Hart Chantelle Nobile, Drotar Dennis, Gori Abdulla, Lewin Linda
Department of Psychology, Case University Medical School & Rainbow Babies & Children's Hospital, USA.
Patient Educ Couns. 2006 Oct;63(1-2):38-46. doi: 10.1016/j.pec.2005.08.007. Epub 2005 Oct 19.
To address the need for interventions to enhance parent-provider communication, the present study evaluated the effectiveness of a brief intervention to enhance interpersonal communication skills by pediatric and internal medicine/pediatric residents with parents of children seen in ambulatory practice.
In a within-subjects, repeated measures research design, residents (N=28) participated in a 1-112h intervention designed to increase the use of effective communication skills with their patients' families (N=92). Three pediatric visits (one prior to and two following the intervention) were audio-taped and coded using Roter's Interaction Analysis System. Parents' perceptions of residents' communication skills and satisfaction with care were gathered.
Residents used more effective interpersonal communication skills following the intervention (p<.05). Parent satisfaction with care also increased (p<.01) with parents reporting greater satisfaction with distress relief (p=.01) and communication following the intervention (p=.05). However, parents' perceptions of resident communication did not change over time.
These findings suggest that a relatively brief intervention shows promise in improving the quality of care provided within a pediatric ambulatory care setting.
Training residents to increase their use of praise, empathy, and collaboration with families can be done within a brief intervention and may be associated with increased parental satisfaction with care.
为满足加强医患沟通干预措施的需求，本研究评估了一项简短干预措施的效果，该措施旨在提高儿科及内科/儿科住院医师与门诊就诊患儿家长之间的人际沟通技巧。
采用受试者内重复测量研究设计，住院医师（N = 28）参与了一项1 - 1.5小时的干预措施，旨在增加他们与患者家庭（N = 92）有效沟通技巧的使用。三次儿科就诊（干预前一次，干预后两次）进行了录音，并使用罗特尔互动分析系统进行编码。收集了家长对住院医师沟通技巧的看法以及对护理的满意度。
干预后住院医师使用了更有效的人际沟通技巧（p <.05）。家长对护理的满意度也有所提高（p <.01），家长报告对干预后缓解痛苦（p =.01）和沟通方面的满意度更高（p =.05）。然而，家长对住院医师沟通的看法并未随时间改变。
这些发现表明，相对简短的干预措施在改善儿科门诊护理质量方面显示出前景。
在简短干预中培训住院医师增加对家长的赞扬、同理心及合作的运用，可能会提高家长对护理的满意度。
