Systematic review of assessment tools for nurse-patient communication competence

doi:10.3761/j.issn.0254-1769.2025.21.015

Abstract

Abstract:

Objective To systematically review the assessment tools for nurse-patient communication competence，thus providing evidence for nursing administrators and educators in selecting appropriate assessment tools. Methods A systematic search was conducted in CNKI，Wanfang，VIP，Sinomed，PubMed，Web of Science，Embase，and CINAHL，with a timeframe from inception of the databases to June 10，2025. Literature on nurse-patient communication competence assessment tools was screened based on the inclusion and exclusion criteria. The methodological quality and measurement properties of the included tools were evaluated according to the Consensus-Based Standards for the Selection of Health Measurement Instruments，and recommendations were generated. Results A total of 12 studies involving 9 nurse-patient communication competence assessment tools were included. The Clinical Nurse-Patient Communication Knowledge，Attitude and Practice Questionnaire was recommended at Level A；5 tools were recommended at Level B；3 tools were recommended at Level C. Conclusion There are various types of assessment tools for nurse-patient communication competence. However，the methodological quality still needs to be improved and the measurement properties need to be further validated. The Clinical Nurse-Patient Communication Knowledge，Attitude and Practice Questionnaire is recommended for the time being.

Key words: Nurse-Patient Communication, Competence, Assessment Tools, Measurement Properties, Systematic Review, Evidence-Based Nursing

摘要：

目的对护患沟通能力评估工具进行系统评价，为护理管理者和教育者选择适宜的评估工具提供依据。方法系统检索中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、CINAHL，检索时限为建库至2025年6月10日。根据纳入及排除标准筛选有关护患沟通能力评估工具的文献。依据基于共识的健康测量工具遴选标准对纳入评估工具的方法学质量和测量学属性进行评价，形成推荐意见。结果共纳入12篇文献，包含9种护患沟通能力评估工具。其中，临床护患沟通知信行调查问卷为A级推荐，5种工具为B级推荐，3种工具为C级推荐。结论护患沟通能力评估工具种类多样，其方法学质量仍需提升，测量学属性有待进一步验证，暂推荐使用临床护患沟通知信行调查问卷。

关键词: 护患沟通, 能力, 评估工具, 测量学属性, 系统评价, 循证护理学

ZOU Simin, ZHOU Gaoyang, LI Yanran, LIU Chuankun, LI Li. Systematic review of assessment tools for nurse-patient communication competence[J]. Chinese Journal of Nursing, 2025, 60(21): 2662-2669.

邹思敏, 周高阳, 李嫣然, 刘传坤, 李丽. 护患沟通能力评估工具的系统评价[J]. 中华护理杂志, 2025, 60(21): 2662-2669.

Figures/Tables 4

Figure 1 Flow chart of literature

Table 1 General characteristics of the included literature（n=12）

Table 2 Methodological quality and psychometric properties evaluation of the included assessment tools（n=12）

Table 3 The synthesis results and recommendations of the measurement properties of the included assessment tools（n=9）

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