Finset Arnstein, Ekeberg Øivind, Eide Hilde, Aspegren Knut
Department of Behavioural Sciences in Medicine, University of Oslo, Box 1111 Blindern, N-0317 Oslo, Norway.
Psychooncology. 2003 Oct-Nov;12(7):686-93. doi: 10.1002/pon.691.
To assess satisfaction and learning accomplishments after communication skills training courses for cancer doctors in the Nordic countries.
155 physicians from the five Nordic countries participated in a communication skills training course. Questionnaires were completed at baseline, at course completion and at follow-up after 2 to 6 years.
94% of the physicians indicated satisfaction with the course. Physicians who had participated in the whole course (as opposed to those who had participated only in parts of the course) and physicians from Denmark and Sweden were most satisfied with the course. Whereas physicians at baseline most frequently reported a need to learn specific aspects of communication, often with emphasis on psychiatric problems, at follow-up they most typically reported that they had learnt basic communication skills (i.e. to listen and to pose open-ended questions). The majority of the physicians reported at follow-up that they applied the learnt skills to patient-related work, in relation to colleagues and on a personal level.
Communication skills courses for senior clinicians with no previous formal training in this field should emphasise basic communication skills as well as the handling of difficult situations in doctor-patient interaction.
评估北欧国家癌症医生沟通技能培训课程后的满意度和学习成果。
来自北欧五国的155名医生参加了沟通技能培训课程。在基线、课程结束时以及2至6年后的随访时填写问卷。
94%的医生表示对课程满意。参加了整个课程的医生(相对于只参加了部分课程的医生)以及来自丹麦和瑞典的医生对课程最为满意。在基线时,医生最常报告需要学习沟通的特定方面,通常侧重于精神问题,而在随访时,他们最常报告自己学到了基本的沟通技能(即倾听和提出开放式问题)。大多数医生在随访时报告说,他们将所学技能应用于与患者相关的工作、与同事的交流以及个人层面。
对于此前未接受过该领域正规培训的资深临床医生,沟通技能课程应强调基本沟通技能以及医患互动中困难情况的处理。