现场支持性沟通培训 (现场SCT) 对瘤学中医患沟通的影响:随机对照混合方法试验的研究方案
Antonsen Kk1,2, Johnsen At3, Poulsen Lø4
1Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark. Kerstin.Kiis.Antonsen@rsyd.dk.
BMC medical education
|May 10, 2024
概括
现场支持性沟通培训 (现场SCT) 改善了瘤学中医生与患者的沟通. 这种新的方法旨在通过整合富有同情心的护理和反思性学习来提高患者的治疗结果,并减少医生倦怠.
科学领域:
- 在瘤学瘤学.
- 医学教育 医学教育
- 沟通研究 沟通研究
背景情况:
- 瘤学中的沟通不良会对患者的治疗结果产生负面影响,导致不必要的治疗风险增加,疼痛管理不足,焦虑增加和住院住院.
- 不有效的沟通技巧培训 (CST) 导致医生压力,工作不满和倦怠.
- 现有的CST方法,如角色扮演和记录反,在技能转移方面存在局限性,并且可能耗时.
研究的目的:
- 为瘤学家推出和评估一个新的现场支持性沟通培训 (现场SCT) 计划.
- 评估现场SCT在实际临床相互作用期间改善医生与患者沟通方面的有效性.
- 探索现场SCT对患者报告的沟通质量和医生幸福感的影响.
主要方法:
- 一个随机的多中心试验,涉及丹麦的瘤学家.
- 参与者被随机分配到现场SCT干预组或对照组.
- 该干预包括为期三天的辅助培训,重点是沟通技巧,反思性学习和情感支持. 患者报告的结果 (沟通评估工具) 和医生报告的结果 (自我效能,倦怠,工作满意度) 分别是初级和二级终点. 定性面试将评估可行性和机制.
主要成果:
- 数据收集正在进行中,患者基线问卷已经完成,并计划在2024年第一季度至第二季度招聘评估问卷.
- 该研究旨在量化现场SCT对患者评级沟通卓越性的影响.
- 二次结果包括医生自我效能,倦怠和工作满意度的变化.
结论:
- 该试验将确定现场SCT作为瘤学可扩展的沟通技能培训概念的有效性.
- 积极的发现可能会导致在临床实践中广泛采用.
- 定性数据将为培训课程中最有效的组成部分提供见解.
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