병원 근무 간호사를 위한 의사소통 역량향상 프로그램에 대한 체계적 고찰 (A Systematic Review of Communication Programs for Nurses Working in Hospitals)

서지정보

· 발행기관 : 대한스트레스학회
· 수록지 정보 : 스트레스 硏究 / 29권 / 2호 / 69 ~ 79페이지
· 저자명 : 전예슬, Heeseung Choi

초록

본 연구는 병원 근무 간호사를 위한 의사소통 프로그램의 특성과 효과를 탐색하기 위해 시행된 체계적 문헌고찰이다. 국내외의 5개 데이터 베이스(PUBMED, EMBASE, CINAHL, PsycINFO, RISS)를 활용하여 최근 10년간 발표된 문헌을 추출한 후 분석하였다. 주요 검색어는 간호사, 의사소통 등이었으며 총 13편이 포함되었다. 프로그램은 강의, 시뮬레이션, 디브리핑 등의 다양한 활동을 했으며, 대부분의 연구에서 의사소통역량이 향상되었다. 향후 다양한 부서의 상황을 반영한 시뮬레이션을 개발하여 그 효과를 살펴봐야 한다. 또한 도구를 결정할 때 연구목적에 따라 참여자의 자가보고에 따른 주관적 평가도구와 함께 관찰자를 통해 확인된 참여자의 행위변화와 같은 객관적 평가도구의 사용을 고려해야 한다.

영어초록

Background: Despite the implementation of several communication programs for nurses working in hospitals, no evidence-based systematic review has yet been conducted on their efficacy.
Methods: In this systematic review of communication programs for nurses, we searched for literature published between 2011 and 2020 in four foreign databases and one domestic database (PubMed, Embase, CINAHL, PsycINFO, and RISS). The papers identified were evaluated on their quality using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The main search terms included “nurse”, “communication”, “program”, and “intervention.” Thirteen articles were included in the final analysis.
Results: The communication programs utilized various teaching methods – such as simulation, reflection, and debriefing – with a majority of these programs significantly improving participants’ communication skills and performance. However, the overall quality of the studies was low concerning the randomization process and measurement; relatively few studies made use of online education methods.
All variables assessed using self-reported measures were significant, but not all showed significant results when using objective measures as assessed by the evaluators.
Conclusions: The study’s findings suggest a need for programs dealing with nurses’ communication with health care providers in diverse clinical settings and online-based simulation programs. Moreover, high-quality literature applying the randomization process and measurement is required. Additionally, it is necessary to use both subjective and objective measures to evaluate the overall communication capacities of nurses and reflect the contextual characteristics of various clinical settings.

참고자료

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