Isabelle Merckaert, France Delevallez, Anne-Sophie Gibon, Aurore Liénard, Yves Libert, Nicole Delvaux, Paul Van Houtte, and Darius Razavi, Université Libre de Bruxelles; Isabelle Merckaert, Anne-Sophie Gibon, Aurore Liénard, Yves Libert, Paul Van Houtte, and Darius Razavi, Institut Jules Bordet, Université Libre de Bruxelles; Nicole Delvaux, Hôpital Universitaire Erasme; Serge Marchal and Jean-Louis Slachmuylder, Centre de Psycho-Oncologie; Christine Reynaert and Pierre Scalliet, Université Catholique de Louvain, Brussels; and Anne-Marie Etienne, Isabelle Bragard, and Philippe Coucke, Université de Liège, Liège, Belgium.
J Clin Oncol. 2015 Mar 10;33(8):901-9. doi: 10.1200/JCO.2014.57.3287. Epub 2015 Jan 26.
This study assessed the efficacy of a 38-hour communication skills training program designed to train a multidisciplinary radiotherapy team.
Four radiotherapy teams were randomly assigned to a training program or a waiting list. Assessments were scheduled at baseline and after training for the training group and at baseline and 4 months later for the waiting list group. Assessments included an audio recording of a radiotherapy planning session to assess team members' communication skills and expression of concerns of patients with breast cancer (analyzed with content analysis software) and an adapted European Organisation for Research and Treatment of Cancer satisfaction with care questionnaire completed by patients at the end of radiotherapy.
Two hundred thirty-seven radiotherapy planning sessions were recorded. Compared with members of the untrained teams, members of the trained teams acquired, over time, more assessment skills (P = .003) and more supportive skills (P = .050) and provided more setting information (P = .010). Over time, patients interacting with members of the trained teams asked more open questions (P = .022), expressed more emotional words (P = .025), and exhibited a higher satisfaction level regarding nurses' interventions (P = .028).
The 38-hour training program facilitated transfer of team member learned communication skills to the clinical practice and improved patients' satisfaction with care.
本研究评估了一项旨在培训多学科放射治疗团队的 38 小时沟通技巧培训计划的疗效。
将四个放射治疗团队随机分配到培训计划或候补名单。评估计划在基线和培训组的培训后进行，在基线和候补名单组的 4 个月后进行。评估包括记录一次放射治疗计划会议的音频，以评估团队成员的沟通技巧和表达乳腺癌患者的担忧（使用内容分析软件进行分析），以及在放射治疗结束时由患者完成的经改编的欧洲癌症研究与治疗组织满意度护理问卷。
共记录了 237 次放射治疗计划会议。与未经培训的团队成员相比，经过培训的团队成员随着时间的推移获得了更多的评估技能（P =.003）和更多的支持技能（P =.050），并提供了更多的环境信息（P =.010）。随着时间的推移，与接受培训的团队成员互动的患者提出了更多的开放性问题（P =.022），表达了更多的情感词汇（P =.025），并对护士干预的满意度更高（P =.028）。
38 小时的培训计划促进了团队成员学习的沟通技巧转移到临床实践中，并提高了患者对护理的满意度。
