提升沟通质量的培训:急诊科临床医生的高效跨学科体验

Training to Improve Communication Quality: An Efficient Interdisciplinary Experience for Emergency Department Clinicians.

作者信息

Aaronson Emily L, White Benjamin A, Black Lauren, Brown David F, Benzer Theodore, Castagna Allison, Raja Ali S, Sonis Jonathan, Mort Elizabeth

机构信息

1 Massachusetts General Hospital, Harvard Medical School, Boston, MA.

2 Massachusetts General Hospital and Massachusetts General Physicians' Organization, Boston, MA.

出版信息

Am J Med Qual. 2019 May/Jun;34(3):260-265. doi: 10.1177/1062860618799936. Epub 2018 Sep 21.

Abstract

Patient-provider communication has been recognized as a critical area of focus for improved health care quality, with a mounting body of evidence tying patient satisfaction and provider communication to important health care outcomes. Despite this, few programs have been studied in the emergency department (ED) setting. The authors designed a communication curriculum and conducted trainings for all ED clinical staff. Although only 72% of clinicians believed the course would be a valuable use of their time before taking it, 97% reported that it was a valuable use of their time after ( P < .001). Pre-course self-evaluation of knowledge, skill, and ability were high. Despite this, post-course self-efficacy improved statistically significantly. This study suggests that it is possible, in a brief training session, to deliver communication content that participants felt was relevant to their practice, improved their skills and knowledge, changed their attitude, and was perceived to be a valuable use of their time.

摘要

患者与医疗服务提供者之间的沟通已被视为提高医疗质量的关键关注领域,越来越多的证据表明患者满意度和医疗服务提供者的沟通与重要的医疗结果相关。尽管如此,在急诊科环境中对相关项目的研究却很少。作者设计了一个沟通课程,并对所有急诊科临床工作人员进行培训。尽管只有72%的临床医生在参加课程前认为该课程对他们的时间利用有价值,但97%的人在参加后表示这是对他们时间的有效利用(P<0.001)。课程前对知识、技能和能力的自我评估很高。尽管如此,课程后的自我效能感在统计学上有显著提高。这项研究表明,在一次简短的培训课程中,有可能提供参与者认为与他们的实践相关、提高了他们的技能和知识、改变了他们的态度并且被认为是对他们时间的有效利用的沟通内容。

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