Halkett Georgia, O'Connor Moira, Aranda Sanchia, Jefford Michael, Merchant Susan, York Debra, Miller Lisa, Schofield Penelope
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
J Med Radiat Sci. 2016 Dec;63(4):232-241. doi: 10.1002/jmrs.171. Epub 2016 Apr 21.
Patients sometimes present for radiation therapy with high levels of anxiety. Communication skills training may assist radiation therapists to conduct more effective consultations with patients prior to treatment planning and treatment commencement. The overall aim of our research is to examine the effectiveness of a preparatory programme 'RT Prepare' delivered by radiation therapists to reduce patient psychological distress. The purpose of this manuscript was to describe the communication skills workshops developed for radiation therapists and evaluate participants' feedback.
Radiation therapists were invited to participate in two communication skills workshops run on the same day: (1) Consultation skills in radiation therapy and (2) Eliciting and responding to patients' emotional cues. Evaluation forms were completed. Radiation therapists' consultations with patients were then audio-recorded and evaluated prior to providing a follow-up workshop with participants.
Nine full day workshops were held. Sixty radiation therapists participated. Positive feedback was received for both workshops with 88% or more participants agreeing or strongly agreeing with all the statements about the different components of the two workshops. Radiation therapists highlighted participating in role play with an actor, discussing issues; receiving feedback; acquiring new skills and knowledge; watching others role play and practicing with checklist were their favourite aspects of the initial workshop. The follow-up workshops provided radiation therapists with feedback on how they identified and addressed patients' psychological concerns; time spent with patients during consultations and the importance of finding private space for consultations.
Communication skills training consisting of preparing patients for radiation therapy and eliciting and responding to emotional cues with follow-up workshops has the potential to improve radiation therapists' interactions with patients undergoing radiation therapy. Further research is warranted, similar to the RT Prepare study, to determine whether patient anxiety can be reduced as a result of improving communication and information provision.
患者有时在接受放射治疗时会表现出高度焦虑。沟通技巧培训可能有助于放射治疗师在治疗计划制定和治疗开始前与患者进行更有效的咨询。我们研究的总体目标是检验放射治疗师提供的“放疗准备”预备计划在减轻患者心理困扰方面的有效性。本手稿的目的是描述为放射治疗师开发的沟通技巧工作坊,并评估参与者的反馈。
邀请放射治疗师参加同一天举办的两个沟通技巧工作坊:(1)放射治疗中的咨询技巧;(2)引出并回应患者的情绪线索。完成评估表。然后在为参与者提供后续工作坊之前,对放射治疗师与患者的咨询进行录音和评估。
共举办了9次全天工作坊。60名放射治疗师参加。两个工作坊均收到了积极反馈,88%或更多的参与者同意或强烈同意关于两个工作坊不同组成部分的所有陈述。放射治疗师强调,参与与演员的角色扮演、讨论问题、接受反馈、获得新技能和知识、观看他人角色扮演以及使用检查表进行练习是他们最初工作坊中最喜欢的方面。后续工作坊为放射治疗师提供了关于他们如何识别和解决患者心理问题、咨询期间与患者相处的时间以及寻找私密咨询空间的重要性的反馈。
由为放疗患者做准备以及通过后续工作坊引出并回应情绪线索组成的沟通技巧培训,有可能改善放射治疗师与接受放射治疗患者之间的互动。有必要进行进一步的研究,类似于“放疗准备”研究,以确定改善沟通和信息提供是否能降低患者焦虑。