Supporting student nurses to develop healthy conversation skills

As advocates for health, nurses are ideally situated to deliver effective health promotion in their daily interactions with people. This work evaluates the integration of healthy conversation training, making every contact count (MECC), into a health promotion module in an undergraduate nursing degree at a higher education institute (HEI). In all, 108 students completed the online questionnaire I year after receiving healthy conversation training. 67% of students reported the regular or occasional use of healthy conversation skills and identified a wide range of scenarios where they had used the skills. 65% of students used health action planning framework in their own personal self-care. Student nurses acknowledged barriers and enablers to their use of healthy conversation skills. Having knowledgeable mentors who role modelled healthy conversations skills in their consultations was the most frequently raised factor, in addition to lack of knowledge of local resources, time and confidence. All placement settings should ensure that registered nurses, especially those undertaking mentorship responsibilities have access to healthy conversation training.

Various strategies & methods for successful improvement in English oral communication skills

It has been claimed that ‘no individual’s linguistic repertoire is perfect’ (Maleki 2007, as cited in (Hmaid, 2014)). Both indigenous and non-native participants of any community frequently encounter obstacles, relying on restricted verbal tools to convey their intention. Communication strategies are the methods through which speakers seek to bridge the barrier amongst all individuals who wish to convey and the instantly accessible language assets. The significance of English cannot be overstated. Paragraph fragmentation, run-on phrases, and general topic alignment are the major opponents of proper grammar. Communicating is the most fundamental mode of interaction. That is the only fundamental human privilege with the fewest limits and is regarded as extremely essential by the legislation. Currently, fluency in English is practically a must for accomplishment in the globe. This research paper reveals a mixed-method methodology in scrutinizing possible effective modules and types for oral communication skills in the English language. Both quantitative and qualitative approaches were taken into consideration throughout the whole investigation, where the studies of Dhani Ram Sharma, Apisara Sritulanon, Panna Chaturongakul, Thapanee Thammetar, Anne Syomwene, Zhanli Yang, Yaseen Hmaid, JD Singh had a huge impact on the results and discussions of the research. The main obstacles illustrated throughout the research were lack of preparation, lack of spoken English, poor vocabulary, inability to clearly understand native speakers or others speaking this language, and inability to express ideas that were discussed and analyzed with the offered solutions. The following research objectives are being analyzed throughout the investigation: making a significant commitment for persuading instructors & others; developing a conceptual method for instructors; promoting the benefits of communication skills; offering a skill different from conventional learning speaking skills to learning English; examining the efficacy of conversation skills. Examples, strategies, and recommendations illustrated by the authors in the following sections of the research paper underline the importance of oral communication skills both in the teaching environment and in the professional sphere. Furthermore, the analysis of statistics made by Dhani Ram Sharma, stressed the positive impacts of strategies used by them in improving and developing students’ communication skills. Moreover, the results and discussions concerning the revealing of research findings affirm that activities and strategies implemented were successful enough for future professional accomplishments of oral communication skills.

Making Every Contact Count and Healthy Conversation Skills as very brief or brief behaviour change interventions: a scoping review

Aim To identify and map the available evidence regarding the implementation of Making Every Contact Count and/or Healthy Conversation Skills for both staff delivering and service users receiving the brief or very brief intervention/s. Methods A scoping review approach was used to rapidly map and provide an overview of the relevant literature, identify gaps in knowledge, and inform further, related research. Articles investigating experiences, perceptions and impact of Making Every Contact Count and/or Healthy Conversation Skills were included. Quantitative, qualitative, and mixed methods studies were eligible for inclusion, as were reviews and reports. Results Twenty-two articles were included in total. Healthy Conversation Skills training was found to be acceptable, and had a positive impact on staff confidence and competence in supporting behaviour change, across studies. Some positive effects of intervention exposure on the sedentary behaviour and dietary quality of service users were evidenced. Changes in confidence following Making Every Contact Count training were varied, as was perceived acceptability of the intervention for staff. Two studies highlighted positive impacts of the intervention on service user health; however, statistical significance was not reported. The perceived barriers and facilitators of implementation for both interventions mapped mostly to ‘Environmental Context and Resources’ on the Theoretical Domains Framework. Conclusion Healthy Conversation Skills is an acceptable and effective behaviour change intervention that could provide a consistent approach to Making Every Contact Count training and evaluation. Further research is warranted to evaluate this approach for more staff and service user groups.

The impact of Healthy Conversation Skills training on health professionals’ barriers to having behaviour change conversations: a pre-post survey using the Theoretical Domains Framework

Background Changing people’s behaviour by giving advice and instruction, as traditionally provided in healthcare consultations, is usually ineffective. Healthy Conversation Skills (HCS) training enhances health professionals’ communication skills and ability to empower and motivate people in health behaviour change. Guided by the Theoretical Domains Framework (TDF), this study examined the impact of HCS training on health professional barriers to conducting behaviour change conversations in both clinical and non-clinical settings. Secondary aims were to i) identify health professionals’ barriers to having behaviour change conversations, and explore the ii) effect of HCS training on health professionals’ competence and attitudes to adopting HCS, iii) feasibility, acceptability and appropriateness of using HCS in their clinical and non-clinical roles, and iv) acceptability and quality of HCS training. Methods HCS training was conducted in October-November 2019 and February 2020. Pre-training (T1), post-training (T2) and follow-up (T3; 6-10 weeks post-training) surveys collected data on demographics and changes in competence, confidence, importance and usefulness (10-point Likert scale, where 10 = highest score) of conducting behaviour change conversations. Validated items assessing barriers to having these conversations were based on eight TDF domains. Post-training acceptability and quality of training was assessed. Data were summarised using descriptive statistics, and differences between TDF domain scores at the specific time points were analysed using Wilcoxon matched-pairs signed-rank tests. Results Sixty-four participants consented to complete surveys (97% women; 16% identified as Aboriginal), with 37 employed in clinical settings and 27 in non-clinical settings. The training improved scores for the TDF domains of skills (T1: median (interquartile range) = 4.7(3.3-5.3); T3 = 5.7(5.3-6.0), p < 0.01), belief about capabilities (T1 = 4.7(3.3-6.0); T3 = 5.7(5.0-6.0), p < 0.01), and goals (T1 = 4.3(3.7-5.0); T3 = 4.7(4.3-5.3), p < 0.01) at follow-up. Competence in using ‘open discovery questions’ increased post-training (T1 = 25% of responses; T2 = 96% of responses; T3 = 87% of responses, p < 0.001), as did participants’ confidence for having behaviour change conversations (T1 = 6.0(4.7-7.6); T2 = 8.1(7.1-8.8), p < 0.001), including an increased confidence in having behaviour change conversations with Aboriginal clients (T1 = 5.0(2.7-6.3); T2 = 7.6(6.4-8.3), p < 0.001). Conclusions Provision of additional support strategies to address intentions; memory, attention and decision processes; and behavioural regulation may enhance adoption and maintenance of HCS in routine practice. Wider implementation of HCS training could be an effective strategy to building capacity and support health professionals to use a person-centred, opportunistic approach to health behaviour change.

The Effect of Random Excitement Strategy on Developing English Conversation Skills among Ninth Graders

The aim of the study is to explore the effect of random excitement strategy on developing English conversation skills among ninth graders. The descriptive approach was used. The sample included (81) ninth graders and was chosen randomly from Al-Aysheya Basic Elementary School for Girls. To collect data, conversational skills rating scale and an oral conversation test were used. The results showed a significant difference between the mean scores of the experimental group which was taught through the random excitement and control group was taught through the traditional way in the posttest of the oral side. The results also proved that there is a significant difference between the mean scores in the experimental group (the random excitement) and the control group in the posttest of the performance aspect. This difference is due to the effect of using (random excitement). The study recommended creating managing materials to furnish educators with the required information to utilize dynamic learning techniques, and building up instructors' capacities in picking the perfect conversation exercise procedure to meet diverse learning styles. Moreover, the study recommended concentrating on all conversation skills such as speaking rate, volume, and accuracy in teaching conversation.

IMPROVING BASIC LEVEL MANDARIN CONVERSATION SKILLS THROUGH THE PICTURE AND PICTURE METHOD FOR STUDENTS - PRIVATE HIGH SCHOOL STUDENTS DHARMA PANCASILA MEDAN

Along with the times and the demands of industry 4.0, strict technological, economic, social, and cultural developments make every country compete, and everything becomes very easy to access. For this reason, building human resources that are hard-working, dynamic, skilled, and mastering science and technology is necessary to invite talents from other countries to cooperate with Indonesia. Currently, Indonesia has collaborated with other countries, one of which is China. Therefore, in this community service activity, efforts will be made to improve Mandarin's conversational skills through the picture to picture method. This activity has been carried out online through zoom meetings. The number of students who took part in this activity was 20 students of SMA Dharma Pancasila. In its implementation, the picture and picture method approach is used with materials from power points that have been optimized by the service team and specifically for high school students. This community service has resulted in the outcome, namely assistance in improving Chinese conversations, which impacts improving students' Mandarin language skills