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“对我而言,这是一种转变”:以跨专业关系为中心的沟通技能培训的定性分析

"For Me, This Has Been Transforming": A Qualitative Analysis of Interprofessional Relationship-Centered Communication Skills Training.

作者信息

Hirschmann Krista, Rosler Greta, Fortin Vi Auguste H

机构信息

Academy of Communication in Healthcare, Lexington, KY, USA.

Department of Medicine, Yale School of Medicine, Academy of Communication in Healthcare, New Haven, CT, USA.

出版信息

J Patient Exp. 2020 Dec;7(6):1007-1014. doi: 10.1177/2374373520962921. Epub 2020 Oct 16.

Abstract

In 2018, Yale Medicine (YM)-an academic multispecialty practice-and Yale New Haven Health System (YNHH), partnered with the Academy of Communication in Healthcare to develop a one-day interprofessional workshop to introduce relationship-centered communication skills to all of their nurses and physicians. Relationship-centered communication skills include showing positive regard, listening actively and expressing empathy and have been demonstrated to improve patient outcomes. A professionally diverse group of 12 nurses and physicians, committed to improving patient experiences, were purposefully selected for training to teach the workshop. Individual interviews with trainers 3 months post training revealed themes reflecting the intrapersonal, interpersonal, and organizational impact of participation in the Train-the-Trainer program. At the intrapersonal level, training contributed to personal growth, skillfulness, and confidence. At the interpersonal level, it expanded and strengthened professional networks. As an organizational catalyst, training transformed the work experience among nurse and physician trainers, thereby supporting YM/YNHH's vision to provide interprofessional relationship-centered care. Results suggest that trainer training had additional benefits beyond learning to deliver the workshop, including improving the quality of trainers' personal and professional relationships, and enhancing organizational efficiency and interprofessionalism.

摘要

2018年,耶鲁医学(YM)——一家学术多专科医疗机构——与耶鲁纽黑文医疗系统(YNHH)合作,与医疗保健沟通学会共同举办了一场为期一天的跨专业研讨会,向其所有护士和医生介绍以关系为中心的沟通技巧。以关系为中心的沟通技巧包括表达积极关注、积极倾听和表达同理心,并且已被证明能改善患者治疗效果。特意挑选了12名致力于改善患者体验的护士和医生组成一个专业背景多样的小组参加培训,以便教授该研讨会。在培训结束3个月后对培训师进行的个人访谈揭示了一些主题,这些主题反映了参与培训师培训项目在个人、人际和组织层面产生的影响。在个人层面,培训促进了个人成长、技能提升和自信心增强。在人际层面,它拓展并强化了专业网络。作为一种组织催化剂,培训改变了护士和医生培训师的工作体验,从而支持了耶鲁医学/耶鲁纽黑文医疗系统提供以跨专业关系为中心的护理的愿景。结果表明,培训师培训除了学会举办研讨会之外还有其他益处,包括改善培训师个人和职业关系的质量,以及提高组织效率和跨专业协作水平。

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