在健康职业教育中评估沟通技能的有效性证据:范围审查
Linda Dorrestein1, Caroline Ritter2, Zoë De Mol3
1University of Calgary, Calgary, Alberta, Canada.
BMJ open
|September 5, 2025
概括
这次范围审查对健康职业教育 (HPE) 中的沟通技能评估 (CSA) 的有效性证据进行了映射. 报告有效性证据中的差距凸显了CSA方法中需要更清晰的构造定义和评分解释的需要.
科学领域:
- 医学教育研究
- 医疗专业教育评估
- 沟通技能的评价
背景情况:
- 在健康职业教育 (HPE) 中,沟通能力评估 (CSA) 对能力,教育和监管至关重要.
- 医疗行业对CSA方法的有效性证据的不一致报告阻碍了评估质量的解释.
- 需要对HPE中CSA分数的可靠性和有效性证据进行全面的映射.
研究的目的:
- 系统地绘制出报告中的可靠性和有效性证据,用于健康职业教育 (HPE) 中的沟通技能评估 (CSA) 方法.
- 在HPE中确定支持CSA方法的有效性证据的现有证据和潜在缺口.
- 提供针对性开发和支持CSA工具的基础概述.
主要方法:
- 通过搜索多个数据库 (MEDLINE,Embase,PsycINFO,CINAHL,ERIC,CAB Abstracts,Scopus) 进行了发布到2024年3月的研究范围审查.
- 包括英语研究报告CSA方法的有效性证据 (内容,内部结构,关系,响应过程,后果).
- 从涉及98,394名参与者的146项符合条件的研究中提取数据,使用医学教育研究研究质量工具评估质量.
主要成果:
- 该审查确定了146项研究,主要涉及人体医学 (124) 和涉及本科生 (85).
- 基于表现的,模拟的,面对面的CSA,特别是客观结构化临床检查 (OSCE),是最常见的 (115项研究).
- 内部结构 (90%) 和内容相关的证据 (74%) 是最常见的,而反应过程 (10%) 和后果 (11%) 是最少的.
结论:
- 报告的证据支持卫生专业教育中的沟通技能评估 (CSA) 方法存在重大差距.
- 未来的研究应该明确地定义沟通技能的构造,澄清报告的有效性来源,并指定预期的使用 (学习与决策).
- 解决这些差距对于强大的评分解释和指导HPE的目标CSA开发和支持至关重要.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Role of Communication in the Nursing Process I: Assessment and Diagnosis
4.5K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
4.5K
Data Validation
5.3K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
5.3K
Therapeutic Communication
5.3K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
5.3K
Role of Communication in the Nursing Process III: Evaluation and Documentation
1.4K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.4K
Reliability and Validity
13.2K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
13.2K


