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在大型组织中,将沟通技巧培训研究转化为实践:积极利用 RE-AIM 框架。

Research in communication skills training translated into practice in a large organization: a proactive use of the RE-AIM framework.

机构信息

Health Services Research Unit, Lillebaelt Hospital/IRS University of Southern Denmark, Denmark.

出版信息

Patient Educ Couns. 2011 Mar;82(3):482-7. doi: 10.1016/j.pec.2011.01.002.

Abstract

OBJECTIVE

To describe how a specific communication course for health professionals has been evaluated and implemented in clinical practice and how it will be transferred and evaluated at the entire hospital.

METHODS

The different phases of the research process from generating the hypothesis to implementing the results are described and exemplified by means of published studies and a study under planning. RE-AIM, an acronym for Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance, is used to describe the process.

RESULTS

In descriptive studies we identified a need for improving the communication with patients. By evaluating the efficacy and effectiveness of communication skills training we showed that the courses could improve clinicians' self-efficacy in specific communication tasks. After all clinicians had participated in the communication course the proportion of satisfied parents increased significantly. Based on these experiences a program for implementing the communication course at the entire hospital is being planned.

CONCLUSION

To succeed in translating the research results into practice, long-term commitment is needed in order to create a conducive climate for the implementation.

PRACTICE IMPLICATIONS

This focused and goal-oriented approach may inspire other researchers when planning, conducting, and evaluating their research.

摘要

目的

描述一项针对卫生专业人员的特定沟通课程如何在临床实践中进行评估和实施,以及如何在整个医院进行转移和评估。

方法

通过已发表的研究和正在计划中的研究,描述并举例说明了从产生假设到实施结果的研究过程的不同阶段。采用“RE-AIM”(范围、效果/有效性、采用、实施和维持)这一缩写来描述这一过程。

结果

在描述性研究中,我们发现需要改进与患者的沟通。通过评估沟通技巧培训的效果和有效性,我们表明这些课程可以提高临床医生在特定沟通任务中的自我效能感。在所有临床医生都参加了沟通课程后,家长满意度显著提高。基于这些经验,正在计划在整个医院实施沟通课程的方案。

结论

要成功地将研究结果转化为实践,需要长期承诺,以营造有利于实施的氛围。

实践意义

当规划、进行和评估研究时,这种有针对性和目标导向的方法可能会为其他研究人员提供灵感。

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