NeoTalk:为新生儿临床医生提供沟通技能培训
Katherine F Guttmann1, Malorie Meshkati1, Julia Frydman2
1Division of Newborn Medicine, Department of Pediatrics, The Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The American journal of hospice & palliative care
|August 25, 2023
概括
儿科小专家接受了严重疾病沟通培训,报告增加了舒适度,但没有使用技能. 可能需要进一步培训,以培养新生儿重症监护室 (NICU) 临床医生的新沟通习惯.
科学领域:
- 医学教育 医学教育
- 儿科重症监护 儿科重症监护
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 儿科子专家往往缺乏在严重疾病沟通方面的正式培训.
- 新生儿重症监护室 (NICU) 的临床医生需要专门的沟通技巧.
- 像VitalTalk这样的现有框架可以适应儿科设置.
研究的目的:
- 为NICU临床医生开发和评估沟通技巧课程.
- 评估课程前后提供者舒适度和技能频率的变化.
- 探索成人和儿科严重疾病沟通之间的差异.
主要方法:
- 开发了一个NICU特定的沟通技巧课程"NeoTalk".
- 参与者的舒适度和技能使用在课程前后进行了调查.
- 统计测试 (威尔科克森签名等级,克鲁斯卡尔-瓦利斯) 用于分析.
主要成果:
- 34个提供商完成了NeoTalk培训.
- 参与者报告说,分享困难的新闻和对情绪的反应增加了舒适度 (P=.018,P=.002).
- 在培训后2个月,没有观察到使用目标技能频率的显著增加.
结论:
- 在课程结束后,NICU提供者获得了对严重疾病沟通技能的信心.
- 提高技能应用需要不仅仅是一次培训.
- 在NeoTalk的体验突出了关于危急病的婴儿与成人的沟通的独特方面.
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