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Developing and evaluating a course programme to enhance existential communication with cancer patients in general
Elisabeth Assing Hvidt1, Jette Ammentorp2, Jens Søndergaard1
1a Research Unit of General Practice, Department of Public Health , University of Southern Denmark , Odense C , Denmark.
Scandinavian Journal of Primary Health Care
|April 7, 2018
Summary
A one-day training course significantly boosted general practitioners' (GPs) confidence in discussing existential issues with patients. This vocational training enhanced self-awareness and communication skills, addressing a key gap in patient care.
Area of Science:
- Medical Education
- Communication Skills Training
- Psychosocial Oncology
Background:
- Patients with cancer often wish to discuss existential concerns during clinical care.
- General practitioners (GPs) frequently lack confidence in addressing these existential issues in daily practice.
- Barriers to existential communication in general practice need to be reduced.
Purpose of the Study:
- To describe the development of a course program focused on existential communication.
- To evaluate the effectiveness of this training for general practitioners (GPs).
Main Methods:
- The UK Medical Research Council's (MRC) framework guided the development and evaluation of this complex intervention.
- A one-day vocational training/continuing medical education (VT/CME) course was developed, incorporating knowledge building, self-reflection, and communication training.
- Self-efficacy was measured pre- and post-course, supplemented by semi-structured interviews to explore changes.
Main Results:
- Twenty GPs participated in the course testing, with nineteen completing self-efficacy questionnaires and fifteen interviewed.
- Significant increases in mean self-efficacy scores were observed post-course.
- Qualitative data revealed enhanced existential self-awareness, improved recognition of patients needing existential communication, and increased confidence in providing such communication.
Conclusions:
- A one-day VT/CME course effectively increased GPs' confidence in communicating with patients about existential issues.
- The course integrated knowledge, self-reflection, and communication techniques to address a critical need in primary care.
- This study contributes valuable insights into enhancing GPs' confidence in existential communication.
Keywords:
Communicationcancercontinuing medical educationexistentialgeneral practitionersreligiousspiritualvocational trainingMore Related Videos
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