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听力医学教育中发展以患者为中心的沟通时的相互冲突议程及其他矛盾:教育者观点的定性研究

Competing agendas and other tensions in developing patient-centred communication in audiology education: a qualitative study of educator perspectives.

作者信息

Tai Samantha, Barr Caitlin, Woodward-Kron Robyn

机构信息

a The HEARing Cooperative Research Centre , Carlton , Victoria , Australia.

b Department of Audiology and Speech Pathology , The University of Melbourne , Melbourne , Victoria , Australia , and.

出版信息

Int J Audiol. 2018 Apr;57(4):274-282. doi: 10.1080/14992027.2017.1385863. Epub 2017 Oct 9.

Abstract

OBJECTIVE

Patient-centred communication (PCC) is an essential skill for effective healthcare provision and is accepted as a core competency in medicine and allied health. In audiology, recent studies have shown that audiologists rarely display PCC in adult hearing interactions. This highlights a need to investigate how PCC is taught and learnt in audiology. There is a paucity of studies on PCC in audiology education. The aim of this study is to examine educator perceptions of teaching PCC, including barriers and facilitators, in Australian graduate audiology programmes.

DESIGN

Semi-structured interviews were conducted with audiology educators responsible for communication training. Interview transcripts were analysed using qualitative content analysis.

STUDY SAMPLE

Nine participants, including programme coordinators and key teaching staff from all six Australian audiology programmes participated in the study.

RESULTS

PCC education was found to be influenced by four emerging themes: professional culture and values, contextual factors, knowledge and understanding of PCC and individual factors.

CONCLUSIONS

These results provide an insight into the competing agendas involved in implementing PCC education in both the university and clinical component of audiology programmes. The findings can play a role in refining and building the evidence-base for teaching and facilitating patient-centred audiological care in future audiologists.

摘要

目的

以患者为中心的沟通(PCC)是有效提供医疗服务的一项基本技能,被公认为医学及相关健康领域的一项核心能力。在听力学领域,近期研究表明,听力学家在成人听力互动中很少展现出PCC。这凸显了研究听力学中PCC的教学与学习方式的必要性。目前关于听力学教育中PCC的研究匮乏。本研究旨在考察澳大利亚听力学研究生课程中教育工作者对PCC教学的看法,包括障碍因素和促进因素。

设计

对负责沟通培训的听力学教育工作者进行半结构化访谈。使用定性内容分析法对访谈记录进行分析。

研究样本

九名参与者,包括来自澳大利亚所有六个听力学课程的项目协调员和关键教学人员参与了本研究。

结果

发现PCC教育受到四个新出现的主题的影响:专业文化与价值观、背景因素、对PCC的知识与理解以及个人因素。

结论

这些结果深入揭示了在听力学课程的大学和临床部分实施PCC教育所涉及的相互竞争的议程。这些发现可为未来听力学家以患者为中心的听力学护理教学和促进工作的完善及证据基础的建立发挥作用。

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