对比在线和面对面教学对医学学生在共享决策沟通技巧培训的有效性
Yu-Xuan Lin1, Thi Ngoc Pham1,2, Li-Chueh Weng1
1School of Nursing, Chang Gung University, Taoyuan, Taiwan.
在线和面对面的沟通技巧培训 (CST) 都显著提高了医学学生的共同决策 (SDM) 能力和沟通能力. 在线CST与面对面的培训同样有效,在面对面的培训无法实现时,提供一个可行的替代方案.
科学领域:
- 医学教育 医学教育
- 医疗保健通讯 医疗保健通讯
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于最佳的患者护理至关重要,需要有效的沟通.
- 沟通技巧培训 (CST) 可以提高医生的SDM能力.
- 关于台湾医学生SDM CST的研究有限,特别是比较在线和面对面的格式.
研究的目的:
- 评估在线与面对面SDM CST的有效性.
- 评估这些培训方法对医学生的决策能力和沟通技能的影响.
主要方法:
- 追溯的准实验设计,使用来自CST数据库的323个问卷.
- 医学四年级学生被分配到面对面 (n=160) 或在线 (n=163) CST组.
- 在培训前 (T0) 和培训后 (T1) 进行了SDM决策能力和沟通技能的评估,并进行了统计分析,包括对联t测试和GEE.
主要成果:
- 面对面和在线的CST小组都在SDM决策能力和沟通技巧方面取得了显著的改善.
- 面对面的小组显示了决策能力的大效果大小 (d=0.87),而在线小组显示了中等效果大小 (d=0.64).
- 两种培训模式都对沟通技巧产生了适度的效果大小 (面对面d=0.67;在线d=0.54),没有观察到群体之间的显著差异.
结论:
- 在线和面对面的SDM CST都有效提高医学学生的SDM决策能力和沟通技巧.
- 在线CST的有效性与面对面的培训相提并论.
- 由于流行病或预算限制等因素,当亲自培训不切实际时,在线CST是推的替代方案.
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