Article first published online: May 14, 2015
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The use of electronic communication tools is a necessity for daily interpersonal communication (IC), especially among the youth. This study focused on the relationship between internet-use and communication skills of Japanese students at university A, and further endeavored to design an educational program to improve the communication skills of nursing students for patient care. A total of 1393 students in academic years 1-4 from four different faculties of the university participated in this questionnaire-based study. In addition to behavioral indexes (frequency, time, frequented used items) related with internet-use, the questionnaire was complemented with communication skill indexes (ENDCOREs). The relationships between the internet-use tendency and communication skills were elucidated in three aspects: 16 items on self-expression; 17 items on relationship with others; and 11 items on balance with reality. The effective response rate was 92.0% (total: n=1056). The results revealed four clusters: Clusters 1 (Excellent Communication Type), 2 (Poor Expression Type), 3 (Responsive Type), and 4 (Poor Communication Type). Based on Pass analysis, Cluster 1 showed a strong causal relationship between accommodation of others and position acquirement; Cluster 2 failed to have in-depth contemplation and trust for others; Cluster 3 portrayed a strong causal relationship existed between factors (accommodation for others and decision- making) and internet-use tendency. Cluster 4 indicated effects of interpersonal relationship extension and non-daily relationship on communication, and exhibited low accommodation ability with others. The causal relationship between communication and internet-use in modern young people confirmed that the various ￼￼correlational aspects of these events in the respective but rather mutually correlational in the outcome.