1 Institute of Primary and Community Care, Lucerne, Switzerland.
2 Swiss Paraplegic Research, Nottwil, Switzerland.
J Adolesc Young Adult Oncol. 2019 Jun;8(3):354-362. doi: 10.1089/jayao.2018.0078. Epub 2019 Jan 16.
We aimed to pilot and evaluate communication skills training (CST) for health care professionals (HCPs) interacting with adolescent patients with cancer and their parents based on participants' needs. We developed and piloted a 2-day CST with physicians and nurses in adolescent oncology. The CST's agenda was determined by the critical incidents reported by the participants. Training consisted of experiential learning based on role-play between HCPs and simulated patients and parents. Whenever suited, short lectures were given on specific communication techniques. Skills were self-assessed by questionnaires before, immediately after, and 6 months after training. We compared the proportion of participants who felt confident in 19 predefined areas of difficult communication before and 6 months after training. Responses to open-ended questions were analyzed qualitatively by thematic analysis. Twenty-six physicians and 24 nurses participated in 6 CSTs. The proportion of participants who felt confident increased significantly in 6 of 19 communication items ( < 0.05). Positive feedback outweighed negative in quantity and quality. Predominant themes immediately after training were the training's practical orientation and intensity, and 6 months later, increased self-confidence and applied communication techniques. Participants noted that the effect diminishes with time, and expressed their need for booster trainings. The results of CST tailored to the specific needs of HCPs in adolescent oncology were promising. We suggest that similar training opportunities are implemented elsewhere.
我们旨在根据参与者的需求,为与青少年癌症患者及其父母互动的医疗保健专业人员(HCPs)试行并评估沟通技巧培训(CST)。我们为青少年肿瘤学的医生和护士开发并试行为期两天的 CST。CST 的议程由参与者报告的关键事件决定。培训包括 HCP 与模拟患者和家长之间角色扮演的体验式学习。只要合适,就会就特定的沟通技巧进行简短的讲座。培训前、培训后立即和培训后 6 个月,通过问卷调查自我评估技能。我们比较了培训前和培训后 6 个月,19 项困难沟通领域中参与者对自己有信心的比例。通过主题分析对开放式问题的回答进行定性分析。26 名医生和 24 名护士参加了 6 次 CST。在 19 项沟通项目中有 6 项(<0.05)参与者对自己有信心的比例显著增加。正面反馈在数量和质量上都超过了负面反馈。培训后立即出现的主要主题是培训的实际导向和强度,6 个月后,参与者的自信心和应用沟通技巧有所提高。参与者注意到效果会随着时间的推移而减弱,并表示他们需要进行强化培训。针对青少年肿瘤学中 HCP 特定需求的 CST 结果很有希望。我们建议在其他地方提供类似的培训机会。