Molinuevo Beatriz, Aradilla-Herrero Amor, Nolla Maria, Clèries Xavier
Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, Autonomous University of Barcelona, Barcelona, Spain.
Escola Universitària d'Infermeria Gimbernat, Autonomous University of Barcelona, Barcelona, Spain.
Educ Health (Abingdon). 2016 May-Aug;29(2):132-5. doi: 10.4103/1357-6283.188755.
The consensus about the importance of communication skills in patient-care does not guarantee that students and faculty perceive the usefulness of these skills. This study evaluated and compared medical students', residents' and tutors' attitudes towards learning communication skills, and examined the association with gender and year of residency.
We conducted a cross-sectional survey with 492 participants (282 second-year students, 131 residents and 79 tutors). They completed the Communication Skills Attitude Scale (CSAS) and demographic/educational information.
In general, participants showed positive attitudes towards learning communication skills. Medical students, residents and tutors did not differ on the Positive Attitudes Scale (CSAS-PAS). Residents scored higher than medical students on the Negative Attitudes Scale (CSAS-NAS) (P < 0.01). Females showed higher scores on the CSAS-PAS (P < 0.05) and lower scores on the CSAS-NAS (P < 0.01) than males in all subsamples. The effect sizes were medium. There were no significant differences according to year of residency.
Medical students, residents and tutors consider training in communication skills an essential component for clinical practice and they agree about the need to learn these communication skills. Attention should be paid to measuring attitudes at all three levels of medical education in the design of communication skills courses.
关于沟通技巧在患者护理中的重要性已达成共识，但这并不保证学生和教员能认识到这些技能的有用性。本研究评估并比较了医学生、住院医师和导师对学习沟通技巧的态度，并考察了其与性别及住院年限的关联。
我们对492名参与者（282名二年级学生、131名住院医师和79名导师）进行了横断面调查。他们完成了沟通技能态度量表（CSAS）以及人口统计学/教育信息调查。
总体而言，参与者对学习沟通技巧表现出积极态度。在积极态度量表（CSAS - PAS）上，医学生、住院医师和导师没有差异。在消极态度量表（CSAS - NAS）上，住院医师的得分高于医学生（P < 0.01）。在所有子样本中，女性在CSAS - PAS上的得分高于男性（P < 0.05），在CSAS - NAS上的得分低于男性（P < 0.01）。效应大小为中等。根据住院年限没有显著差异。
医学生、住院医师和导师认为沟通技能培训是临床实践的重要组成部分，并且他们一致认为有必要学习这些沟通技能。在设计沟通技能课程时，应关注医学教育所有三个层面的态度测量。
