Abstract:

Communication is the foundation of nursing. Nursing is a profession based on knowledge and skills and for this reason effective communication is essential for a successful nursing process. The purpose of the comprehension/ response process, concerning the nurses, is not to “fix” people as if you solved a "problem", but to explore the mystery that is the other person. Communication requires an understanding of other people’s background and this understanding can make the two people involved to overcome the limits imposed by the relationship between them and to establish a genuine dialogue. Through communication the uniqueness of the individual can be revealed. The student must be able to initiate, encourage and maintain proper communication with the patient in a clear manner, without any ambiguity. The students in the first year at the “Fundeni” Sanitary Post High School Bucharest, Romania have participated in this study. There were questionnaires applied to 80 students, as well as questionnaires concerning the level of satisfaction applied to the patients with which the students interacted in a real hospital environment. The participants were randomly divided into two groups and were given 60 hours of theory for the "Professional Communication" module and 60 hours of theory for the "Administering medication" module. The students in the target group did their clinical practice after the simulation of a training program in communication skills and received an immediate response to the questionnaire from patients, while the students in the control group did their clinical practice without participating in this program and received the answer to the questionnaire from the patients at the end of the clinical training.

Conclusions: We should notice that the students who have benefited from the simulation program before the clinical stage, as well as from the immediate answer to the questionnaire from patients, have lower levels of anxiety, higher levels of self-efficacy, increased self-confidence, increased quality of care, and present some progress in educational communication and motivation. The study proved that the patient's immediate response had an important impact on student performance and stimulated them to learn. The data revealed that teamwork and satisfaction are positively influenced by the simulation programs in communication skills and have a major importance in the quality of education for nurses.

Keywords:

Motivation; learning strategies; simulation; communication skills; medical students; patient.