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NGHIEN COru KHOA HOC NHONG YEU TO ANH H O O N G DEN HOC TAP KY NANG GIAO TIEP CUA SINH VIEN DIEU D U O N G NGUYEN TRUNG NAM, NGUYEN VAN THANG, LORA CLAYWELL Nguoi thim dmh GS TRAN QUY TdM TAT Dgt van[.]
NGHIEN COru KHOA HOC NHONG YEU TO ANH HOONG DEN HOC TAP KY NANG GIAO TIEP CUA SINH VIEN DIEU DUONG NGUYEN TRUNG NAM, NGUYEN VAN THANG, LORA CLAYWELL Nguoi thim dmh GS.TRAN QUY TdM TAT Dgt van de: Ky nang giao tiep la mpt nang tuc dac biet da dugc k h i n g dinh bang qua trinh dupc ' dao tao va ren luyen eiia ban than'^' Nang luc giao t i i p cua mdt ngudi chiu anh hudng bdi r i t nhieu y i u to ca nhan, moi trudng va xa hpi Do do, viec khao sat cae y i u t i anh hudng den hgc tgp ky nang giao tiep la mpt hogt ddng rat c i n thilt Muc tieu: Nghien ciru nham xac dinh d u p e eac y i u to anh hudng den hoe tgp ky nang giao tiep eiia smh vien va ludng duge mirc dp anh hudng eiia tirng y i u to P h u a n g phap: Cat ngang md ta Ket qua: Trong nghien cuu nhung y i u t i anh hudng d i n hgc tap ky nang giao t i i p bao gom ky nang s i n g ciia smh vien nhu s u tu tin, tinh hoa dong, s u b i i r i i , kha nang b i t chuyen each chuyen v i n d l giao tiep va kha nang trinh bay Y i u to ca nhan nhu, nang luc giao t i i p cua giao vien, phuong phap day eiia giao vien, gipng noi ciia giao vien va thai dp giao t i i p cua nhan vien benh vien Yeu to mdi trudng nhu phugng lien - trang thilt bi day hpc ky nang giao t i l p va mdi trudng song rieng te nha tro dan cu, Ket luan: Nghien eiru nhung y i u td anh hudng d i n hoc tap ky nang giao t i i p eiia sinh vien Oieu dudng da xac dinh duge mpt so y i u t i anh hudng d i n hpc tap ky nang giao tiep cua sinh vien Dieu dudng va mirc dp anh hudng eiia cac yeu to Ttr khda: Y i u to, anh hudng ky nang giao t i l p dgy va hgc ABSTRACT Background: The communication skills are special competence that has been confirmed by the educational process and practice of themself^' The communication competence was affected by a lot of factors such as personal factors, environmental factors and social factors Therefore, finding factors that affect the learning communication skills is a necessary operation Objectives: The study aimed to determine the factors that affect the learning of communication skills of nursing students and to measurethe level of influence of each factor Methods: Cross sessional survey Results: In this study the factors affect the learning of communication skills of nursing student: life skills of nursing students such as belief, social character and confusion Ability of contact, ability of transfer communication problem and ability of presentation,Personal factors such as, communication competence of teachers, teaching method of teachers, voice of teachers, communication attitude of medical staffs Environmental factors such as educational equipment and living at guest house of students Conclusion: The study of factors that affect the learning of communication skills of nursing students determined some factors that affect the learning of communication skills of nursing students and level of influence of it Keywords: Factors, affect, communication skills, teaching and learning I 60 ^^sSeArDI^Uniif^Na NGHIEN CtfU KHOA H p c tDATVAHBl Oanh gia mirc anh hudng eua tirng y i u td, tirng nhom y i u t i Ky nang giao tiep (KNOT) la nang luc dac biet quan trpng ddi s i n g xa hdi, ITnh vuc n g h i nghiep va dac biet y hgc.Theo Roberts L and Bueksey SJ (2007), h i u h i t eac dgn tir k h i i u kign eua ngudi bgnh, ngudi nha bgnh nhan ddi vdi nhan vien y t i chii y i u x u i t phat tir cac l i i giao t i i p la chinh'^' Giao t i l p t i t ciia nhan vien y t i ndi chung va eua O i l u dudng noi rieng se hgn e h i dwgc ton thuang cho ngudi So sanh s u khae bigt v i mire dp anh hudng eua eac y i u to 1.2 P h u a n g phap nghien cii'u Doi twoFng nghien ciru: Sinh vien eae Idp Cao dang O i i u dudng tai Trudng Cao d i n g Y t i Quang Nam Dia diem va thdn gian nghien ciru: bgnh'^i, Giao t i l p tot eua ngudi D i l u dudng giiip giam d u g c to au, s g hai, budn phiin cua ngudi benh.Tham chi giao tiep t i t cd the khai thac dupc nhii'ng thdng tin t h i m kin, khd not hoae e nggi ciia ngudi bgnh Theo Painter R (2010), giao t i l p kem eua ngudi Oieu dudng co t h i la nguyen nhSn dan den ton thuang va tir vong'^*, Oac biet, thdi gian ma ngudi d i i u dudng danh cho giao t i i p vdl benh nhan kha n h i l u , Theo nghien eiru eua Westbrook JL, Duffieid C, Li L and Creswiek NJ (2011), ngudi Oieu dudng ton khoang 37% thdi gian cua hg cho viec cham sdc ngudi benh Trong do, 19% ta danh eho giao t i l p vdi ngudi benh''' Trong nghien ciru nay, ehiing tdi di sau phan tieh cae yeu t i v i ky nang s i n g sinh vien cac y i u to ve moi trudng hgc tap, v l nang luc giang day ciia giao vien gay anh hudng den qua trinh hgc tap KNGT ciia sinh vien Day la nhung y i u t i ma chiing toi cho r i n g cd t h i gay anh hudng d i n hoc tap KNGT cLia sinh vien Myc dich chinh la de tim eac y i u t i gay anh Nghien eiru d u p e t i i n hanh t u thang nam 2012 den thang nam 2013 tgi Trudng Cao d i n g Y t l Quang Nam Thiet ke nghien mo ta, Cd" miu nghien ci^u: Nghien eiru c i t ngang cu-u: Sir dung phuong phap chgn m i u phi xae suat theo c d m i u t i i t h i l u tugng irng vdi 10 quan sat eho 01 b i l n s i Vdi bd eau hoi khao sat g i m 53 bien sd nen ed m l u t i i thilu la 530, Phwang phap chgn miu: Vdi s i lupng sinh vien Cao d i n g D i l u dudng eiia hai khda hpc (2010 -2013) va khoa hpc (2011-2014) la 700 sinh vien Oe tang tinh gia tn eho nghien eiru, ehiing toi quyet dinh chpn toan bp so sinh vien ciia hai khda hpc tren dua vao nghien eiru, PhuKmg phap thu thap so lieu: Khao sat thir nghiem 10% s i p h i l u va Test bp cau hdi vdi he sd Cronbach's Alpha bang p h i n m i m IBM-SPSS version 19.0 hudng d i n qua trinh hge tap KNGT eiia sinh vien, Xae djnh mire dp anh hudng ciia tirng y i u to Do do, chiing toi nhan t h i y r i n g nd that s u r i t quan trgng va can t h i l t d l t i l n hanh d i tai nghien eiru "Nhirng yeu to anh hwang din hoc tap ky nSng giao tiip cua sinh vien Diiu P h i n cau hoi khao sat v i ky nang song ciia sinh vien O i l u dudng: Cronbach's Alpha = 0,73; diran^' 1.1 M u c tieu nghidn CLFU Xac dinh d u g c nhirng yeu to anh hudng den hpc tgp KNGT eiia sinh vien dieu dudng ^ < A - D I C U DUONG Chinh sira bp eau hoi cho phii hap vdi d i tai va k i t qua test Cronbach's Alpha eho bg cau hoi da d u g c chinh sira: Phan cau hoi khao sat v l muc dp anh hudng cua cae y i u td: Cronbach's Alpha = 0,78 Tien hanh thu thap so lieu dua vao bp cau hoi da d u o c chinh sira 61 I NGHIEN CUU KHOA HOC Kiem tra sai lech thong tin: Giai thich v i n d i nghien ciru cho sinh vien trudc phat philu t u i n , NOI sinh song Hudng d i n sinh vien tra ldi tirng cau hdi phiiu khao sat Phat bp cau hoi khao sat cho sinh vien vao c u i i buoi hpc Nhac nhd smh vien t u tra ldi cau hdi dpc lap d nha Sinh vien giri lgi bg cau hoi khao sat sau tuan, Kinh te gia dinh Lam sach so lieu sau thu v i phiiu khao sat K i t qua thu dugc 647 phiiu khao sat dat yeu cau ma nghien ciru d l Nhgp va phan tieh s6 lieu bang phan m i m SPSS version 19.0 Xac dinh yeu t i anh hudng va mirc dp anh hudng dua vao phan tich hoi quy, t h i n g ke mo ta va kiem dinh Chi - Square tests giira cac y i u to tren vdi nang luc giao tiep smh vien tu danh gia So sanh s u khac v i mirc dp anh hudng eiia cae y i u t i bang k i i m djnh phi tham so Kruskal-Wallis tests va kiem dmh Bonferroni tests 6,18 D6ng b i n g 367 56,72 , 12.36 i , 22,72 Ven bien 80 Thanh thi 13 2,01 i Rat ngheo 0,93 ' Ngheo 77 11,90 i Duan 564 85,63 Kha gia 10 1,55 Giau CO 0,00 ' i d i n g Oieu dudng nam thir hai va nam thir ba tip trung d lira tuoi 20, 21 va 22 tuoi Nai sinh song chil y i u la viing d i n g b i n g Tuy nhien, sinh vien sinh song d viing nui c h i l m so lugng khong niio vdi 147 (22,72%) tong s6 sinh vien Oac biet sinti vien song viing thi rat it, ehi co 13 (2,01%) Vdi 554 (85,63%) sinh vien eo d i l u kien kinh te gia dinh dii an Oac biet khdng co sinh vien nao CO d i l u kien kmh t l gia dinh giau eo Bang Dac diem c h u n g ciia sinh vien anh h u d n g den hoc tap ky nang giao tiep Bang Oac diem c h u n g cua sinh vien Dieu dudng Tan suat (n = 647) Tyle(%) Nam 22 3,40 Nir 625 96,60 Dac tinh Cac yeu to P Ps P Tuoi 0,035 0,065 0,07 Gioi -0,155 -0,056 0,055 Noi song 0,001 0,002 0,006 Kinh te 0,094 0,074 0,074 R = 0,114, R2 = 0,013, P = 0,07 19 0,15 20 232 35,86 21 237 36,63 Bang cho t h i y ca b i n y i u t i ve dgc diem 22 140 21,64 ehung ciia sinh vien d i l u dudng co anh hudng 23 33 5,10 r i t y i u d i n hge tap KNGT ciia sinh vien vdi he 24 0,31 so tuong quan chung (R = 0,114) B i n y i u to ve 25 0,15 dac diem ehung ciia sinh vien D i l u dudng ehi 0: He so hoi quy; /3^,' He so hoi quy chuan 26 0,15 lam anh hudng 1,3% den hgc tap KNGT eua sinh (2010-2013) 290 44,82 vien vdi (R^ = 0,013) Nhung s u anh hudng (2011-2014) 357 55,18 khdng cd y nghTa thong ke vdi P = 0,07 Kltoa hoc I 62 40 Bang cho thay hau h i t sinh vien O i i u dudng 1.3 Ket qua Tuoi 147 la nir gidi (96,6%) Op tuoi cua sinh vien Cao Xir ly phan tich dO- lieu: GIOI tinh Vung nui Trung du ^fiS-vfc-DieuDUriNf:: NGHIEN ClJU K H O A H O C Bang Ky nang song cua sinh vien i n h hiFang d§n hoc tap ky nang giao tiep P ps R R2 P NOI chuyen -0,007 -0,008 0,161 0,026 0,85 Tutin 0,109 0,153 0,294 0,086