University Hospital of South Manchester NHS Foundation Trust, Southmoor Road, Manchester M23 9LT, UK.
Patient Educ Couns. 2010 Apr;79(1):87-93. doi: 10.1016/j.pec.2009.06.004. Epub 2009 Jul 22.
To develop a model for addressing the emotional concerns of patients or their caregivers; to teach the model in a three-hour workshop and to assess the impact of that training on a wide range of health and social care staff.
A multi-specialty team, including a cancer patient, developed a model based on the evidence relating to emotional support and communication skills. The model (SAGE & THYME) consists of nine steps (see Box 1). The purpose of the model is to enable staff of all grades and roles to fulfil the most important objectives of support: enabling patients to describe their concerns and emotions if they wish to do so, holding and respecting those concerns; identifying the patients' support structures; exploring the patients' own ideas and solutions before offering advice or information. Over 800 health and social care staff of all grades and students have participated in the three-hour SAGE & THYME training workshops.
Analysis from 412 participants suggests that the workshops had a significant positive effect on self-confidence (p<.0005), self-perception of competence (p<.0005) and willingness to explore the emotional concerns of patients (p<.0005). 95% felt that the workshop would be very likely to have an impact on their practice.
The workshops have been successful in increasing the self-perceptions of confidence, competence and willingness to explore the emotional concerns of patients. The model 'SAGE & THYME' has been welcomed by participants.
Staff groups will require training for patients or their caregivers to have their concerns heard without interruption and to be allowed to explore their own resolutions. The three-hour SAGE & THYME training may go some way towards helping patients and staff form sound partnerships which assist patients to participate constructively in their own care.
制定一个解决患者或其照护者情绪问题的模型；通过三小时的工作坊教授该模型，并评估该培训对广泛的医疗和社会保健人员的影响。
一个多专业团队，包括一名癌症患者，基于与情感支持和沟通技巧相关的证据，开发了一个模型。该模型（SAGE & THYME）由九个步骤组成（见方框 1）。该模型的目的是使各级和各种角色的员工都能够实现支持的最重要目标：使患者能够在他们愿意的情况下描述他们的担忧和情绪，保留并尊重这些担忧；确定患者的支持结构；在提供建议或信息之前，探索患者自己的想法和解决方案。超过 800 名各级医疗和社会保健人员和学生参加了三小时的 SAGE & THYME 培训工作坊。
对 412 名参与者的分析表明，这些工作坊对自信（p<.0005）、自我感知能力（p<.0005）和探索患者情绪问题的意愿（p<.0005）有显著的积极影响。95%的人认为该工作坊极有可能对他们的实践产生影响。
这些工作坊成功地提高了员工对自信、能力和探索患者情绪问题的意愿的自我认知。参与者欢迎 SAGE & THYME 模型。
为了让患者或其照护者的担忧得到倾听而不被打断，并允许他们探索自己的解决方案，员工群体将需要接受培训。三小时的 SAGE & THYME 培训可能有助于患者和员工建立良好的伙伴关系，帮助患者积极参与自己的护理。
