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急诊科专业人员的沟通与影响力:一项在急诊科为急诊科开发的培训计划。

Communication and Influencing for ED Professionals: A training programme developed in the emergency department for the emergency department.

作者信息

Rixon Andrew, Rixon Sascha, Addae-Bosomprah Hansel, Ding Mingshuang, Bell Anthony

机构信息

Babel Fish Group Pty Ltd, Melbourne, Victoria, Australia.

Emergency Department, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia.

出版信息

Emerg Med Australas. 2016 Aug;28(4):404-11. doi: 10.1111/1742-6723.12603. Epub 2016 May 18.

Abstract

OBJECTIVE

The objective of the present study is to develop and pilot a communication and influencing skills training programme that meets ED health professionals' needs at an urban district hospital.

METHODS

Qualitative methods within a participatory action research framework were utilised. An interdisciplinary team guided the programme's design and development. A training needs analysis saw team meetings, interviews, focus groups and observations conducted across the ED. Thematic analysis of the data identified health professionals' communication and influencing challenges. The training needs analysis informed the training programme curriculum's development. The pilot programme involved an interdisciplinary group of seven health professionals across 5 × 2 h sessions over 3 months, followed by a post-training survey.

RESULTS

Five themes of communication and influencing challenges were identified: participating in effective handovers, involving patients in bedside handovers, effectively communicating with interdepartmental colleagues, asking ED colleagues to do tasks and understanding ED colleagues' roles, expectations and assumptions. Based on these challenges, the formulated RESPECT model (which stands for Relationships, Expectations, Styles, Partnerships, Enquiry, Coaching and Teamwork) informed the training curriculum. The peer coaching model used in the training programme was highly regarded by participants.

CONCLUSIONS

Communication and Influencing for ED Professionals™ (Babel Fish Group Pty Ltd, Melbourne, Victoria, Australia) addresses a gap for communication programmes developed in the ED for the ED. Future research will evaluate the programme's impact in this ED.

摘要

目的

本研究的目的是开发并试行一项沟通与影响技能培训项目,以满足市区医院急诊科医护人员的需求。

方法

采用参与式行动研究框架内的定性方法。一个跨学科团队指导该项目的设计与开发。通过团队会议、访谈、焦点小组讨论以及在急诊科进行观察来开展培训需求分析。对数据进行主题分析,确定医护人员在沟通和影响方面面临的挑战。培训需求分析为培训项目课程的开发提供了依据。试点项目涉及由七名医护人员组成的跨学科小组,在3个月内进行了5次每次2小时的课程培训,随后进行了培训后调查。

结果

确定了沟通和影响方面的五个挑战主题:参与有效的交接班、让患者参与床边交接班、与跨部门同事进行有效沟通、要求急诊科同事完成任务以及了解急诊科同事的角色、期望和假设。基于这些挑战,制定的RESPECT模型(代表关系、期望、风格、伙伴关系、询问、指导和团队合作)为培训课程提供了指导。培训项目中使用的同伴指导模式受到了参与者的高度评价。

结论

《急诊科专业人员沟通与影响》(澳大利亚维多利亚州墨尔本巴别鱼集团私人有限公司)填补了急诊科内部开发的沟通项目的空白。未来的研究将评估该项目在这个急诊科的影响。

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