针对严重疾病沟通的正确规模的跨专业团队培训:基于力量的方法
Liana Eskola1,2, Ethan Silverman2,3, Sarah Rogers4,5
1Department of Medicine, Department of Veterans Affairs, William S. Middleton Memorial Hospital and Clinics, 2500 Overlook Terrace, Madison, WI 53705, USA.
PEC innovation
|February 28, 2024
概括
这项研究培训了跨专业团队的息护理沟通技巧,提高倾听和同情心. 这种创新方法有效地为71名临床医生提供了设备,大多数是非医生,进行严重疾病对话.
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
- 专业间医疗保健 专业间医疗保健 专业间医疗保健
背景情况:
- 息护理沟通对于使患者的护理与他们的目标保持一致至关重要.
- 由于缺乏息护理医生,因此需要培训非医生掌握这些基本技能.
- 传统的培训计划主要专注于医生,不包括其他医疗保健专业人员.
研究的目的:
- 为跨专业团队适应和评估息护理沟通技能的培训.
- 评估培训对参与者的沟通能力和专业间合作的影响.
- 在培训中引入使用应用即兴表演的基于团队的组件.
主要方法:
- 研讨会的重点是息护理沟通和专业间沟通技巧.
- 利用验证的调查来衡量同情心 (人际反应指数,Ekman Faces,咨询和关系同情心),以及跨专业的实践.
- 纳入应用即兴表演作为基于团队的培训组件.
主要成果:
- 参与者报告说,听力 (p < 0.001),理解患者关切 (p < 0.001) 和表现同情心 (p = 0.008) 的表现有显著改善.
- 在复杂的讨论中,培训增强了对同行观察 (p < 0.001) 和反思实践 (p = 0.02) 的感知价值.
- 所有参与者都肯定了积极倾听的重要性,并报告了改善的跨专业团队合作,尽管沟通目标各不相同.
结论:
- 调整后的培训有效地为71名临床医生,主要是非医生,提供了严重疾病和专业间沟通方面的设备.
- 该计划的成功证明了其在类似的医疗保健环境中可复制.
- 这种跨专业的方法提供了一个可行的解决方案,以加强缓解护理沟通,在医生短缺的情况下.
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