The Related Factors on Self-Efficacy of Nurse-Patient Communication during Cancer Care in Taiwan
2008
Hochschulschrift
Zugriff:
96
Background: Nurses are responsible for daily clinical care, and their one principle routine is to communicate with patients. Therefore the quality of communication and the patient–care provider relation can significantly improve health outcomes such as symptom reduction, psychological care, and the professional fulfill. Objective: To investigate the related factors on self-efficacy of communication during cancer care among Taiwanese nurse. Methods: A Cross-sectional correlation survey on 325 nurses, who provided direct nursing care for cancer patients, of a medical center by purposive sampling was conducted. The instruments are Nurses’ Self-Efficacy Rating in Oncology Specified Communication Tasks scale (NSROSCT), Communication Outcomes Questionnaire (COQ), and Nurses’ Self-Perceived Support Scale (NSSS) that are translated and modified by Liu J. E. (2007). The other instrument is Oncology Nursing Knowledge Measurement (ONKM) which developed by the researcher. Data Analysis: Percentage, Means, standard deviations, t-test, one-way ANOVA, Mann-Whitney U, Kruskal Wallis, correlations and linear regression were applied. Results: (a) Self-efficacy, outcome expectancy and perceived support of nurse-patient communication were significantly positive correlated with each other. (b) The environmental support got the lowest subscore in the perceived support of nurse-patient communication. (c) Communication with angry, crying, depressed and wordless cancer patients got the lowest scores in the self-efficacy of communication. (d) Nurses with different age, marriage, education, work years, number of patients in charge in day shift, hospice training, empathy training and communication skill training possess different self-efficacy of nurse-patient communication. (e) Age, number of patients in day shift, communication skill training, perceived support and outcome expectancy were important factor that can predict self-efficacy of communication and could explain 21.9% variance of self-efficacy. Expected Implications: The results can be the references (a) To include empathy training, communication skill training and hospice training in the in-service education for oncology nurses. (b) To create supportive atmosphere for nurse-patient communication. (c) To arrange reasonable staffing and a private and comfortable space for interviewing cancer patients. (d)To design a training program of communication skills which integrated cognition, attitude, behavior and supportive management. This program will give the best environment and opportunity for oncology nurses to practice the learned skills. (e) To accumulate local data for nurse-patient communication.
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The Related Factors on Self-Efficacy of Nurse-Patient Communication during Cancer Care in Taiwan
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Autor/in / Beteiligte Person: | Yen-Fen Feng 馮 延 ; 馮延芬 |
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Veröffentlichung: | 2008 |
Medientyp: | Hochschulschrift |
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