Evaluation of the Effect of Guided Reflection on the Communication Skills of Undergraduate Nursing and Midwifery Students

Sadeghi Avval Shahr, Homa; Alizadeh, Kosar; Amini, Leila; Haghani, Shima

Volume 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics IJMEHM 2024, 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics : 1-2 | Back to browse issues page

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Sadeghi Avval Shahr H, Alizadeh K, Amini L, Haghani S. Evaluation of the Effect of Guided Reflection on the Communication Skills of Undergraduate Nursing and Midwifery Students. IJMEHM 2024; 17 (S1) :1-2
URL: http://ijme.tums.ac.ir/article-1-7142-en.html

Evaluation of the Effect of Guided Reflection on the Communication Skills of Undergraduate Nursing and Midwifery Students

Homa Sadeghi Avval Shahr¹, Kosar Alizadeh ^*¹, Leila Amini¹, Shima Haghani²

1- Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Nursing and Midwifery Care Research Center (NCRC), Iran University of Medical Sciences, Tehran, Iran

Abstract: (175 Views)

Effective communication with patients is not only a crucial element of professionalism in healthcare but also plays a significant role in achieving care and treatment goals. In light of the importance of active learning strategies and reflective practices in education, this study aimed to evaluate the effect of guided reflection on the communication skills of undergraduate nursing and midwifery students. This semi-experimental study with a pre-test and post-test design was conducted at the Faculty of Nursing and Midwifery, Iran University of Medical Sciences. A total of 50 second- to fourth-year undergraduate students in nursing and midwifery voluntarily participated in the study following a public invitation. Data collection tools included a demographic questionnaire and a patient communication skills questionnaire developed by Javaher et al. The intervention consisted of four 90-minute interactive training sessions conducted weekly via Google Meet. The first two sessions focused on teaching components of professionalism with an emphasis on patient communication and reflective practice. The final two sessions included scenario presentations, film viewings, opportunities for reflection, and shared discussions. Data were analyzed using descriptive and inferential statistical tests in SPSS version 24. The findings indicated a positive change in the overall communication skills score immediately after the training and one month later, although the change was not statistically significant. In specific areas of communication skills, the "conscious initiation" domain showed a statistically significant improvement from pre-intervention to immediately after (P=0.005) and one month after the training (P=0.011). Additionally, in the domain of "unconditional acceptance of the client," pairwise comparisons revealed a significant improvement in scores one month after the intervention compared to the pre-intervention phase (P=0.02). Although guided reflection showed some promise in enhancing specific aspects of communication skills among nursing and midwifery students, the overall impact was not statistically significant. Further research with larger samples and longer follow-up periods is recommended to more conclusively determine its effectiveness.

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Type of Study: Poster | Subject: Health Ethics Congress (11th) - Poster Presentation
Received: 2026/01/11 | Revised: 2026/02/24 | Accepted: 2024/12/23 | Published: 2024/12/23