Document Type : Original Article

Authors

1 Department of English, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Knowledge and Information Science, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

3 Deparment of Anesthesiology, Molecular Medicine Research Center, Paramedical Sciences Faculty, Faculty of Medicine, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Abstract

BACKGROUND: Communication apprehension (CA) is the fear or anxiety about communicating.
This study was designed to investigate the CA and its related factors in the medical students at
Rafsanjan University of Medical Sciences (RUMS).
MATERIALS AND METHODS: In this cross‑sectional study, personal report of CA (PRCA‑24) was
administered to 340 medical and paramedical students to measure anxiety in four domains of large
groups, small groups, public speaking, and dyadic interaction. Pearson’s correlation and linear
regression analysis were used to investigate the relationship between CA and the variables of birth
order, number of siblings, and university entrance score. Data were analyzed using descriptive and
inferential statistics (Chi‑square and Kruskal–Wallis Test).
RESULTS: CA in the dimension of public speaking was higher than the other dimensions. Evaluation
of the economic stability and its relationship to CA indicated a significant difference among all the
domains of the PRCA‑24. There was a significant relationship between the scores of CA and the
number of siblings (P = 0.001). Linear regression and Pearson’s correlation tests indicated a significant
correlation between the variables of birth order, number of siblings, and university entrance score.
The correlation between the CA with dimensions of group discussion, interpersonal, speaking, and
meeting was weak but significant (P < 0.01).
CONCLUSION: Without communication, the materialization and development of the human
community are not possible. This aspect is more evident and crucial in the healthcare industry. Based
on the results of this study, the medical and paramedical students at RUMS have a medium‑to‑high
level of CA. Therefore, it is of utmost importance to detect students with high CA to prevent further
communication problems after graduation.

Keywords

1. McCroskey JC, Richmond VP. Communication apprehension and
shyness: Conceptual and operational distinctions. Commun Stud
1982;33:458-68.
2. Rogers ER, King SR. The influence of a patient-counseling course
on the communication apprehension, outcome expectations, and
self-efficacy of first-year pharmacy students. Am J Pharm Educ
2012;76:152.
3. Kavanagh JM, Szweda C. A crisis in competency: The strategic
and ethical imperative to assessing new graduate nurses’ clinical
reasoning. Nurs Educ Perspect 2017;38:57-62.
4. Chard R, Makary MA. Transfer-of-care communication: Nursing
best practices. AORN J 2015;102:329-39.
5. Anderson-Harper HM. Pharmacists’ predisposition to
communicate, desire to counsel and job satisfaction. Am J Pharma
Educ 1992;56:252-8.
6. BergerBA, McCroskey JC. Reducing communication apprehension
in pharmacy students. Am J Pharma Educ 1982;46:132-6.
7. McCroskey JC, Richmond VP, Daly JA, Falcione RL. Studies of
the relationship between communication apprehension and selfesteem. Hum Commun Res 1977;3:269-77.
8. Gurney PW. Self-esteem in the classroom: Theoretical perspectives
and assessment issues. Sch Psychol Int 1986;7:199-209.
9. McCroskey JC, Andersen JF. The relationship between
communication apprehension and academic achievement among
college students. Hum Commun Res 1976;3:73-81.
10. Berkow S, Virkstis K, Stewart J, Conway L. Assessing new
graduate nurse performance. J Nurs Adm 2008;38:468-74.
11. Navaz A, Banu S. Speaking Anxiety: A Pilot Study among the ESL
Undergraduates at the South Eastern University of Sri Lanka; 2018.
12. Lang NP, Rowland-Morin PA, Coe NP. Identification of
communication apprehension in medical students starting a
surgery rotation. Am J Surg 1998;176:41-5.
13. Beardsley RS. Communication skills development in colleges of
pharmacy. Am J Pharma Educ 2001;65:307.
14. Blume BD, Baldwin TT, Ryan KC. Communication apprehension:
A barrier to students’ leadership, adaptability, and multicultural
appreciation. Acad Manage Learn Educ 2013;12:158-72.
15. McCroskey JC, Richmond VP. Willingness to communicate:
Differing cultural perspectives. Southern J Commun 1990;56:72-7.
16. MacIntyre PD, Dörnyei Z, Clément R, Noels KA. Conceptualizing
willingness to communicate in a L2: A situational model of L2
confidence and affiliation. Modern Language J 1998;82:545-62.
17. Nakamura T. Cultural interpretations of non-verbal
communication related to mobile phone usage and intimacy. Int
J Mass Commun 2017;4:125.
18. LaRochelle JM, KarpinskiAC. Racial differences in communication
apprehension and interprofessional socialization in fourth-year
doctor of pharmacy students. Am J Pharm Educ 2016;80:8.
19. Wagner J, Liston B, Miller J. Developing interprofessional
communication skills. Teaching and Learning in Nursing
2011;6(3):97-101.
20. Fitch, John III; Kimmel, Krista M.; and Fairchild, Jennifer L.,
“Dismantling an Energy Psychology Technique for
Communication Apprehension: A Randomized Mixed Methods
Trial” (2020). University Presentation Showcase Event. 3.
Retrieved from https://encompass.eku.edu/swps/2020/
faculty/3.
21. Mohammadi F, Keyvanara M, SamoueiR. Awareness and attitude
of students and professors of medical sciences universities
toward social determinants of health: Design and preliminary
psychometrics of a questionnaire. J Educ Health Promot
2020;9:116.
22. Cetinkaya YB. Turkish College Students’ Willingness to
Communicate in English as a Foreign Language: The Ohio State
University; 2005.
23. Deadrdoff D K . I d e n t i f i c a t i o n a n d a s s e s s m e n t o f
internationalcompetence as a student outcome of
internationalization. Journal of Studies in International Education
2016;10(3):241-266.
24. Daly JA, Stafford L. Correlates and consequences of socialcommunicative anxiety. Avoiding communication: Shyness,
Reticence, and Communication Apprehension. Paper presented at
the Annual Meeting of International Communication Association.
1984. p. 125-43.
25. Faridizad A, Simin S. Investigation of the degree of perceived
face threat in low, medium, and high face threat situations
regarding politeness theory in Iranian EFL contexts. Int Lett Soc Humanist Sci 2015;52:28-32.
26. Richmond VP, Roach KD. Willingness to communicate and
employee success in US organizations. J Appl Commun Res
1992;20:95-115.
27. Mejías H, Applbaum RL, Applbaum SJ, Trotter RT. Oral
communication apprehension and Hispanics: An exploration of
oral communication apprehension among Mexican American
students in Texas. Language Anxiety: From Theory and Research
to Classroom Implications. Englewood Cliffs, NJ: Prentice
Hall1991. p. 87-97.
28. Allen M, Bourhis J. The relationship of communication
apprehension to communication behavior: A meta-analysis.
Commun Q 1996;44:214-26.
29. Latha K, Meena KS, Pravitha MR, Dasgupta M, Chaturvedi SK.
Effective use of social media platforms for promotion of mental
health awareness. J Educ Health Promot 2020;9:124.
30. Bazrafkan L, Shokrpour N, Yousefi A, Yamani N. Management
of stress and anxiety among PhD students during thesis writing:
A qualitative study. The Health Care Manager (Frederick)
2016;35:231‑40.