Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Patient Educ Couns. 2011 Aug;84(2):152-62. doi: 10.1016/j.pec.2010.06.010. Epub 2010 Jul 29.
Physicians need good communication skills to communicate effectively with patients. The objective of this review was to identify effective training strategies for teaching communication skills to qualified physicians.
PubMED, PsycINFO, CINAHL, and COCHRANE were searched in October 2008 and in March 2009. Two authors independently selected relevant reviews and assessed their methodological quality with AMSTAR. Summary tables were constructed for data-synthesis, and results were linked to outcome measures. As a result, conclusions about the effectiveness of communication skills training strategies for physicians could be drawn.
Twelve systematic reviews on communication skills training programmes for physicians were identified. Some focused on specific training strategies, whereas others emphasized a more general approach with mixed strategies. Training programmes were effective if they lasted for at least one day, were learner-centred, and focused on practising skills. The best training strategies within the programmes included role-play, feedback, and small group discussions.
Training programmes should include active, practice-oriented strategies. Oral presentations on communication skills, modelling, and written information should only be used as supportive strategies.
To be able to compare the effectiveness of training programmes more easily in the future, general agreement on outcome measures has to be established.
医生需要良好的沟通技巧才能与患者进行有效的沟通。本综述的目的是确定有效的培训策略,以教授合格医生沟通技巧。
于 2008 年 10 月和 2009 年 3 月检索了 Pubmed、PsycINFO、CINAHL 和 Cochrane。两位作者独立选择了相关的综述,并使用 AMSTAR 评估其方法学质量。为数据综合制作了总结表,并将结果与结果衡量标准联系起来。因此,可以得出关于医师沟通技巧培训策略有效性的结论。
确定了 12 篇关于医师沟通技巧培训计划的系统评价。其中一些专注于特定的培训策略,而另一些则强调采用混合策略的更一般方法。如果培训计划至少持续一天、以学习者为中心并专注于练习技能,则培训计划是有效的。计划中最好的培训策略包括角色扮演、反馈和小组讨论。
培训计划应包括积极的、面向实践的策略。口头报告沟通技巧、示范和书面信息只能作为支持策略使用。
为了能够在未来更容易地比较培训计划的有效性,必须就结果衡量标准达成普遍共识。