Effects of the Advanced Innovative Internet-Based Communication Education Program on Promoting Communication Between Nurses and Patients With Dementia

Hui-Chen Chao; Merrie Kaas; Ying-Hwa Su; Mei-Feng Lin; Mei-Chih Huang; Jing-Jy Wang

doi:10.1097/jnr.0000000000000109

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Effects of the Advanced Innovative Internet-Based Communication Education Program on Promoting Communication Between Nurses and Patients With Dementia

爱思沟通教育方案对增进护理人员与失智患者之沟通成效探讨

赵慧珍(Hui-Chen Chao) ； Merrie Kaas ；苏英华(Ying-Hwa Su) ；林梅凤(Mei-Feng Lin) ；黄美智(Mei-Chih Huang) ；王静枝(Jing-Jy Wang)

The Journal of Nursing Research ； 24 卷 2 期 (2016 / 06 / 01) ， P163 - 172

英文 DOI： 10.1097/jnr.0000000000000109

沟通教育计画；失智症；护理人员；长期照护机构； communication education program ； dementia ； nurses ； long-term care facilities

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摘要 │ 参考文献 (38) │ 被引用文献 (3) │ 国际计量

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Background: Effective communication between nurses and patients with dementia promotes the quality of patient care by improving the identification of patient needs and by reducing the miscommunication-related frustration of patients and nurses. Purpose: This study evaluates the effects of an advanced innovative Internet-based communication education (AIICE) program on nurses' communication knowledge, attitudes, frequency of assessing patient communication capacity, and communication performance in the context of care for patientswith dementia. In addition, this study attempts to evaluate the indirect effects of this program on outcomes for patients with dementia, includingmemory and behavior-related problems and depressive symptoms. Methods: A quasi-experimental research design with a one-group repeatedmeasure was conducted. Convenience sampling was used to recruit nurses from long-term care facilities in southern Taiwan. Datawere analyzed using general estimating equations to compare changes over time across three points: baseline, fourthweek posttest, and 16th-week posttest. One hundred five nurses completed the AIICE program and the posttest surveys. Results: The findings indicate that nurses' communication knowledge, frequency in assessing patients’ communication capacity, and communication performance had improved significantly over the baseline by either the 4th- or 16th-week posttest (p G .01). However, communication attitude showed no significant improvement in the posttest survey (p = .40). Furthermore, the findings indicate that the memory and behavior-related problems and the depressive symptoms of patients had decreased significantly by the 16th-week posttest (p = .05). Conclusions/Implications for Practice: This study showed that the AIICE program improves nurses' communication knowledge, frequency to assess patients' communication capacity, and communication performance and alleviates the memory and behavior-related problems and depressive symptoms of patients. The continuous communication training of nurses using the AIICE program is thus recommended.

参考文献 ( 38 ) 〈TOP〉

Lin, J. N.,Wang, J. J.(2008).Psychometric evaluation of the Chinese version of the Cornell Scale for Depression in Dementia.The Journal of Nursing Research,16(3),202-210.
连结：
Taiwan Alzheimer's Disease Association. (2015). Estimation of population in dementia between 2013~2060 in Taiwan. Retrieved from http://www.tada2002.org.tw/tada_know_02.html#01
Becker University. (2012). Bachelor of science in nursing (RN to BSN) curriculum. Retrieved from https://www.cedarville.edu/Academics/Nursing/Undergraduate/Majors/Nursing.aspx
Ajjawi, R.,Higgs, J.(2012).Core components of communication of clinical reasoning: A qualitative study with experienced Australian physiotherapists.Advanced in Health Science Education,17(1),107-119.
Alexander,G.K.,Uz, S. W.,Hinton, I.,Williams, I.,Jones, R.(2008).Culture brokerage strategies in diabetes education.Public Health Nursing,25(5),461-470.

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