Grome Luke J, Banuelos Rosa C, Lopez Michelle A, Nicome Roger K, Leaming-Van Zandt Katherine J
Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.
Texas Children's Hospital Outcomes & Impact Service (TCHOIS), Houston, Tex.
Plast Reconstr Surg Glob Open. 2018 Oct 16;6(10):e1964. doi: 10.1097/GOX.0000000000001964. eCollection 2018 Oct.
Communication is essential to building a trusting, clinician-patient relationship. Multiple studies have demonstrated the effects of experiential communication training on patient experience and provider well-being and resiliency. To date, no studies have described an organization-wide communication training program for pediatric clinicians. The objective of this study was to evaluate the impact of a pediatric-focused communication course on provider satisfaction, self-efficacy, and burnout.
Texas Children's Hospital, in collaboration with the Academy on Communication in Healthcare, designed and implemented a pediatric focused communication course entitled Breakthrough Communication. Pre, immediate-post, and 3-month postcourse completion online surveys were sent to participants 1 day before, 1 day after, and 3 months after course completion. Participant demographic information, self-assessment of communication skills, the Maslach Burnout Inventory Human Services Survey, and postcourse satisfaction data were collected.
Participants reported high course satisfaction and improved self-efficacy in all measured skill sets both following and 3 months after course completion. Trends indicating a reduction in provider burnout improved in 2 of the 3 Maslach Burnout Inventory domains; however, statistical significance was not achieved.
A pediatric-focused communication course was well received by multi-specialty clinicians within a large, academic health care organization. This course enhanced clinician self-efficacy with newly learned pediatric encounter specific communication skills.
沟通对于建立医患之间相互信任的关系至关重要。多项研究已证明体验式沟通培训对患者体验、医疗服务提供者的幸福感和适应能力的影响。迄今为止,尚无研究描述针对儿科临床医生的全组织范围的沟通培训项目。本研究的目的是评估一门以儿科为重点的沟通课程对医疗服务提供者的满意度、自我效能感和职业倦怠的影响。
德克萨斯儿童医院与医疗保健沟通学会合作,设计并实施了一门名为“突破性沟通”的以儿科为重点的沟通课程。在课程完成前1天、完成后1天和完成后3个月,向参与者发送在线调查问卷。收集参与者的人口统计学信息、沟通技能自我评估、马氏职业倦怠量表(人类服务调查版)以及课程结束后的满意度数据。
参与者报告称,在课程结束后及结束3个月后,对所有测量的技能集都有很高的课程满意度且自我效能感有所提高。在马氏职业倦怠量表的3个领域中的2个领域呈现出医疗服务提供者职业倦怠有所减轻的趋势;然而,未达到统计学显著性。
一门以儿科为重点的沟通课程受到了一家大型学术医疗保健机构内多专业临床医生的好评。该课程通过新学到的针对儿科问诊的特定沟通技能提高了临床医生的自我效能感。