辅导计划对居民对沟通信心和反质量感知的影响
Carl A Gold1, Rachel Jensen2, Marzena Sasnal3
1Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
BMC medical education
|April 22, 2024
概括
一个沟通指导计划改善了居民对患者互动和自我反思的信心. 直接观察和反增强了医疗学员的核心能力.
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
- 住院项目 住院项目
背景情况:
- 有效的医疗护理依赖于强大的沟通技巧,但这些技能往往被教导或评估不充分.
- 这限制了医疗人员有针对性的反和专业发展的机会.
- 为了解决这一差距,开发了一项纵向沟通指导计划.
研究的目的:
- 评估一个跨部门,纵向的住院沟通指导计划的影响.
- 评估居民对沟通技能的信心的提高.
- 确定该计划是否提高了向居民提供的教师反的质量.
主要方法:
- 一个为期3年的计划 (2019-2022) 涉及一所机构的外科和神经病学住院医生.
- 经过培训的教师教练进行了包括观察遭遇,自我反思,反和目标设定在内的会议.
- 配对的t测试和内容分析被用来分析基线和后续调查数据.
主要成果:
- 住院人员报告说,与患者沟通,自我反思和目标设定方面的信心显著增加 (p < 0.001).
- 教师反的感知效用也显著改善 (p = 0.001).
- 定性分析强调导师是强项,并建议改善时间安排和教练-居民比率.
结论:
- 直接观察和教师的指导提高了居民的沟通技巧和核心能力.
- 该计划展示了一种改善医生沟通的可行方法.
- 进一步的研究应该探索对患者结果和工作场所评估的影响.
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