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Communication between paramedic students and patients in clinical practice

임상현장실습에서 응급구조(학)과 학생들과 환자간의 의사소통능력에 관한 연구

  • Jae-Hyoung, Jang (Department of Emergency Medical Service, Kongju National University) ;
  • Ye-Eun, Jeong (Department of Emergency Medical Service, Kongju National University) ;
  • So-Eun, Jeon (Department of Emergency Medical Service, Kongju National University) ;
  • Keun-Ja, Cho (Department of Emergency Medical Service, Kongju National University)
  • Received : 2022.10.28
  • Accepted : 2022.12.26
  • Published : 2022.12.31

Abstract

Purpose: This study aimed to identify the level of communication ability between paramedic students and patients in clinical practice. In addition, it was performed to produce essential data contributing to the qualitative improvement of communication ability. Methods: Data were collected from paramedic students with clinical experience after they provided online consent. Data collection was performed from June 3 to July 12, 2022. One hundred forty-seven questionnaires with 92 items were analyzed using SPSS statistics 28.0. Results: 57.1% of students took communication as a subject despite 92.5% of respondents saying that communication education is necessary for them. The average level of participant communication ability was 4.60 (±1.05) points (measured on a 7-point Likert scale). Among the subdivided communication ability levels, the highest level was demonstrated in the physical examination-related interview (5.36±0.96), and the lowest was shown in the completion part (3.93±1.51). Furthermore, a statistically significant difference was found in communication ability level according to school grade (F=4.709, p=.000). The highest correlation (r=.972, p<.001) was obtained between total communication ability and understanding the patient's point of view. Conclusion: Paramedic students should improve their communication skills to serve patients more effectively. Finally, more educational content should be developed on field-based situations in communication courses.

Keywords

References

  1. Kang MS, Kim WJ, Choi BY. A systematic review of continuing education for emergency medical technicians. Korean J Emerg Med Ser 2021;25(1):177-91. https://doi.org/10.14408/KJEMS.2021.25.1.177
  2. Choi ES, Hong SG, Lee KY, Yun HW, Han ST, Cho KJ et al. A study on the second standardization of the paramedic curriculum in South Korea. Korean J Emerg Med Ser 2020;24(3):7-27. https://doi.org/10.14408/KJEMS.2020.24.3.007
  3. Oh YJ, Kim KM, Seo YW, Ko SH, Kim DH, Jang TC. The effect of hospital based clinical practice of paramedic students on cardiopulmonary resuscitation performance and recognition: a before and after study. J Korean Soc Emerg Med 2018;29(2):267-74.
  4. Kim KY, Ju YJ, Kim JY, Seong JE, Kong HJ, Kim JM et al. A study on communication between medical students and patients and (or) their guardians during clinical clerkships: A qualitative research. Textlinguistic 2020;48:77-100. https://doi.org/10.22832/txtlng.2020.48..004
  5. Oh YJ. The development and effectiveness of the communication empowerment program for nursing students : based on the theory of transfer of learning. Unpublished doctoral dissertation, Korea University 2008, Seoul,
  6. Park YI. The necessity of introductory book for improvement of health communication competence, its contents and research methodology. Korean J Health Commun 2006;1(1):7-17.
  7. Lee MS. Conversation analysis for improving nursing communication. J Korean Acad Nurs 2007;37(5):72-8. https://doi.org/10.4040/jkan.2007.37.1.72
  8. Park YI, Park EW. Problems of the curriculum for the improvement of the medical communication in korean medical schools. Korean J Health Commun 2009;4(1):34-42.
  9. Cho IY. The relationship of communication skill, communication self-efficacy and communication related educational needs. Journal of the Korea Academia-Industrial cooperation Society 2015;16(4):2593-601. https://doi.org/10.5762/KAIS.2015.16.4.2593
  10. Chun MY. Effect of medical communication curriculum with empowering self reflection activities for pre-medical students. Korean J Health Commun 2020;28(1):17-27. https://doi.org/10.15715/kjhcom.2020.15.1.17
  11. Kim KY. Current status and future directions of patient-centered medicine: communication between medical students and patients and/or their guardians during clinical clerkships. Unpublished master's thesis, Konyang University 2019, Daejeon,
  12. Lee IW, Kim CS, Lee HS, Lee WS, Jeong SS. A study on attitude of medical students to medical communication and subject. Journal of Practical Research in Advertising and Public Relations 2015;8(3):105-24.
  13. Rusell F. An exploratory study of patient perception memories and experience of an intensive care unit. Journal of Advanced Nursing 1999;29(4):783-91.
  14. Ahn YH, Kweon EK, Choi ES, Gu EJ. Effects of competency level in communication on professional competence of public health nurses. Journal of Korean Public Health Nursing 2011;25(2):233-43.
  15. Kim MS. A study on communication ability between 119 emergency medical technicians and patients. Unpublished master's thesis, Kongju National University 2019, Gongju,
  16. Moon JY. The relationship between communication skills and job stress of 119 EMT. Unpublished master's thesis, Korea National University of transportation 2016, Chungju, Korea.
  17. Jeong MA, Park SD. The relationship between communication and cooperative learning. Korean J Emerg Med Ser 2011;15(1)1:101-14. https://doi.org/10.14408/KJEMS.2011.15.1.101
  18. Kurtz S, Silverman J, Benson J, Draper J. Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides. Academic Medicine 2003;78:802-9. https://doi.org/10.1097/00001888-200308000-00011
  19. Namkung J, Kim JH. The developing and validation of communication ability scale. Korean Society for Creativity Education 2010;10(1):85-109.
  20. Choi ES, Hong SG, Kwon HR, Koh BY, Lee KY, Cho KJ et al. Standardization of a curriculum for paramedic students in South Korea. Korean J Emerg Med Ser 2017;21(2):17-37. https://doi.org/10.14408/KJEMS.2017.21.2.017
  21. Kim KH, Joo GJ, Yun JY. An analysis of the effects and experiences of the communication skill training program on medical students. Korean J Health Commun 2017;12(1):41-50. https://doi.org/10.15715/kjhcom.2017.12.1.41
  22. Choi CJ, Kim JM, Park YK. Patient-centered attitudes and communication skills in medical students after clerkship. Korean J Med Educ 2004;16(2):169-78.
  23. Kwon YE, Kim SY. Factors influencing communication competency of nursing students who have experienced clinical practice. The Journal of Learner-Centered Curriculum and Instruction 2019;19(3):968-81. https://doi.org/10.22251/jlcci.2019.19.3.967
  24. Jung MY, Bae JY. Educational needs on communication among nursing students. Journal of Korean Academy of Psychiatric Mental Health Nursing 2019;28(1):91-101. https://doi.org/10.12934/jkpmhn.2019.28.1.91