调整富有同情心的对话以实现虚拟中介式沟通
Emily B Rivet1, Moshe Feldman2, Sorabh Khandelwal3
1Department of Surgery, Virginia Commonwealth University, Richmond, Virginia.
Journal of surgical education
|July 9, 2023
概括
这项研究训练了居民进行虚拟中介沟通 (VMC) 进行困难的对话,显示出在打破坏消息 (BBN) 技能方面的显著性能改善. 蓄意实践模型在VMC培训中被证明是有效的.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 虚拟中介通信是一种虚拟中介通信.
背景情况:
- 由于COVID-19大流行,需要从面对面转向虚拟中介通信 (VMC),以进行敏感的患者讨论.
- 访问限制强调了医疗保健专业人员需要有效的VMC技能.
研究的目的:
- 培训VMC的医疗居民讨论困难的话题.
- 评估各种专业和机构在VMC中的居民表现.
主要方法:
- 使用异步学习,标准化患者模拟和教师辅导开发了教学计划.
- 培训包括打破坏消息 (BBN),护理目标 (GOC) 和医疗错误披露 (DOME).
- 通过教练和标准患者使用标准化评估工具来评估表现.
主要成果:
- 从第一到第二次模拟中观察到VMC中的坏消息破解 (BBN) 技能表现的统计学上显著改善.
- 整体训练显示,模拟之间的性能中小但统计学上显著的平均改善.
结论:
- 一个有意识的实践模型是有效的教学VMC技能居民.
- 绩效评估可以衡量VMC能力的提高.
- 需要进一步的研究来优化VMC培训和评估方法.
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