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Communication of Students in Nursing Simulation using Standard Patient

표준화 환자를 활용한 간호시뮬레이션 시 학생의 의사소통

  • 손해경 (성신여자대학교 간호학과) ;
  • 김동희 (성신여자대학교 간호학과)
  • Received : 2018.02.23
  • Accepted : 2018.05.20
  • Published : 2018.05.28

Abstract

The purpose of this study was to identify the categories and frequencies of communication of students in nursing simulation using standard patient. Data were collected through questionnaires and video recording of communication process of 41 nursing students in simulation related to pediatric enteritis from March to June, 2017. The data were analyzed the contents and frequencies of completed communication forms by trained researcher based on Interaction Process Analysis. In result, students used communication skills in task area frequently. Communication skills, such as orientation, open question, identification, giving information, opinion, and suggestion, and eye contact, were used frequently. In an uncomfortable atmosphere such as listening to the nursing client's complaints, students showed tension and stiff appearance. Students used high quality communication skills such as empathic understanding and therapeutic touch restrictively. In conclusion, we need education strategies relating to therapeutic communication for nursing professionalism and qualitative improvement of nursing service.

학생의 의사소통을 위한 간호 교과과정 내 표준화된 지침이 요구된다. 이에, 표준화 환자를 활용한 간호시뮬레이션 시 학생의 의사소통의 양태를 분석하였다. 2017년 3월부터 6월까지 간호학생 41명의 장염 환아 간호시뮬레이션을 녹화하고 질문지로 자료수집을 하였다. 이는 훈련된 연구원이 필사하고 의사소통 과정 분석에 근거해 내용, 빈도 분석한 결과, 학생은 간호사로서 중립적인 정보 교환을 위한 의사소통을 주로 사용하였고 자기노출(소개), 개방적 질문, 확인, 정보제공, 의견제시, 조언, 눈맞춤 등을 사용하였다. 간호 대상자가 불만을 제기하는 등의 불편한 상황에서 학생은 긴장하거나 경직되었으며 공감적 이해, 치료적 스킨십과 같은 높은 수준의 의사소통은 제한적으로 사용하였다. 이를 바탕으로 간호 전문성과 간호 서비스의 질적 향상을 위한 치료적 의사소통과 관련된 교육 전략의 필요성을 제언한다.

Keywords

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