Goelz Tanja, Wuensch Alexander, Stubenrauch Sara, Bertz Hartmut, Wirsching Michael, Fritzsche Kurt
Abteilung Innere Medizin I, Schwerpunkt Hämatologie und Onkologie, Universitätsklinikum Freiburg, Germany.
Onkologie. 2010;33(1-2):65-9. doi: 10.1159/000264626. Epub 2010 Jan 22.
There are several reasons why consultations addressing the transition to palliative care are especially challenging, and physicians are generally not very well prepared to meet these challenges. We therefore conceptualized and evaluated a concise, individualized communication skills training (CST) addressing i) communication concerning the transition to palliative care, and ii) involvement of significant others in the conversation. Core aspects of the CST and data of acceptance will be presented.
The core elements of the CST are a 1.5-day workshop held in small groups and a subsequent individual coaching session during everyday routine. The workshop is practice-oriented and highly individualized. Acceptance was assessed by using a self-developed 13-item questionnaire.
All 41 participating physicians completed the evaluation questionnaire. The participants' overall evaluation of the workshop was very positive and indicated a high personal benefit. Individualized learning tools like 'assessment of individual learning goals' and 'closing with individual take-home messages' were also seen as positive, but not as positive as other elements like practicing with actor patients and feedback from actors and facilitators.
The presented specific, individualized, and concise CST is well accepted, and physicians see a high practical relevance and strong personal benefits.
关于向姑息治疗过渡的会诊存在诸多特别具有挑战性的原因，而且医生通常并未做好充分准备来应对这些挑战。因此，我们构思并评估了一种简洁的、个性化的沟通技能培训（CST），该培训涉及以下两个方面：一是关于向姑息治疗过渡的沟通，二是让重要他人参与对话。将介绍CST的核心内容及接受度数据。
CST的核心要素包括为期1.5天的小组研讨会以及随后在日常工作中的个人辅导课程。该研讨会以实践为导向且高度个性化。通过使用自行编制的包含13个条目的问卷来评估接受度。
所有41位参与的医生都完成了评估问卷。参与者对研讨会的总体评价非常积极，并表明个人收获颇丰。诸如“评估个人学习目标”和“以个人收获信息结束”等个性化学习工具也被视为积极因素，但不如与模拟患者练习以及来自模拟患者和主持人的反馈等其他因素那样积极。
所呈现的这种特定的、个性化且简洁的CST很受欢迎，医生们认为其具有很高的实际相关性和显著的个人收益。
