終末期ケア実習における看護学生のコミュニケーション・スキルの獲得が対患者関係知覚とコミュニケーション懸念に及ぼす影響  [in Japanese] Effects of acquiring communication skills on perception of nurse-patient relationships and communication apprehension in student nurses during practicum in end-of-life care  [in Japanese]

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Abstract

本研究目的は終末期ケア実習中の看護学生が対患者関係を築き、患者の問題を意識化するためのコミュニケーション・スキル(Communication Skills: CS)を獲得することで対患者関係知覚とコミュニケーション懸念(Communication Apprehension: CA)に及ぼす影響について検討することである。参加者は看護大学3 年生、終末期ケア実習中の学生で、そのなかから彼らの希望で実験群と統制群に振り分けた。実験群には従来の教育に加え、新たな教育としてCS 獲得訓練を行い、介入前後で自己記述式質問紙調査を実施した。統制群には従来の教育を行い、実験群と同時期に質問紙調査を実施した。2 要因(実験条件と実験時期)分散分析の結果、実験群では患者の問題を意識化するためのCS やそのCS に対応した問題解決的応答への知覚が促進され、介入の主効果を認めた。また、実験群では困難性CA が低減傾向であったが、介入効果は十分とは言えず、CA への対処支援として認知的アプローチの必要性が示唆された。

The effect of acquiring communication skills on the perception of nurse-patient relationships and communication apprehension in nursing students were empirically examined during the end of life care practicums. Nursing students doing end of life care practicums participated in the study. They were classified into an experimental, or a control group by their free choice. The former received communication skills training as psycho-educational support during practicums, in addition to the standard education, whereas the latter received only the standard education. Pre- and post-practicum self-administered questionnaires assessed the intervention effect. A two-factor analysis of variance indicated a significant main effect of the intervention in the experimental group demonstrated by increased communication skills and improved perception about nurse-patient relationships, although no significant main effect was observed on communication apprehension. It is concluded that nursing students acquired communication skills, and the responsiveness of patients increased through the development of nurse-patient relationships. However, it is suggested that communication apprehension of nursing students would not decrease unless they deal with patients' responses.

Journal

  • 共立女子大学看護学雑誌 = Kyoritsu journal of nursing

    共立女子大学看護学雑誌 = Kyoritsu journal of nursing 6, 1-11, 2019

    共立女子大学看護学部

Codes

  • NII Article ID (NAID)
    120006606996
  • NII NACSIS-CAT ID (NCID)
    AA12668296
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    2188-1405
  • NDL Article ID
    030269196
  • NDL Call No.
    Z74-J50
  • Data Source
    NDL  IR 
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