一个混合方法试点研究的严重疾病沟通培训课程在医疗住院人员
Megan Smith-Uffen1, Shilpa Jyothi Kumar2, Oren Levine2
1Department of Medicine, Faculty of Health Sciences, McMaster University, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada.
Palliative care and social practice
|March 24, 2025
概括
所有提供者,更好的沟通技巧 (ABCs) 虚拟课程显著提高了内部医学和家庭医学住院人员与重病患者沟通的自我效能. 这项培训增强了对患者理解和生活质量至关重要的技能.
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
- 以患者为中心的护理
背景情况:
- 有效的临床医生沟通对于了解患者疾病,影响生活质量和与患者优先事项协调护理至关重要.
- 许多临床医生,特别是住院医生,缺乏必要的沟通技巧来进行严重疾病的对话,这突出了关键的培训差距.
- 所有提供者,更好的沟通技巧 (ABCs) 虚拟课程旨在为临床医生提供严重疾病的核心沟通能力.
研究的目的:
- 评估ABCs课程对内部医学 (IM) 和家庭医学 (FM) 住院医生的自我有效性的影响.
- 确定ABCs课程是否解决了居民在沟通培训中自我报告的弱点.
- 收集关于课程结构,交付和IM和FM居民潜在定制的反.
主要方法:
- 一个前性的,连续的混合方法队列研究,涉及IM和FM居民.
- 住院居民完成了课程前/课后自我评估调查,以衡量自我效能和培训需求.
- 课程后的半结构面试提供了关于课程优点,弱点和潜在改进的定性反.
主要成果:
- 在课程后观察到总体自我效能 (SE-12分数) 的显著改善 (平均差异11.5分,p=0.003).
- 居民报告说,在坏消息,总体知识和信心方面取得了显著的收益 (p<0.005对所有).
- 主要优势包括结构化方法,专注于沉默,可转移的技能和实际应用;虚拟格式提供了可访问性,但实时实践有限.
结论:
- 该ABC的虚拟课程有效地提高了IM和FM居民的自我效能和特定的沟通技巧.
- 结果将为未来的课程代提供信息,专注于居民特定需求和改善以患者为中心的结果.
- 该研究强调了针对管理严重疾病的居民进行有针对性的沟通技能培训的价值.
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