Lippe Megan, Stanley Alexandra, Ricamato Allison, Halli-Tierney Anne, McKinney Robert
University of Alabama, Capstone College of Nursing, Tuscaloosa, AL, USA.
University of Alabama, College of Community Health Sciences, Tuscaloosa, AL, USA.
Am J Hosp Palliat Care. 2020 Jan;37(1):65-71. doi: 10.1177/1049909119865862. Epub 2019 Jul 26.
Effective team communication is necessary for the provision of high-quality health care. Yet, recent graduates from diverse health-care disciplines report inadequate training in communication skills and end-of-life care. This study explored the impact of a withdrawal of life-sustaining measures interprofessional simulation on team communication skills of students representing medicine, nursing, and social work. The 3-phase simulation required teams to communicate with the patient, family, and one another in the care of a seriously ill patient at the end of life. Team communication in the filmed simulations was analyzed via the Gap-Kalamazoo Communication Checklist. Results revealed fair to good communication across the 9 communication domains. Overall team communication was strongest in "shares information" and lowest in "understands the patient's and family's perspective" domains. Field notes revealed 5 primary themes-, , , , and -in the course of the data analysis. Logistical challenges encountered in simulation development and implementation are presented, along with proposed solutions that were effective for this study. This simulation provided an opportunity for interprofessional health-care provider students to learn team communication skills within an end-of-life care context.
有效的团队沟通对于提供高质量的医疗保健是必要的。然而，近期来自不同医疗保健学科的毕业生报告称，他们在沟通技巧和临终关怀方面的培训不足。本研究探讨了撤除维持生命措施的跨专业模拟对代表医学、护理和社会工作专业的学生团队沟通技巧的影响。这个三阶段模拟要求团队在临终时照顾一名重症患者的过程中，与患者、家属以及彼此进行沟通。通过《差距-卡拉马祖沟通清单》对拍摄的模拟中的团队沟通进行了分析。结果显示，在9个沟通领域中沟通情况为中等偏上。整体团队沟通在“分享信息”方面最强，在“理解患者和家属的观点”方面最弱。实地记录在数据分析过程中揭示了5个主要主题。文中介绍了模拟开发和实施过程中遇到的后勤挑战，以及对本研究有效的建议解决方案。这个模拟为跨专业医疗保健专业学生提供了一个在临终关怀背景下学习团队沟通技巧的机会。
