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Attitudes towards communication and perceived self-efficacy in nursing students: a longitudinal observational study
Rocío Juliá-Sanchís1,2, Silvia Escribano1,2, Juana Perpiñá-Galvañ1,2
1Department of Nursing, University of Alicante, Alicante, Spain.
Peerj
|July 10, 2026
Summary
Effective communication skills are crucial for nurses. Specific training significantly improves nursing students' attitudes and self-efficacy towards communication, highlighting the need for structured curricula.
Area of Science:
- Nursing Education
- Healthcare Communication
- Professional Development
Background:
- Effective communication is vital in nursing interventions.
- Inconsistent training in communication skills leads to varied student attitudes.
- There's a lack of consensus on integrating communication training into nursing curricula.
Purpose of the Study:
- To analyze the evolution of attitudes towards communication in undergraduate nursing students.
- To assess changes in perceived self-efficacy regarding communication skills throughout their training.
Main Methods:
- Prospective longitudinal observational study.
- Three measurement points for data collection until the 2022-2023 academic year.
- Measurement of attitudes towards communication and self-efficacy in 131 nursing students.
Main Results:
- Attitudes towards communication showed non-linear changes, decreasing then increasing post-training.
- Perceived self-efficacy in communication skills progressively increased during the training program.
- No intrinsic improvement in attitudes or self-efficacy was observed with age, course progression, or clinical experience alone.
Conclusions:
- Communication skills and attitudes do not improve automatically with academic progression.
- Specific, person-centered communication training is essential for enhancing nursing students' perceived abilities.
- Targeted training transforms the perception of communication from a limited competence to a highly relevant healthcare skill.
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