8530 Clinical results and prognostic factors in radiotherapy for early glottic squamous cell carcinoma

A communication guideline that is sensitive to the local culture is influential in the process of nursing care. The Gadjah Mada nurse–client communication guideline, the “Ready–Greet–Invite–Discuss,” was meant (1) to strengthen the relationship between the nurse and the client despite of socio-culturally hierarchical gap between health providers and clients in Indonesian context, (2) to provide attention to the unspoken concerns especially in the context of indirect communication which mostly using non-verbal signs and politeness etiquettes, and (3) to initiate dialog in the society which hold a more community-oriented decision making.Our aim is to compare the communication skills of nursing students who had and had not received a training using a culture-sensitive Gadjah Mada nurse-client communication guideline.This was a quasi experimental randomized control study to the fifth semester students of a nursing school at Yogyakarta, Indonesia. The intervention group was trained by the Gadjah Mada nurse–client communication guideline. Both intervention and the control group had learned general nurse–client communication guidelines. The training was 4 h with role-plays, supportive information and feedback sessions. An objective-structured clinical examination (OSCE) was conducted 1 week after the training, in seven stations, with seven simulated clients. Observers judged the communication skills of the students using a checklist of 5-point Likert scale, whereas simulated clients judged their satisfaction using 4-point Likert scale represented in colorful ribbons.There were significant mean differences in each domain of communication guideline observed between the trained and the control groups as judged by the teachers (p ≤ 0.05) and simulated clients.Training using a culture-sensitive communication skills guideline could improve the communication skills of the nursing students and may increase satisfaction of the clients.