Author : Mora Claramita, Rodianson Tuah, Patricia Riskione, Yayi Suryo Prabandari, Christantie Effendy | Publish : 01 November 2015
Nurse Education Today (Article in Press)
http://www.sciencedirect.com/science/article/pii/S0260691715004281
Abstract
Background:
A communication guideline that is sensitive to the local culture is influential in the process of nursing care. The Gadjah Mada nurse-client communication guideline, the “Ready-Greet-Invite-Discuss”, was meant to: (1) strengthen the relationship between the nurse and the client despite of socio-culturally hierarchical gap between health providers and clients in Indonesian context, (2) provide attention to the unspoken concerns especially in the context of indirect communication which mostly using non-verbal signs and politeness etiquettes and (3) initiate dialog in the society which hold a more community-oriented decision making.
Objective:
Our aim is to compare the communication skills of nursing students who had and had not received a training using the culture-sensitive communication guideline.
Methods:
This was a quasi experimental randomized control study to the fifth semester students of a nursing school at Yogyakarta, Indonesia. The intervention group was trained by the Gadjah Mada nurse-client communication guideline. Both intervention and the control group had learned general nurse-client communication guidelines. The training was 4 hours with roleplays, supportive information and feedback sessions. An objective-structured clinical examination (OSCE) was conducted one week after the training; in seven stations, with seven simulated clients. Observers judged the communication skills of the students using a checklist of 5 point-Likert scale, whereas simulated clients judged their satisfaction using 4 point-Likert scale represented in colorful ribbons.
Results:
There were significant mean differences in each domain of communication guideline observed between the trained and the control groups as judged by the teachers (p ≤ 0.05) and simulated clients.
Conclusions:
Training using a culture-sensitive communication skills guideline could improve the communication skills of the nursing students and may increase satisfaction of the clients.
Keywords:
communication skills guidelines, nursing-clients communication, cross cultural communication skills, Southeast Asian culture
Indexed in:
http://www.nurseeducationtoday.com/article/S0260-6917%2815%2900428-1/abstract