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Journal of Medical Education

Abstract

Background: In Taiwan, patient empowerment is lacking in clinical settings, both in principle and practice. Nursing education that encourages students to enhance their self-awareness and learn how to empower patients through communication is important. Research and purpose: This study evaluated the qualitative and quantitative effects of a course on empowering communication in nursing students' reflective learning of practical nurse-patient communication skills. Methods: This study employed interactive videos filmed in hospital wards as teaching materials. Teaching strategies included video evaluation and analysis, case discussions, and roleplay exercises. Twenty-two nursing students participated in the qualitative and quantitative study, respectively. After course completion, student reflection journals were used for qualitative evaluation, and the Empowering Speech Practices Scale was used to evaluate the quantitative outcome of the empowering communication training. The journals were analyzed using qualitative content analysis. The COREQ checklist was used as the reporting guideline. Results: The nursing students' reflection journals indicated that the course helped them empower nurse-patient communication in real clinical situations. This process enhanced their self-confidence and patient-empowerment communication skills. Students learned to recognize and address patients' actual needs, encourage appropriate patient decision-making, and empower communication with patients. The course exposed students to the challenges of real clinical practice. Conclusions: Course design and teaching strategies guided nursing students to reflect on communication in real clinical situations, strengthened self-awareness, enhanced confidence, and improved patient empowerment skills. These elements provide valuable insights for future nursing education and clinical practice.

First Page

222

Last Page

236

DOI

10.6145/jme.202412_28(4).0001

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