title: Nursing students' knowledge of and performance in communicating with patients with hearing impairment.
abstract: OBJECTIVE
  The present study aimed to investigate nursing students' knowledge of and performance in communicating with patients with hearing impairment.
  
  
  METHODS
  A cross-sectional study was conducted on all senior nursing students (n = 71) in a nursing school in Iran in 2013. Data collection was performed with a demographics questionnaire, knowledge questionnaire, and performance assessment checklist. Two stages were designed to evaluate the students. In the first stage, students conducted an interview with a simulated patient with hearing impairment who experienced chest pain. In the second stage, students answered the knowledge questionnaire. Descriptive statistics, independent sample Student's t-test, and Pearson correlation coefficient were used to analyze the data.
  
  
  RESULTS
  In total, 11.3% of participants had a history of caring for a patient with hearing impairment. The majority of students evaluated their performance in communicating with such patients at a moderate level. A significant difference was observed between the mean score of knowledge in men and women (P = 0.05), and male students gained higher scores. In total, 61.5% of the students had low to very low levels of knowledge and 87.3% of them had weak to very weak performance in communicating with patients with hearing impairment.
  
  
  CONCLUSIONS
  Nursing students are lacking in knowledge and skills required for effective communication with patients with hearing impairment. Nurse educators should pay more attention to this issue as it is their responsibility to prepare nurses who are competent to deal with common issues they will face in practice.
authors.affiliation: Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Adib-Hajbaghery
authors.forename: Zahra
authors.initials: Z
authors.lastname: Rezaei-Shahsavarloo
mesh_terms: D000328:Adult; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D005260:Female; D006311:Hearing Disorders / Q000451:nursing*; D006801:Humans; D008297:Male; D013338:Students, Nursing; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: communication; hearing impairment; knowledge; nursing students; performance; professional practice