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伴侣动物兽医沟通技能培训项目评估:一项使用RIAS编码的试点研究

Evaluation of a Communication Skills Training Program for Companion-Animal Veterinarians: A Pilot Study Using RIAS Coding.

作者信息

McArthur Michelle, Fitzgerald Jennifer

出版信息

J Vet Med Educ. 2016 Summer;43(2):111-25. doi: 10.3138/jvme.0215-016R2. Epub 2016 Mar 11.

DOI:10.3138/jvme.0215-016R2
PMID:26966985
Abstract

Effective veterinarian communication skills training and the related key outcomes provided the impetus for this study. We implemented a pre-experimental pre-test/post-test single-group design with a sample of 13 veterinarians and their 71 clients to evaluate the effects of a 6.5-hour communication skills intervention for veterinarians. Consultations were audiotaped and analyzed with the Roter Interaction Analysis System (RIAS). Clients completed the Consultation and Relational Care Measure, a global satisfaction scale, a Parent Medical Interview Satisfaction Scale, and the Adherence Intent measure. Veterinarians completed a communication confidence measure and a workshop satisfaction scale. Contrary to expectation, neither veterinarian communication skills nor their confidence improved post-training. Despite client satisfaction and perceptions of veterinarians' relational communication skills not increasing, clients nevertheless reported an increased intent to adhere to veterinarian recommendations. This result is important because client adherence is critical to managing and enhancing the health and well-being of animals. The results of the study suggest that while the workshop was highly regarded, either the duration of the training or practice opportunities were insufficient or a booster session was required to increase veterinarian confidence and integration of new skills. Future research should utilize a randomized control study design to investigate the appropriate intervention with which to achieve change in veterinarian communication skills. Such change could translate to more effective interactions in veterinarians' daily lives.

摘要

有效的兽医沟通技能培训及相关关键成果为本研究提供了动力。我们采用了一种单组前后测的实验前设计,样本包括13名兽医及其71名客户,以评估针对兽医的6.5小时沟通技能干预的效果。会诊过程进行了录音,并使用罗特互动分析系统(RIAS)进行分析。客户完成了会诊与关系护理量表、总体满意度量表、家长医疗访谈满意度量表以及依从意愿量表。兽医完成了沟通信心量表和工作坊满意度量表。与预期相反,培训后兽医的沟通技能和信心均未提高。尽管客户满意度以及对兽医关系沟通技能的认知没有增加,但客户报告称遵守兽医建议的意愿有所增强。这一结果很重要,因为客户的依从性对于管理和提升动物的健康与福祉至关重要。研究结果表明,虽然该工作坊受到高度评价,但培训时长或实践机会可能不足,或者需要一次强化课程来增强兽医的信心并促进新技能的融合。未来的研究应采用随机对照研究设计,以探究实现兽医沟通技能改变的合适干预措施。这种改变可能转化为兽医日常生活中更有效的互动。

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