基于共情机会–反应模式的共情沟通培训在护理实习生中的应用
Application of Empathic Communication Training in Nursing Interns Based on Empathic Opportunity-Response Model
DOI: 10.12677/ns.2025.142030, PDF,    科研立项经费支持
作者: 王建玲*, 侯靖宇, 马 林:新乡医学院第一附属医院护理部,河南 新乡;赵 佳:新乡医学院第一附属医院质量与安全控制部,河南 新乡;张林霞:新乡医学院第一附属医院神经外科重症监护室,河南 新乡
关键词: 共情沟通临床教学护理实习生Empathic Communication Clinical Teaching Nursing Intern
摘要: 目的:制定护理实习生共情沟通培训课程方案,并评价其实施效果。方法:便利抽取在河南省某三甲医院实习的护理本科生133名为研究对象,对其实施以共情机会–反应模式为框架的共情沟通课程培训,并评价其培训应用效果。结果:培训后,89.5%的实习生对培训课程整体设置满意,92.5%的学生对培训效果和课程收获满意;实习生对共情相关理论培训满意度为78.9%,对情景模拟教学及标准化病人教学满意度分别为91.0%、94.7%。培训前后比较,护理实习生临床沟通能力(t = −7.804, P < 0.01)、共情能力(t = −5.744, P < 0.01)差异有统计学意义。结论:共情沟通培训能够提升护理实习生的临床沟通及共情能力,可应用于护理实习生临床培养阶段。
Abstract: Objective: To develop a training program of empathic communication for nursing interns and evaluate its implementation effect. Methods: A total of 133 undergraduate nursing students were selected from a top three hospital in Henan Province, and the empathic communication course was trained with the framework of empathic opportunity-response model, and the effect of the training was evaluated. Results: After the training, 89.5% of the trainees were satisfied with the training course, and 92.5% of the students were satisfied with the training effect and the course harvest. The trainees’ satisfaction with empathy-related theoretical training was 78.9%, and the trainees’ satisfaction with situational simulation teaching and standardized patient teaching was 91.0% and 94.7%, respectively. Before and after training, there were significant differences in clinical communication ability (t = −7.804, P < 0.01) and empathy ability (t = −5.744, P < 0.01). Conclusion: Empathy communication training can improve the clinical communication and empathy ability of nursing interns, and can be applied to the clinical training stage of nursing interns.
文章引用:王建玲, 赵佳, 侯靖宇, 张林霞, 马林. 基于共情机会–反应模式的共情沟通培训在护理实习生中的应用[J]. 护理学, 2025, 14(2): 221-226. https://doi.org/10.12677/ns.2025.142030

参考文献

[1] 董永珍. 急诊科护士情绪智力、护患沟通能力与职业疲溃感间相关性研究[D]: [硕士学位论文]. 青岛: 青岛大学, 2021.
[2] 陈李英, 李晓娟, 陈琼妮, 等. 非暴力沟通培训对护士沟通能力和患者护患信任度及满意度的影响[J]. 中国护理管理, 2022, 22(4): 598-603.
[3] 苏爱如, 李楠, 李妍. 护士临床沟通能力与护患信任度的相关性研究[J]. 河北医科大学学报, 2024, 45(10): 1226-1231.
[4] Yang, M., Lin, P., Zheng, L. and Wu, B. (2024) Emotional Management and Clinical Communication among Nursing Students: A Single Institution Experience. Frontiers in Psychiatry, 15, Article 1327629. [Google Scholar] [CrossRef] [PubMed]
[5] 杨学知, 谭贞, 万波, 等. 术前共情沟通对胆结石择期手术患者术前焦虑及术后遵医行为的影响[J]. 中国健康心理学杂志, 2023, 31(2): 203-208.
[6] 邵雨娜, 孙慧敏, 李敏丽, 等. NICU护理人员共情沟通课程的构建及实施效果评价[J]. 中华护理杂志, 2018, 53(8): 901-906.
[7] 邢婷婷. 术前共情沟通对颅骨缺损修补手术患者心理状况及睡眠质量的影响[J]. 中国健康心理学杂志, 2023, 31(2): 213-218.
[8] 卜娜, 付军桦, 张雯雯, 等. 共情能力在护理实习生思政素养与生命意义感间的中介作用[J]. 中华护理教育, 2024, 21(1): 32-36.
[9] Suchman, A.L., Markakis, K., Beckman, H.B. and Frankel, R. (1997) A Model of Empathic Communication in the Medical Interview. JAMA: The Journal of the American Medical Association, 277, 678-682. [Google Scholar] [CrossRef] [PubMed]
[10] 杨芳宇, 沈宁, 李占江. 护生临床沟通能力测评量表的初步编制[J]. 中华现代护理杂志, 2010, 16(31): 3721-3724.
[11] 安秀琴, 杨辉, 徐建萍, 等. 杰弗逊共情量表的编译及评价[J]. 护理研究, 2008, 22(22): 2063-2064, 2066.
[12] Moreno‐Poyato, A.R. and Rodríguez‐Nogueira, Ó. on behalf of MiRTCIME.CAT Working Group (2020) The Association between Empathy and the Nurse-Patient Therapeutic Relationship in Mental Health Units: A Cross‐Sectional Study. Journal of Psychiatric and Mental Health Nursing, 28, 335-343. [Google Scholar] [CrossRef] [PubMed]
[13] 卫慧, 许雅芳, 黄莺, 等. 角色扮演法应用于本科护生情商教育[J]. 护理学杂志, 2018, 33(8): 58-60.
[14] 喻春梅, 戚雯琰, 李小丹. 标准化病人教学模式对护士核心胜任力的影响[J]. 继续医学教育, 2023, 37(9): 85-88.
[15] 李越, 王亚军, 陈丽芬, 等. 某高校直属医院研究生共情与医患沟通能力现状调查及分析[J]. 中国社会医学杂志, 2022, 39(3): 270-274.