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癌症和姑息治疗医护人员的强制性沟通技巧培训:一刀切是否可行?

Mandatory communication skills training for cancer and palliative care staff: does one size fit all?

机构信息

School of Health and Medicine, Lancaster University, Lancaster LA1 4YT, UK.

出版信息

Eur J Oncol Nurs. 2011 Dec;15(5):398-403. doi: 10.1016/j.ejon.2010.11.003. Epub 2010 Dec 15.

Abstract

PURPOSE OF THE RESEARCH

There is increasing recognition of the importance of good communication between healthcare professionals and patients facing cancer or end of life. In England, a new national 3-day training programme called 'Connected' has been developed and is now mandatory for all cancer and palliative care professionals. This study aimed to explore the attitudes of staff in one region to undertaking this training.

METHODS AND SAMPLE

A survey questionnaire was developed through a series of discussions with experts and semi-structured interviews with five healthcare professionals. The questionnaire was distributed to 200 cancer and palliative care staff; 109 were completed and returned.

KEY RESULTS

There were significant differences between doctors' and nurses' attitudes to communication skills training, with doctors demonstrating more negative attitudes. More nurses than doctors felt that communication skills training should be mandatory for cancer and palliative care professionals (p ≤ 0.001), whilst more doctors felt that these staff should already be skilled communicators and not require further training (p ≤ 0.001). Nurses also self-rated their communication skills more highly than doctors.

CONCLUSIONS

The current 'one size fits all' approach being taken nationally to advanced communication skills training does not meet the training preferences of all healthcare professionals, and it is recommended that tailoring courses to individuals' needs should be considered.

摘要

研究目的

越来越多的人认识到,在癌症或生命末期患者面前,医护人员之间进行良好沟通的重要性。在英国,开发了一种新的为期三天的名为“Connected”的全国性培训计划,现在所有癌症和姑息治疗专业人员都必须参加。本研究旨在探讨一个地区的工作人员对参加这种培训的态度。

方法和样本

通过与专家进行一系列讨论和对五名医疗保健专业人员进行半结构化访谈,开发了一份调查问卷。向 200 名癌症和姑息治疗医护人员发放了问卷;完成并返回了 109 份。

主要结果

医生和护士对沟通技巧培训的态度存在显著差异,医生表现出更消极的态度。与医生相比,更多的护士认为沟通技巧培训应该是癌症和姑息治疗专业人员的必修课(p≤0.001),而更多的医生认为这些工作人员已经是熟练的沟通者,不需要进一步培训(p≤0.001)。护士对自己的沟通技巧评价也高于医生。

结论

目前全国范围内采用的“一刀切”的高级沟通技巧培训方法并不能满足所有医护人员的培训偏好,建议考虑根据个人需求定制课程。

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