BMC Nursing (05/09/2026) Guo, Fang; Cui, Jie

Case-based and simulation-based communication training improved communication-related outcomes for oncology nurses, as each approach led to higher patient satisfaction, stronger nurse communication skills and greater occupational coping self-efficacy compared with no training. Researchers conducted a quasi-experimental, non-randomized pretest–posttest study involving 258 oncology nurses — who were assigned by shift rotation to no training (n=84), case-based training (n=88), or simulation-based training (n=86) — and 650 cancer patients. Nurses in the two intervention groups completed structured communication training, with the simulation group receiving 20 hours of video-based standardized-patient scenarios and the case-based group receiving 16 hours of written case instruction. Across all three measured outcomes, repeated-measures analysis showed significant time × group interactions: patient satisfaction, communication skills, and coping self-efficacy. Both intervention groups improved significantly from pre- to post-test (all p<0.001), while the no-training group showed no meaningful change and no post-test differences emerged between the two training models.

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