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新生儿重症监护沟通(NC3):培训新生儿重症监护病房医师和执业护士。

Neonatal Critical Care Communication (NC3): training NICU physicians and nurse practitioners.

机构信息

Division of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins Berman Institute of Bioethics, Baltimore, MD, USA.

出版信息

J Perinatol. 2013 Aug;33(8):642-6. doi: 10.1038/jp.2013.22. Epub 2013 Feb 28.

Abstract

OBJECTIVE

Communicating with families is a core skill for neonatal clinicians, yet formal communication training rarely occurs. This study examined the impact of an intensive interprofessional communication training for neonatology fellows and nurse practitioners.

STUDY DESIGN

Evidence-based, interactive training for common communication challenges in neonatology incorporated didactic sessions, role-plays and reflective exercises. Participants completed surveys before, after, and one month following the training.

RESULT

Five neonatology fellows and eight nurse practitioners participated (n=13). Before the training, participants overall felt somewhat prepared (2.6 on 5 point Likert-type scale) to engage in core communication challenges; afterwards, participants overall felt very well prepared (4.5 on Likert-type scale) (P<0.05). One month later, participants reported frequently practicing the taught skills and felt quite willing to engage in difficult conversations.

CONCLUSION

An intensive communication training program increased neonatology clinicians' self-perceived competence to face communication challenges which commonly occur, but for which training is rarely provided.

摘要

目的

与患者家属进行沟通是新生儿科临床医生的核心技能,但很少有正式的沟通培训。本研究考察了对新生儿科住院医师和执业护师进行强化跨专业沟通培训的效果。

研究设计

针对新生儿科常见沟通挑战的循证、互动式培训包括了理论课程、角色扮演和反思练习。参与者在培训前、培训后和培训后一个月完成了调查。

结果

共有 5 名新生儿科住院医师和 8 名执业护师参加(n=13)。培训前,参与者总体上感到对参与核心沟通挑战有些准备(5 分制的 2.6 分);培训后,参与者总体上感到非常有准备(5 分制的 4.5 分)(P<0.05)。一个月后,参与者报告经常练习所教授的技能,并且非常愿意进行困难的对话。

结论

强化沟通培训计划提高了新生儿科临床医生面对常见但很少提供培训的沟通挑战的自我感知能力。

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