
Exploring Adverse Communication Experiences and Their Determinants Among Nursing Students During Clinical Placements
Abstract
Effective nurse-patient communication is foundational to quality healthcare, fostering trust, improving patient outcomes, and ensuring patient safety. For nursing interns, the clinical placement period represents a critical phase for developing these essential communication skills. However, these nascent professionals often encounter challenging or negative communication experiences that can significantly impact their learning, psychological well-being, and future professional practice. This article investigates the prevalence, nature, and influencing factors of adverse nurse-patient communication experiences among nursing interns. Drawing on a review of existing literature and outlining a hypothetical study design, we explore how individual characteristics, patient-related factors, and the clinical environment interact to shape these experiences. Understanding these determinants is crucial for designing targeted educational interventions, enhancing clinical mentorship, and ultimately supporting the holistic development of nursing interns to ensure high-quality, patient-centered care.
Keywords
Nurse-Patient Communication, Nursing Interns, Negative Experience
References
Farzi, S., Taleghani, F., Yazdannik, A. and Esfahani, M.S. (2021) Communication Culture in Cancer Nursing Care: An Ethnographic Study. Supportive Care in Cancer, 30, 615-623. https://doi.org/10.1007/s00520-021-06388-2
The National Health and Family Planning Commission (2015) Notice on Further Deepening Quality Care and Improving the Quality of Nursing Care Services.
Teaching Steering Committee of Colleges and Universities of the Ministry of Education (2022) National Standard for Undergraduate Professional Teaching Quality in Regular Institutions of Higher Learning. 3rd Edition, Higher Education Press, 812.
Zhang, Y.P. and Shi, R.F. (2013) Investigation on Negative Experiences of Nursing and Patient Communication. Journal of Nursing, 28, 44-46.
Peplau, H.E. (1952) Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. G.P. Putnam’s Sons.
Yuan, Y.Q. (2019) Qualitative Analysis of Clinical Communication Events of Nursing Students in Internship. Science Regimen, 22, 214-215.
Zu, T.T., Cheng, M., Sun, X., et al. (2023) Analysis of the Current Situation and Influencing Factors of Clinical Adaptability of Trainee Nursing Interns. Higher Medical Education in China, No. 7, 58-59.
Kim, J., Park, J.H. and Shin, S. (2020) Effectiveness of Simulation-Based Nursing Education Depending on Fidelity: A Meta-Analysis. Nurse Education Today, 87, Article ID: 104359.
Chow, K.M., Tang, W.K.F., Chan, W.H.C., Sit, W.H.J., Choi, K.C. and Chan, S. (2018) Resilience and Well-Being of University Nursing Students in Hong Kong: A Cross-Sectional Study. BMC Medical Education, 18, Article No. 13. https://doi.org/10.1186/s12909-018-1119-0
Cao, X.R. and Xie, L.L. (2018) A Qualitative Study on the Psychological Experiences of Nursing Students Encountering Nurse-Patient Communication Barriers. Journal of Modern Medicine & Health, 34, 448-450.
Loving, A. (2018) Attachment, Trauma and Parenting in Social Work Practice. Royal Holloway, University of London.
Wu, X.H., Lan, X.E., Yao, M.R., et al. (2013) A Survey on Mental Health Status and Coping Strategies of Nursing Students in the Late Internship Period. Nursing Practice and Research, 10, 137-139.
Tang, M.L., Tan, J., Zhang, Y.L., et al. (2023) Correlation Study of Nurses Clinical Communication Ability and Conflict Handling Patterns. Journal of Nursing, 38, 10-14.
Edwards, D., Hawker, C., Carrier, J. and Rees, C. (2015) A Systematic Review of the Effectiveness of Strategies and Interventions to Improve the Transition from Student to Newly Qualified Nurse. International Journal of Nursing Studies, 52, 1254-1268. https://doi.org/10.1016/j.ijnurstu.2015.03.007
Benner, P. (1982) From Novice to Expert: Excellence and Power in Clinical Nursing Practice. American Journal of Nursing, 82, 402-407. https://doi.org/10.1097/00000446-198282030-00004
Festinger, L. (1957) A Theory of Cognitive Dissonance. Stanford University Press.
Si, L.J., Shi, H.M., Ma, H.J., et al. (2022) Investigation and Analysis of the Core Competence Status of 340 Practice Nurses. Higher Medical Education in China, No. 1, 48-49.
Duchscher, J.E.B. (2009) Transition Shock: The Initial Stage of Role Adaptation for Newly Graduated Registered Nurses. Journal of Nursing Management, 17, 878-887.
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