursing image from the perspective of cancer patients. The aim of this qualitative study was to explore cancer patients' experiences and perceptions of nursing within the conceptual framework of Watson's Human Care Theory. MethodsIn total, 19 phenomenological semi-structured interviews were conducted with cancer patients between November 2022 and January 2023. Data were analyzed using Assarroudi et al.'s content analysis. ResultsThree themes emerged from the phenomenological analysis of the interviews: (1) nursing image, (2) expectations, and (3) realities. Patients stated that nurses act as assistants and that health services cannot be provided without them. Under the main theme of ‘expectations,’ five subthemes emerged: psychosocial care, physical care, ethics, individual characteristics, and no expectations, while the theme of ‘realities’ contained two subthemes: (1) satisfaction with nurse behaviors, and (2) dissatisfaction with nurse behaviors. ConclusionsOur study provides important insight for nurses working with cancer patients in the management of patient care and treatment. Empowering cancer nurses will increase patient care satisfaction. We recommend the implementation of programs designed to support nurses and improve nursing communication skills. We also recommend that the technical and psychosocial aspects of nursing care should be considered as a whole.

The effect of psychological first-aid virtual education on the communication skills of nurses in disasters: a randomized controlled trial

BackgroundDisasters have affected the physical and mental health of people around the world. Since nurses are frontlines in disasters, it seems necessary to prepare for this responsibility. This study investigates the effect of psychological first-aid virtual education on the communication skills of nurses in disasters such as COVID pandemic.MethodsIn a randomized controlled trial, 55 nurses were selected by purposive sampling method from two hospitals in Isfahan and Tehran, Iran in December—November 2022 and randomly replaced in the intervention group who participated in psychological first aid virtual training and control group. The data were collected through the personal information form and Communication Skills –Test-Revised (CSTR).ResultsTwo groups were homogeneous in terms of communication skills (p = 0.177), the total score of communication skills was significant between the two groups after the intervention (p < 0.0001). Regarding communication skills, in the pre-intervention phase, the subscale of “the ability to receive and send messages” and “insight into the communication process” the difference before the intervention was not significant between the two groups (p > 0.05). However, it was significant between the two groups after the intervention (p < 0.05), and regarding “emotional control”, “listening skills”, and “communication along with assertiveness” the difference before and after the intervention was not significant between the two groups (p > 0.05).ConclusionPre-disaster training and virtual education can increase nurses’ communication skills in their ability to handle a disaster such as COVID pandemic. Virtual education of post-disaster psychological interventions is suggested.Trial registrationIRCT20220923056023N1; date: 2023–01-31.

Psychology of doctor-patient interaction in the context of medical specialist's communicative tolerance

The relevance of the study is due to the need to find ways to ensure high-quality interaction between a doctor and a patient in the context of a medical professional's communicative tolerance. The purpose of the study was to determine the psychological characteristics of the interpersonal relationship between a doctor and his/her patients. The basis of the theoretical and methodological approach was a qualitative combination of methods of structural and functional analysis of the problem of psychological training of medical professionals and analytical research on the formation of constructive relationships between doctor and patient. Several surveys were conducted on the tolerance of healthcare professionals and their emotional well-being in the context of individual psychological characteristics. The results are presented, which reflect the methods of doctor's influence on the psychological state of the patient and his/her family. The question of how trust in a doctor and his/her professional competences is formed is highlighted. The problem of ethical principles, professional motivation of medical professionals and the specifics of their communication in the team are revealed. The subjective feelings of doctors about the work they do are revealed. The issues of modernization of medical education and digitalization of services are revealed. The conditions, components, and approaches to effective interaction between doctor and patient in the healthcare system are identified. The problems of developing diagnostic tools for assessing the psychological state of a medical professional in his/her professional activity are detailed. An experiment was conducted to substantiate the need to implement programmes to improve the communication skills of healthcare professionals, including interns and nurses. The practical value of the results of the research work is the possibility of using the outlined approach to improve the methods of improving the communication competencies of doctors in their professional activities

Role-Play Based Gamification for Communication Skills and Nursing Competence in Internal Medicine Nursing

Objective: This study aims to the effect of role-play-based gamification on the analysis of symptoms in Internal Medicine Nursing, decision making, administration of appropriate nursing care, and the communication skills of nursing students. Methods: The study was designed in participatory action research as a qualitative design. In the action research, gamification elements were constructed on a role-play performance of the students in Nursing Department at a private university in Ankara-Türkiye. A gamification based on systems role play was performed for students taking the internal medicine nursing course (n=10). Checklists for each system regarding the selection and use of equipment appropriate for nursing interventions have been added to the games. At the end of the semester they were asked to evaluate this intervention via qualitative interview. In the in-depth interviews, data were collected by asking the students 9 unstructured open-ended questions prepared by the researchers. Data analysis was carried out by hand coding by the researchers. Codes were created from the research objectives based on Werbach's D6 Model for gamification design. Results: The qualitative analysis revealed six major themes (i) Defining Business Goals (ii) Delineating Target Behaviors (iii) Describing Players (iv) Devising Activity Loops (v) Deploying Tools (vi) Not forgetting the fun. In these themes, students stated that by using game elements in lessons, it became easier to remember and apply theoretical knowledge about internal medicine nursing, improved their practical skills, time management skills and critical decision-making abilities, and that they better understood the importance of effective communication within the team. Additionally, students stated that the experience of learning the basic aspects of internal diseases, which are difficult to learn in theory, became fun with the gamification technique. Conclusion: The use of gamification, students learned nursing care and communication skills related to Internal Medicine Nursing education in a motivated and more permanent manner.

The effectiveness of Balint group work on the quality of work life, resilience, and nurse-patient communication skills among psychiatric nurses: a randomized controlled trial.

Balint group training has gained popularity in medical practices as an intervention designed to enhance the quality of life, well-being, and communication skills of healthcare practitioners. Psychiatric nurses, in particular, encounter distinct challenges and stressors inherent in their profession, necessitating the development and implementation of effective interventions to assist them in coping with the difficulties they experience. In this vein, the current study aimed to investigate the effectiveness of Balint group training on quality of work life, resilience, and nurse-patient communication skills among psychiatric nurses. Thirty psychiatric nurses from Razi Hospital in Tehran were recruited via the purposeful sampling method in 2022 and were randomly assigned to either the Balint group, consisting of eight weekly one-hour training sessions, or a control group. Participants completed the Walton Quality of Work Life Questionnaire, Connor-Davidson Resilience Scale, and Communication Skills Scale before and after the intervention. The data were analyzed using the Analysis of Covariance (ANCOVA). The study found no significant differences between the Balint group and the control group in terms of quality of work life, resilience, and nurse-patient communication skills. Findings suggest that Balint group training was not an effective intervention for improving the well-being and communication skills of psychiatric nurses. However, the study highlights the need for further investigation into the potential factors that may explain the lack of significant gains and offers insights for future research in this area.

Evaluation of a patient-centered communication skills training for nurses (KOMPAT): study protocol of a randomized controlled trial

BackgroundTo ensure high quality of nurses’ communication as part of patient-centered care, training of communication skills is essential. Previous studies indicate that communication skills trainings can improve communication skills of nurses and have a positive effect on emotional and psychological burden. However, most show methodological limitations, are not specifically developed for nurses or were developed for oncological setting only.MethodsThis study aims to evaluate the effectiveness of a needs-based communication skills training for nursing professionals and to derive indications for future implementation. A two-armed randomized controlled trial including components from both effectiveness and implementation research will be applied. Additionally, a comprehensive process evaluation will be carried out to derive indications for future implementation. Nurses (n=180) of a university medical center in Germany will be randomized to intervention or waitlist-control group. The intervention was developed based on the wishes and needs of nurses, previously assessed via interviews and focus groups. Outcomes to measure effectiveness were selected based on Kirkpatrick’s four levels of training evaluation and will be assessed at baseline, post-training and at 4-weeks follow-up. Primary outcome will be nurses’ self-reported self-efficacy regarding communication skills. Secondary outcomes include nurses’ communication skills assessed via standardized patient assessment, knowledge about patient-centered communication, mental and work-related burden, and participants’ satisfaction with training.DiscussionTo our knowledge, this is the first study systematically evaluating the effectiveness of a patient-centered communication skills training for nursing professionals in Germany. Results will yield insight whether a needs-based intervention can improve nurses’ self-efficacy regarding communication skills and other secondary outcomes.Trial registrationClinical trial registration number: NCT05700929, trial register: ClinicalTrials.gov (date of registration: 16 November 2022).

Development and Validation of a Patient-Reported Scale Measuring the Communication Skills of Nurses Based on the "NURSE" Program.

Development and Validation of a Patient-Reported Scale Measuring the Communication Skills of Nurses Based on the "NURSE" Program.

The effect of continuous care on the recovery of patients with advanced colorectal cancer undergoing chemotherapy.

To explore the impact of continuous care on chemotherapy patients with advanced colorectal cancer. Six hundred forty patients who received chemotherapy from June 2015 to December 2022 were included in this retrospective study and divided into the observation group (n = 332) and control group (n = 308) based on different care methods that they received. The observation group patients were followed up using the continuous care team model, the control group patients using the traditional telephone follow-up model. A comparative analysis was conducted on the effects of 2 modes on patients self-care ability, treatment compliance, anxiety, depression, communication ability with nurses, level of hope, as well as the effects of toxic side effects and cancer-related fatigue. The self-care ability and treatment compliance of patients in the observation group were significantly better than those in the control group (P < .05), with lower anxiety and depression scores, toxic side effects, and cancer-related fatigue compared to the control group (P < .05). The communication ability and patient hope level of nurses in the observation group were also significantly stronger than those in the control group (P < .05). The application of continuous care can improve patients self-care ability and treatment compliance, effectively reduce anxiety and depression in in patients with advanced colorectal cancer undergoing chemotherapy, and improve nurses communication skills and patients hope level. Therefore, this practice is worth promoting clinically.

Factors influencing the formation of communication skills in nurses

Factors influencing the formation of communication skills in nurses

The effect of Alexithymia level on communication skills in intensive care nurses

This research was carried out as a descriptive study to determine the effect of alexithymia level on communication skills in intensive care nurses. The research was carried out between 15/02/2023-01/06/2023 with the participation of 105 nurses working in the intensive care units of a university hospital. The data were collected by using a 17-question information form prepared by the researcher in line with the literature, which determines the socio-demographic and communication skills of the nurses, and the Toronto Alexithymia Scale and the Health Professionals Communication Skills Scale. The conformity of the data to normal distribution was evaluated by Shapiro-Wilk and Kolmogorov Smirnov tests. Kruskal Wallis test, Mann Whitney U test, One-Way Analysis of Variance, and independent sample t-test were used in data analysis. In line with the findings obtained from this study, it was determined that intensive care nurses with high levels of alexithymia had low communication skills.&#x0D; Keywords: Alexithymia; communication; communication skills; nurse; intensive care.

Endoscopic retrograde cholangio pancreatography and endoscopic ultrasound: the pilot is only as good as the co-pilot – what do nurses need to know?

Endoscopy procedures require a collaborative team approach. Flight simulator training is an advanced method used to enhance the stress resilience and communication skills of nurses, which are crucial for successful execution. Novices need sufficient time to acquire expertise, so clear learning outcomes should be established for nurses in endoscopy. The European Society of Gastroenterology and Endoscopy Nurses and Associates has developed a job profile and core curriculum for endoscopy nursing. Various simulators, including those using tubes and virtual reality, are available for training, with the Erlangen active simulator for interventional endoscopy being the most suitable. Monitoring the frequency of procedures allows for individual competency assessment. Effective communication is essential for success and safety. Postgraduate training programmes should be provided for individuals lacking endoscopy education. National and international meetings should attract doctors and nurses to promote teamwork and knowledge exchange. Advancements in technology will shape the job profile of endoscopy professionals, including short wire systems, single-operator cholangiocytes, nurse endoscopists, nurse-assisted propofol sedation, artificial intelligence, endoscopy robots and hybrid procedures.