1Assistant professor nursing, Department of medical surgical nursing, School of nursing and midwifery, Mashhad University of Medical sciences, Mashhad, Iran
2Ms in medical surgical nursing, School of nursing and midwifery, Mashhad University of Medical sciences, Mashhad, Iran
3Evidence Based Care Research Centre, Instructor of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
4Instructor of nursing, Department of psychiatric nursing, School of nursing and midwifery, Mashhad University of Medical sciences, Mashhad, Iran
5Instructor of nursing, Department of Health nursing, School of nursing and midwifery, Mashhad University of Medical sciences, Mashhad, Iran
Background: To achieve quality care is an important issue that is often paied attention to in providing nursing care. It seems that communication skills can affect the quality of care. Aim: This study investigated the effect of communication skills training on the quality of nursing care in patients. Methods: The study was a pretest/posttest experimental design with control group. 60 nurses working in Qhaem and Emamreza hospitals were selected using stratified sampling and then randomly allocated to two groups, Also three patients per each nurse were selected using convenience sampling before and also one, two and three weeks after the intervention. The intervention included communication skills training workshop which was held for eight hours over two days in 2012. Data collection tools included demographic data sheet, Quality Patient Care Scale (QUALPAC) and communication skills Check list. The data were analyzed by SPSS software version 16 using t student test, Mann-Whitney, Wilcoxon and ANOVA tests. Results: The mean score for overall quality of care in communication skills training group was significantly higher at the 2nd, 3rd, and 4th weeks after the intervention compared with control group (p<0/001). This increase was not similar in different dimensions of quality of care. It was 50.8% in the individual psychosocial, 63.8% in the group psychosocial, 54.4% in the relationship, 50/6% the physical, 41% in the general and 98% in the professional dimension. In both intervention and control group, the mean score for overall quality of care significantly decreased at the 2nd, 3rd, and 4th weeks after the intervention compared with preintervention period (p<0/001). Conclusion: As communication skills training is an effective method to improve the quality of care, it is suggested that managers and staff to consider it to improve the quality of patients' care.
Neishabori M, Ghorbani R, Sadeghi T. Nurses' and Patients' Viewponts Regaring Quality of Nursing Care in the Teaching Hospitals of Semnan University of Medical Sciences. Koomesh. 2011;12(2):134-43. (Persian)
Hajinezhad MS, Rafii F, Jafarjalal E, Haghani H. Relationship Between Nurse Caring Behaviors from Patients’ Perspectives and Their Satisfaction. Iran Journal of Nursing. 2007;20(49):73-83. (Persian)
Lewis KE, Woodside RE. Patient Satisfaction with Care in the Emergency Department. J Adv Nurs. 1992;17(8):959-64.
Zaeimi M, Zamanzadeh V, Hajizadeh E. The Relationship Between Nurse Manager' Leadership Styles and Staff Nurses Empowerment. Teb va Tazkieh. 2005;55:34-46. (Persian)
Brundtland G. Strategic Directions for Strengthening Nursing and Midwifery Services. Geneva: World Health Organization; 2002.
Ghamari Zare Z, Anoosheh M, Vanaki Z, Hagi Zadeh E. The Effect of Peer Review Evaluation on Quality of Nurse's Performance and Patient's Satisfaction. IJN. 2010;22(62):8-21.
McCabe C. Nurse-Patient Communication: an Exploration of Patients' Experiences. J Clin Nurs. 2004;13(1):41-9.
Riegel B, Thomason T, Carlson B, Gocka I. Are Nurses Still Practicing Coronary Precautions? A National Survey of Nursing Care of Acute Myocardial Infarction Patients. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 1996;5(2):91-8.
Dabirian A, Zolfaghari H, Abed Saidi J, Alavi Majd H. Views of AIDS Patients Regarding Nursing Care Quality in Healthcare Centers Affiliated to Shaheed Beheshti and Tehran Universitis of Mesical Sciences. Shaheed Beheshti Uniof Med Sci. 2008;18:40-5. (Persian)
Potter P, Perry A. Fundamentals of Nursing. 7th edition. Philadelphia: Mosby; 2009.
Vanaki Z. Support in Nursing and Effect on the Satisfaction of Cancer Patients Undergoing Chemotherapy. Tehran: Tarbiat Modares University; 2002. (Persian)
Movahedi A, Salsali M, Negarandeh R, Rahnavard Z. Exploring Contextual Factors of the Nurse-Patient Relationship: A Qualitative Study. Komesh. 2011;13(1):23-34. (Persian)
Van Ess Coeling H, Cukr PL. Communication Styles That Promote Perceptions of Collaboration, Quality, and Nurse Satisfaction. Journal of nursing care quality. 2000;14(2):63-74.
Farmihani Farahani M, Kashaninia Z, Hosini M, Biglarian A. Impact of Communication Skills Training to Nurses on Patients' Satisfaction with Communication. Nursing Research. 2006;1(13):47-54.
Emamzadeh Ghasemi H, Vanaky Z, Dehghan-nayeri N, Salehi T, Salsali M, Faghihzadeh S. Management by Objective Approach in Nursing Performance Appraisal and its Impact on Quality of Nursing Care. Hayat. 2007;13(3):5-15. (Persian)
Pourfarzad Z, Vanaki Z, Memarian R. Effect of Situational Leadership in Clinical Education on Communication Competency of Nursing Students. Hayat. 2009;15(2):47-59. (Persian)
Mangheb S, Firouzi H, Jaafarian J. The Impact of Communication Skills Training Based on Calgary Cambridge Guideline on Knowlege Attude and Practice of Family Physicians in Jahrom University of Medical Sciences 2007. Journal of Jahrom university of medical sciences 2008;6(2):74-84. (Persian)
Archibong UE. Evaluating the Impact of Primary Nursing Practice on the Quality of Nursing Care: A Nigerian Study. J Adv Nurs. 1999;29(3):680-9.
Haghighi Khoshkho N. The Quality of Nursing Care from Nurses and Patients Viewpoints in the Teaching Hospitals of Tabriz University of Medical Sciences. Tabriz: Tabriz university of Medical Sciences; 2004. (Persian)
Vaghee S, Mirzazadeh O, Modarres Qaravi M, Ebrahim Zadeh S. The effect of communication skills training on nuring student' coping strategies in stressful situations of clinical courses. Thesis for Master Degree. Mashhad University of Medical Sciences. 2011. (Persian)
Bonnie R, Teleten O, Curry H, Vang-Yang B, Kuzmenko L, Marquez V, et al. Improving Nurse-Patient Communication and Quality of Care The Transcultural, Linguistic Care Team. JONA. 2010;40(6):258-60.
Eichhorn ML, Frevert EI. Evaluation of a Primary Nursing System Using the Quality Patient Care Scale. J Nurs Adm. 1979;9(10):11-5.
Felton G. Increasing the Quality of Nursing Care by Introducing the Concept of Primary Nursing: A Model Project. Nurs Res. 1975;24(1):27-32.
Williams LB. Evaluation of Nursing Care: A Primary Nursing Project. Part 1. Report of the Controlled Study. Supervisor Nurse. 1975;6(1):32,5-6,8-9.
Shukla RK. Structure vs. people in primary nursing: an inquiry. Nurs Res. 1981;30(4):236-41.
Safari M, Salsali M, Ghofranipour F. Effect of Nursing Education with Group Discussion on Nursing Care Quality from Patients Afflicted by M: Thesis for Master Degree. Tarbiat Modares University; 2002. (Persian)
Roter D, Rosenbaum J, de Negri B, Renaud D, DiPrete-Brown L, Hernandez O. The Effects of a Continuing Medical Education Programme in Interpersonal Communication Skills on Doctor Practice and Patient Satisfaction in Trinidad and Tobago. Med Educ. 1998;32(2):181-9.
Brown JB, Boles M, Mullooly JP, Levinson W. Effect of Clinician Communication Skills Training on Patient Satisfaction. A Randomized, Controlled Trial. Ann Intern Med. 1999;131(11):822-9.
Taghizadeh Z, Rezaipour MA, Alimoradi Z. Usage of Communication Skills by Midwives and its Relation to Clients Satisfaction. Journal of Faculty Nursing and Midwifery. Tehran University of Medical Sciences 2006;12(4):47-56. (Persian)
Rask M, Jensen M, Anderson J, Zachoriae R. Effect of an Intervation Aimed at Improving Nurse Patient Communication in an Oncology Outpayient Clinic. Cancer Nurs. 2009;32(1):1-11.
Kruijver IP, Kerkstra A, Bensing JM, van de Wiel HB. Nurse-Patient Communication in Cancer Care. A Review of the Literature. Cancer Nurs. 2000;23(1):20-31.