Włoszczak-Szubzda Anna, Jarosz Mirosław J
Department of Health Informatics and Statistics, Institute of Rural Health, Lublin, Poland.
Ann Agric Environ Med. 2013;20(1):189-94.
Dissonance between the high 'technical' competences of medical professionals, including physiotherapists, and the relatively low level of patient satisfaction with care received is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between medical professionals and patients.
The primary goal of the presented research was evaluation of the level (study of the state) of communication competences of physiotherapists, and determination of the factors on which this level depends. An additional goal was analysis of the needs and educational possibilities within the existing models of education in the area of interpersonal communication provided by higher medical education institutions.
DESIGN, SETTING AND PARTICIPANTS: The self-designed questionnaire and adjective check list were subject to standardization from the aspect of reliability and validity. Information available on the websites of 20 educational facilities in Poland were compared. The study group covered a total number of 115 respondents in the following subgroups: 1) occupationally-active physiotherapists who, as a rule, were not trained in interpersonal communication (35 respondents); students of physiotherapy covered by a standard educational programme (60 respondents); 3) students of physiotherapy who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications (20 respondents).
The results of studies indicate poor efficacy of shaping communication competences of physiotherapists based on education in the area of general psychology and general interpersonal communication. Communication competences acquired during undergraduate physiotherapy education are subject to regression during occupational activity.
Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences, rather than on general communication skills.
包括物理治疗师在内的医学专业人员的“技术”能力较高,但患者对所接受护理的满意度相对较低,这种不协调现象在许多国家都有观察到。许多研究表明,这一现象发生在医学专业人员与患者之间人际沟通不足的情况下。
本研究的主要目标是评估物理治疗师沟通能力的水平(现状研究),并确定该水平所依赖的因素。另一个目标是分析高等医学教育机构在人际沟通领域现有教育模式下的需求和教育可能性。
设计、背景和参与者:自行设计的问卷和形容词检查表从信度和效度方面进行了标准化。对波兰20所教育机构网站上的可用信息进行了比较。研究组共包括115名受访者,分为以下亚组:1)通常未接受人际沟通培训的在职物理治疗师(35名受访者);接受标准教育课程的物理治疗专业学生(60名受访者);3)除标准教育课程外,还参加专业人际沟通额外课程的物理治疗专业学生(20名受访者)。
研究结果表明,基于普通心理学和一般人际沟通领域的教育来塑造物理治疗师的沟通能力效果不佳。本科物理治疗教育期间获得的沟通能力在职业活动中会出现退化。
沟通能力评估方法有助于构建专注于特定沟通能力而非一般沟通技巧的团体和个人课程。