Morton J, Blok G A, Reid C, van Dalen J, Morley M
Department of Clinical Psychology, University of Liverpool, U.K.
Anaesth Intensive Care. 2000 Apr;28(2):184-90. doi: 10.1177/0310057X0002800210.
Intensive care medical and nursing staff self-rate their communication skills as improved following attendance at the European Donor Hospital Education Programme (EDHEP) workshop. A prospective study was conducted to determine what impact EDHEP has on communication skills. Doctor-nurse pairs from 10 experimental and 10 control Intensive Care Units undertook two standardized simulated relative encounters (Breaking Bad News and Donation Request) at three measurement points (pre, post and follow-up). Nurses showed no change in communication skills. Experimental group doctors showed significant improvement in breaking bad news and requesting donation; most of these improvements were not maintained. Control group doctors showed some improvement in breaking bad news, indicating that participating in measurement by itself initiates some transient change in communication skills. Attendance at EDHEP does lead to significant improvement in some, but not all, communication skills essential in breaking bad news and requesting donation. Further research is necessary to determine what factors additional to EDHEP will contribute to enduring change in these particular skills.
重症监护医护人员在参加欧洲捐赠医院教育项目（EDHEP）研讨会后，自我评估其沟通技巧有所提高。开展了一项前瞻性研究，以确定EDHEP对沟通技巧有何影响。来自10个实验组和10个对照组重症监护病房的医生-护士组合在三个测量点（术前、术后和随访）进行了两次标准化模拟亲属沟通场景（告知坏消息和提出捐赠请求）。护士的沟通技巧没有变化。实验组医生在告知坏消息和提出捐赠请求方面有显著改善；其中大部分改善未得到维持。对照组医生在告知坏消息方面有一些改善，这表明仅参与测量本身就会引发沟通技巧的一些短暂变化。参加EDHEP确实会使在告知坏消息和提出捐赠请求时所必需的一些（而非全部）沟通技巧得到显著改善。有必要进行进一步研究，以确定除EDHEP之外还有哪些因素将有助于这些特定技能的持久改变。
