Peer Review History

Original SubmissionOctober 20, 2021
Decision Letter - Prabhat Mittal, Editor

PONE-D-21-33565An online communication skills training program for nursing students: A quasi-experimental studyPLOS ONE

Dear Dr. Kim,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Jan 24 2022 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Prabhat Mittal, Ph.D.

Academic Editor

PLOS ONE

Journal Requirements:

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at 

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and 

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

2. In your Data Availability statement, you have not specified where the minimal data set underlying the results described in your manuscript can be found. PLOS defines a study's minimal data set as the underlying data used to reach the conclusions drawn in the manuscript and any additional data required to replicate the reported study findings in their entirety. All PLOS journals require that the minimal data set be made fully available. For more information about our data policy, please see http://journals.plos.org/plosone/s/data-availability.

Upon re-submitting your revised manuscript, please upload your study’s minimal underlying data set as either Supporting Information files or to a stable, public repository and include the relevant URLs, DOIs, or accession numbers within your revised cover letter. For a list of acceptable repositories, please see http://journals.plos.org/plosone/s/data-availability#loc-recommended-repositories. Any potentially identifying patient information must be fully anonymized.

Important: If there are ethical or legal restrictions to sharing your data publicly, please explain these restrictions in detail. Please see our guidelines for more information on what we consider unacceptable restrictions to publicly sharing data: http://journals.plos.org/plosone/s/data-availability#loc-unacceptable-data-access-restrictions. Note that it is not acceptable for the authors to be the sole named individuals responsible for ensuring data access.

We will update your Data Availability statement to reflect the information you provide in your cover letter.

3. PLOS requires an ORCID iD for the corresponding author in Editorial Manager on papers submitted after December 6th, 2016. Please ensure that you have an ORCID iD and that it is validated in Editorial Manager. To do this, go to ‘Update my Information’ (in the upper left-hand corner of the main menu), and click on the Fetch/Validate link next to the ORCID field. This will take you to the ORCID site and allow you to create a new iD or authenticate a pre-existing iD in Editorial Manager. Please see the following video for instructions on linking an ORCID iD to your Editorial Manager account: https://www.youtube.com/watch?v=_xcclfuvtxQ

Additional Editor Comments:

Refer to the following citations

Mittal, P., & Raghuvaran, S. (2021). Entrepreneurship education and employability skills: the mediating role of e-learning courses. Entrepreneurship Education, 4(2), 153–167. https://doi.org/10.1007/s41959-021-00048-6

Mittal, P. (2020). Impact of Digital Capabilities and Technology Skills on Effectiveness of Government in Public Services. In 2020 International Conference on Data Analytics for Business and Industry: Way Towards a Sustainable Economy, ICDABI 2020 (pp. 1–5). IEEE. https://doi.org/10.1109/ICDABI51230.2020.9325647

Chakraborty, P., Mittal, P., Gupta, M. S., Yadav, S., & Arora, A. (2021). Opinion of students on online education during the COVID-19 pandemic. Human Behavior and Emerging Technologies, 3(3), 357–365. https://doi.org/10.1002/hbe2.240

Yadav, S., Chakraborty, P., Mittal, P., & Arora, U. (2018). Children aged 6–24 months like to watch YouTube videos but could not learn anything from them. Acta Paediatrica, International Journal of Paediatrics, 107(8), 1461–1466. https://doi.org/10.1111/apa.14291

Yadav, S., Chakraborty, P., & Mittal, P. (2021). User Interface of a Drawing App for Children: Design and Effectiveness. In Advances in Intelligent Systems and Computing (Vol. 1165, pp. 53–61). https://doi.org/10.1007/978-981-15-5113-0_4

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Partly

Reviewer #2: Yes

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: I Don't Know

Reviewer #2: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The manuscript discusses the impact of an online training program on attributes that affect interpersonal communication like empathy, self-efficacy, and anger.

I am finding it difficult to make a recommendation for this article as it does not seem to report some important pieces of information to the reader:

1. Please submit the list of questions asked as a part of the standard questionnaires used. Please submit literature showing the validity and generalizability of these psychometric/behavioral assessment tools preferably in relation to other tools, if any. This is important to gauge the relative merits of these tools. It is difficult to rely on the study results without solid literature on the validity and generalizability backing the methods section.

2. The data tables need to show distribution of each test score as we are dealing with a sample of less than 30 units per control and experiment. Inferences from small samples have a higher risk of getting swayed in one direction or the other.

3. The study does not give details of when the training was conducted and when the pre-post tests were done. This in the case of an intervention that is online and informative in nature is important as it determines the test results.

4. The authors also need to clarify how the pre-post surveys were done. Were they online too?

I am a bit worried about the ramifications that can be drawn from these results in the absence of the above listed information.

Reviewer #2: The authors highlighted an important issue in the nursing practices in South Korea. Appreciated. However I have few comments.

1. How did you select your sample size?

2. Provide few more lines about research randomizer and G power program to make it more comprehensible for the readers.

3. Who designed NVC-CST program. The authors mentioned the program facilitator but I found lack of any information about who designed the program and what is the foundation of that training program.

4. Authors mentioned some causes (including inefficient communication) of premature resignation of newly graduate nurses, however I am interested to know why authors focused only one reason.

Rest is OK from my side.

**********

6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Revision 1

Response to reviewers

[Reviewer #1]

1. Please submit the list of questions asked as a part of the standard questionnaires used. Please submit literature showing the validity and generalizability of these psychometric/behavioral assessment tools preferably in relation to other tools, if any. This is important to gauge the relative merits of these tools. It is difficult to rely on the study results without solid literature on the validity and generalizability backing the methods section.

Response

Thank you for your detailed review. The assessment tools used in the study have been modified and used according to the culture of Korean students (Please refer below). The questionnaire was of an appropriate length and showed a good sense of self-efficacy. We received content effectiveness index (CVI) advice from two experts from the School of Nursing. The CVI score was found to be 0.8.

2. The data tables need to show distribution of each test score as we are dealing with a sample of less than 30 units per control and experiment. Inferences from small samples have a higher risk of getting swayed in one direction or the other.

Response

Thank you for your detailed review. The normality of the baseline scores for both groups was tested using the Kolmogorov–Smirnov test, and baseline homogeneity was tested using the Chi-squared test, Fisher’s exact test, and t-test.

3. The study does not give details of when the training was conducted and when the pre-post tests were done. This in the case of an intervention that is online and informative in nature is important as it determines the test results.

Response

The pre-tests of the experimental and the control groups were conducted online on October 5, 2020, using Google questionnaire. The NVC program, in which only the experimental group participated, was conducted between October 5 and October 30, 2020. An online post-test using Google questionnaire was conducted for both experimental and control groups on October 30, 2020.

4. The authors also need to clarify how the pre-post surveys were done. Were they online too?

Response

Thank you for your review. The pre-post surveys were conducted online using Google forms.

[Reviewer #2]

1. How did you select your sample size?

Response

We referred to previous studies related to NVC (Yang, J., & Kim, S. (2020). Effects of a nonviolent communication-based training program for inpatient alcoholics in South Korea. Perspectives in Psychiatric Care).

The sample size to achieve the study objectives was determined using the G*Power 3.1 Program; the minimum sample size was calculated to be 42, with 21 in the experimental group and 21 in the control group (effect size 0.80, significance .05, power .80, two-tailed test). Considering a potential 30% withdrawal rate, 56 students were enrolled. One control group participant dropped out, resulting in 28 participants in the experimental group and 27 in the control group. The effect size was established to be 0.87 in a Korean study that analyzed NVC-based interventions (Han, M., & Lee, K. (2017). Effects of communication ability enhancement program for nursing students in Korea: A systematic review and meta-analysis. The Journal of Korean academic society of nursing education, 23(1), 15–26.).

2. Provide few more lines about research randomizer and G power program to make it more comprehensible for the readers.

Response

In this study, participants were assigned to experimental and control groups using the Research randomizer (https://www.randomizer.org/) program. The number of groups (two) was entered into the program, and the total number of people (56) for the group was entered. Subsequently, the participants were assigned to the experimental and control groups based on the numbers assigned to them by the program.

3. Who designed NVC-CST program. The authors mentioned the program facilitator but I found lack of any information about who designed the program and what is the foundation of that training program.

Response

NVC-CST was developed by the main researcher (Jeongwoon Yang). Also, NVC-CST is a program developed based on NVC (Nonviolent Communication), which was developed by Marshall Rosenberg. It is a specific conversational model that focuses on two components essential to building mature relationships: honest expression and empathic listening (Rosenberg, Marshall B. (1983). A Model for Nonviolent Communication. Philadelphia PA: New Society Publishers.).

4. Authors mentioned some causes (including inefficient communication) of premature resignation of newly graduate nurses, however I am interested to know why authors focused only one reason.

Response

I agree with your opinion that, there are various factors such as the working environment, wages, and communication conflicts in the turnover of new nurses. It is impossible to solve structural problems such as the working environment and wages with individual efforts. However, conflict resolution through the acquisition of communication skills is possible through individual efforts. Therefore, this study emphasized communication skill training.

Attachments
Attachment
Submitted filename: Response to reviewers.docx
Decision Letter - Sergio A. Useche, Editor

An online communication skills training program for nursing students: A quasi-experimental study

PONE-D-21-33565R1

Dear Dr. Kim,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Sergio A. Useche, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Partly

Reviewer #2: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: please add a sentence or two detailing when the pre and post test were conducted. The dates of the intervention and the pre and post test will be helpful.

Reviewer #2: (No Response)

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

Formally Accepted
Acceptance Letter - Sergio A. Useche, Editor

PONE-D-21-33565R1

An online communication skills training program for nursing students: A quasi-experimental study

Dear Dr. Kim:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Sergio A. Useche

Academic Editor

PLOS ONE

Open letter on the publication of peer review reports

PLOS recognizes the benefits of transparency in the peer review process. Therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. Reviewers remain anonymous, unless they choose to reveal their names.

We encourage other journals to join us in this initiative. We hope that our action inspires the community, including researchers, research funders, and research institutions, to recognize the benefits of published peer review reports for all parts of the research system.

Learn more at ASAPbio .