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The comfort communication simulation instrument (Sim-Comfort): A relationship-centered approach to assessing
Leah Burt1, Elaine Wittenberg2, Joy Goldsmith3
1University of Illinois Chicago, College of Nursing Department of Biobehavioral Nursing Science, United States of America.
Summary
A new instrument, the Comfort Communication Simulation Instrument (Sim-Comfort), effectively assesses relationship-centered communication skills in healthcare simulation. This tool supports competency-based education for nursing learners.
Area of Science:
- Healthcare Education
- Communication Studies
- Nursing Education
Background:
- Accreditation standards increasingly emphasize person-centered communication in nursing and medicine.
- There is a lack of validated instruments to assess relationship-centered communication competency within simulation-based education.
Purpose of the Study:
- To develop and validate the Comfort Communication Simulation Instrument (Sim-Comfort).
- To assess communication competency in simulation-based education, focusing on holistic and relational person-centered communication.
Main Methods:
- Iterative development by an interdisciplinary team (nursing, medicine, communication).
- Content validity assessed via standardized patient (SP) simulations and focus groups.
- Preliminary inter-rater reliability established using SP raters.
Main Results:
- The Sim-Comfort instrument comprises seven competency domains.
- SP feedback led to revisions enhancing item clarity, confirming content validity.
- An intraclass correlation coefficient of 0.59 indicated moderate inter-rater reliability.
Conclusions:
- Sim-Comfort shows promise for structured assessment of relationship-centered communication in simulation.
- This novel, theory-based instrument integrates relational communication skills assessment into nursing curricula.
- Further validation and reliability testing are recommended.
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