JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 30 ISSUE 4.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Relationship Between Communication Skills and Early Maladaptive Schemas in Pediatric Nurses

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 30 ISSUE 4.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Relationship Between Communication Skills and Early Maladaptive Schemas in Pediatric Nurses

Communication skills, Maladaptive schema, Nurses

Introduction: In nursing, the communication between the nurse and the child is the core
of child care. Some barriers can affect the nurse-patient relationship to have proper
communication skills for child care.
Objective: This study aimed to examine the correlation between communication skills and
early maladaptive schemas in nurses working in pediatric wards.
Materials and Methods: This is an analytical and correlational study. The participants
were 178 nurses working in a children’s hospital in Rasht City, Iran in 2016. The data
collection tool was a three-part questionnaire: A demographic form, the interpersonal
communication skills scale (ASMA), and the Young Schema Questionnaire-Short Form
(YSQ-SF). The collected data were analyzed using descriptive statistics and the Friedman
and Spearman tests.
Results: The majority of nurses were younger than 30 years (80.8%), had a bachelor’s degree
in nursing (89.0%), were married (65.1%), had children (54.8%), were living in urban areas
(95.2%), had employment status (63.3%) and less than 15 years of work experience (46.5%).
The highest mean scores of ASMA (44.12±0.53) and YSQ-SF tools (2.65±1.04) were related to
general communication skills and then disconnection and rejection, respectively. The results
of the Spearman correlation test showed that the overall ASMA score had significant negative
correlations with early maladaptive schemas of impaired autonomy and performance (r=
-0.283), impaired limits (r= -0.421), other-directedness (r= -0.303), and disconnection and
rejection (r= -0.302) (P=0.0001)
Conclusion: Nurses who have a higher level of early maladaptive schemas showed poorer
communication skills. Examining maladaptive schemas in nurses may provide appropriate
strategies to improve their communication skills.

Golnaz Mohammadi , Farzaneh Sheikholeslami , Minoo Mitra Chehrzad , Ehsan Kazemnezhad Leili

Octoner 2020, Volume 30, Number 4

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