City of Hope Medical Center, Duarte, California.
Northwestern University Feinberg School of Medicine, Chicago, Illinois.
J Palliat Med. 2019 Sep;22(9):1082-1091. doi: 10.1089/jpm.2018.0645. Epub 2019 Apr 13.
Expert communication skills are essential for the delivery of effective palliative care across the domains of care. However, few health care providers receive formal communication training. To promote communication education for interdisciplinary palliative care teams, a train-the-trainer course for interdisciplinary hospital-based palliative care teams was developed to prepare them to teach other health care professionals communication skills. The curriculum was organized by the eight domains of the National Consensus Project Guidelines for Quality Palliative Care and provided communication skills training for California-based teams. The two-day train-the-trainer course included skill-building exercises and interactive discussions to assist participants in integrating communication skills building into their clinical settings. Using a goal-directed method of teaching, faculty assisted teams in developing three institutional goals for providing palliative care communication training to other health care professionals. Evaluation of the course included immediate postcourse evaluation and follow-up evaluation at six and nine months. The first statewide interdisciplinary communication training took place in January 2018 with 26 palliative care teams consisting of primarily nurses, followed by social workers, chaplains, and physicians. The 46 course participants' postcourse evaluations demonstrated high satisfaction with the course. On a scale of 1 to 5 (1 = lowest), the course met participants' expectations and objectives (4.8). The teams' precourse goals focused on (1) staff education, training, and mentorship, and (2) institution-wide system changes. Palliative care interdisciplinary teams can incorporate communication skills into their practice and provide communication skills training to their institutions.
专业的沟通技巧对于在各个护理领域提供有效的姑息治疗至关重要。然而,很少有医疗保健提供者接受过正式的沟通培训。为了促进姑息治疗跨学科团队的沟通教育,我们为跨学科的医院姑息治疗团队开发了一项培训师培训课程,以培养他们教授其他医疗保健专业人员沟通技巧的能力。该课程根据国家共识项目姑息治疗质量指南的八个领域组织,为加利福尼亚州的团队提供沟通技巧培训。为期两天的培训师培训课程包括技能建设练习和互动讨论,以帮助参与者将沟通技巧融入其临床环境中。使用目标导向的教学方法,教师协助团队为向其他医疗保健专业人员提供姑息治疗沟通培训制定了三个机构目标。课程评估包括课程结束后的即时评估以及六个月和九个月后的后续评估。第一次全州范围的跨学科沟通培训于 2018 年 1 月进行,共有 26 个姑息治疗团队参加,主要由护士组成,其次是社会工作者、牧师和医生。46 名课程参与者的课后评估表明他们对课程非常满意。在 1 到 5 的等级量表中(1 表示最低),课程满足了参与者的期望和目标(4.8)。团队的课前目标集中在(1)员工教育、培训和指导,以及(2)机构范围内的系统变革。姑息治疗跨学科团队可以将沟通技巧融入他们的实践中,并为他们的机构提供沟通技巧培训。