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丹麦一家大医院的医护人员进行以患者为中心的沟通技巧培训方案的效果。

The effectiveness of a person-centred communication skills training programme for the health care professionals of a large hospital in Denmark.

机构信息

Health Services Research Unit, Lillebaelt University Hospital, Vejle, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Pediatrics, Lillebaelt University Hospital, Kolding, Denmark.

出版信息

Patient Educ Couns. 2021 Jun;104(6):1423-1430. doi: 10.1016/j.pec.2020.11.018. Epub 2020 Nov 17.

Abstract

OBJECTIVE

As a part of an evaluation of a large-scale communication skills training (CST) programme, this study aimed to investigate the effect on health care professionals' (HCPs) self-efficacy (SE) and perceived importance (PI) of the skills taught.

METHODS

A pre-post intervention design was used, and 1647 HCPs responded to the SE-12 questionnaire. Changes in self-efficacy were examined at an item and scale level.

RESULTS

The responses of 74% of the HCPs who replied to at least two of the three questionnaires were analysed. A significant increase in the SE-12 scale scores by 12.45 points between Q1 (baseline) and Q2 (immediately after the intervention) across all professions was found. There was a small albeit statistically significant decrease in the SE-12 scale scores by 2.06 points between Q2 and Q3 (24 weeks after the intervention).

CONCLUSION

The implementation of the CST course significantly improved the self-efficacy of HCPs. The findings were supported by an increase in the number of HCPs who considered the skills that they had acquired to be very important.

PRACTICE IMPLICATIONS

The findings suggest that the large-scale implementation of evidence-based CST programmes can yield the same outcomes that have been observed in smaller and better controlled studies.

摘要

目的

作为对大规模沟通技巧培训(CST)计划评估的一部分,本研究旨在调查所教授技能对医疗保健专业人员(HCPs)自我效能感(SE)和感知重要性(PI)的影响。

方法

采用前后干预设计,1647 名 HCPs 回答了 SE-12 问卷。在项目和量表水平上检查了自我效能感的变化。

结果

分析了至少回答三个问卷中的两个问卷的 74% HCPs 的回复。在所有专业中,SE-12 量表得分从 Q1(基线)到 Q2(干预后立即)显著增加了 12.45 分。从 Q2(干预后 24 周)到 Q3,SE-12 量表得分略有下降,但具有统计学意义,下降了 2.06 分。

结论

CST 课程的实施显著提高了 HCPs 的自我效能感。这一发现得到了更多 HCPs 认为他们所获得的技能非常重要的支持。

实践意义

研究结果表明,大规模实施基于证据的 CST 计划可以产生与在规模较小且控制较好的研究中观察到的相同结果。

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