临床实践初期本科护生护患沟通能力现状及影响因素分析

目的了解临床实践初期本科护生护患沟通能力现状及影响因素,为临床护理教育管理者制订本科护生临床实践阶段护患沟通能力培训方案提供依据。方法于2019年8—9月采用方便抽样的方法,调查临床护理实践时间≤3个月的960名本科护生,调查内容包括人口社会学资料、护患沟通能力培训相关内容及护生护患沟通能力。分析临床实践初期本科护生护患沟通能力现状及影响因素。结果960名临床实践初期本科护生护患沟通能力得分为(2.18±0.21)分,其中得分最高为敏锐倾听维度(2.42±0.51)分,得分最低为验证感受维度(1.88±0.51)分。单因素分析显示,不同性别、临床实践初期医院是否进行护患沟通培训、不同培训形式的临床实践初期本科护生护患沟通能力得分比较,差异均有统计学意义(P<0.05);Pearson相关分析显示,临床实践初期本科护生护患沟通能力得分与医院进行护患沟通培训次数呈正相关(r=0.456,P<0.01)。多重线性回归分析显示,医院进行护患沟通培训次数和培训方式是临床实践初期本科护生护患沟通能力的主要影响因素(P<0.05)。结论临床实践初期的本科护生护患沟通能力水平不高,还有待于进一步提高,临床护理教学管理者应根据其影响因素制订相应有效的培训方案加强培养。

Status quo and influencing factors of nurse-patient communication ability in undergraduate nursing students

Objective To explore the status quo of nurse-patient communication ability in undergraduate nursing students in the early stage of clinical practice and its influencing factors,and provide a basis for clinical nursing education managers to formulate a training plan for communication skills of undergraduate nursing students in the clinical practice stage.Methods From August to September 2019,totally 960 undergraduate nursing students engaging in clinical nursing practice for≤3 months were investigated.The survey content included demographic data,training content of nurse-patient communication ability,and clinical communication ability of nursing students.The status quo and influencing factors of communication ability of undergraduate nursing students in the early stage of clinical practice were analyzed.Results The nurse-patient communication ability score of 960 undergraduate nursing students in the early stage of clinical practice was(2.18±0.21),with the highest score in the dimension of acute listening(2.42±0.51)and the lowest score in the dimension of verification feeling(1.88±0.51).Univariate analysis showed that there were statistically significant differences in the nurse-patient communication ability in the early stage of clinical practice between undergraduate nursing students with different gender,with or without training for nurse-patient communication in the early stage of clinical practice in the hospital and with different training forms(P<0.05).Pearson correlation analysis revealed that the nurse-patient communication ability score of undergraduate nursing students in the early stage of clinical practice was positively correlated with the number of nurse-patient communication training sessions in the hospital(r=0.456,P<0.01).According to multiple linear regression analysis,the number of training sessions and training forms in the hospital were main influencing factors to the nurse-patient communication ability of undergraduate nursing students in the early stage of clinical practice(P<0.05).Conclusions The level of nurse-patient communication ability in undergraduate nursing students in the early stage of clinical practice is low and needs to be further improved.Clinical nursing teaching managers should formulate effective training programs based on its influencing factors to strengthen training accordingly.