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提升印度住院医师的沟通技巧:一种跨专业教育方法。

Enhancing communication skills among residents in India: An interprofessional education approach.

作者信息

Bhatia Jasvinder Kaur, Chaturvedi Abhishek, Datta Karuna, Ciraj A M

机构信息

Professor & Head (Pathology), Command Hospital (Eastern Command), Kolkata, India.

Senior Grade Lecturer (Biochemistry), Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Med J Armed Forces India. 2021 Feb;77(Suppl 1):S115-S121. doi: 10.1016/j.mjafi.2020.12.027. Epub 2021 Feb 2.

DOI:10.1016/j.mjafi.2020.12.027
PMID:33612941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7873706/
Abstract

BACKGROUND

Interprofessional education (IPE) provides opportunities to postgraduates to develop communication skills which are vital for interactions with patients, their relatives, colleagues, paramedical and nursing staff. There is a need to develop an innovative IPE based module on communication skills for postgraduates stressing upon the existing lacunae and requirements detected by a validated assessment tool. We assessed the residents' appraisal of communication skills by a validated questionnaire to identify key areas to improve their communication skills and to determine perceptions of all the stakeholders i.e. faculty, nursing staff and paramedical staff.

METHODS

A descriptive correlational design using an online self-administered questionnaire on a sample of a total of 200 participants comprising residents, paramedical staff, nursing staff and faculty of tertiary care hospital. Study was approved by the Institutional Ethical Committee. Data was analysed by SPSS Version 22.0 used. (p value < 0.05 significant).

RESULTS

The participants included 113 residents, 17 paramedical staff, 33 Nursing staff and 37 faculty members. The present study found a significant difference of scores of means between the residents, faculty, paramedical staff and nursing staff p value < 0.05 except for alter centrism, interaction management and environmental control. The mean scores were also significantly different between the first, second and third year residents.

CONCLUSION

This study validates the need to enhance the communication skills of residents. The scores obtained will help us design and refine IPE module for the benefit of the residents.

摘要

背景

跨专业教育(IPE)为研究生提供了培养沟通技巧的机会,这些技巧对于与患者及其亲属、同事、辅助医疗人员和护理人员的互动至关重要。有必要为研究生开发一个基于IPE的创新沟通技巧模块,强调通过经过验证的评估工具发现的现有缺陷和需求。我们通过一份经过验证的问卷评估了住院医师对沟通技巧的评价,以确定提高他们沟通技巧的关键领域,并确定所有利益相关者(即教员、护理人员和辅助医疗人员)的看法。

方法

采用描述性相关设计,使用在线自填问卷,对一家三级护理医院的200名参与者(包括住院医师、辅助医疗人员、护理人员和教员)进行抽样调查。该研究获得了机构伦理委员会的批准。使用SPSS 22.0版本进行数据分析。(p值<0.05具有显著性)。

结果

参与者包括113名住院医师、17名辅助医疗人员、33名护理人员和37名教员。本研究发现,住院医师、教员、辅助医疗人员和护理人员之间的平均得分存在显著差异(p值<0.05),但在自我中心主义、互动管理和环境控制方面除外。第一年、第二年和第三年住院医师之间的平均得分也存在显著差异。

结论

本研究证实了提高住院医师沟通技巧的必要性。获得的分数将帮助我们设计和完善IPE模块,以造福住院医师。

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Introduction of an undergraduate interprofessional simulation based skills training program in obstetrics and gynaecology in India.印度一项基于模拟的本科妇产科跨专业技能培训项目介绍。
Adv Simul (Lond). 2019 Apr 18;4:6. doi: 10.1186/s41077-019-0096-7. eCollection 2019.
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Teaching and Assessing Communication Skills in Medical Undergraduate Training.医学本科培训中的沟通技能教学与评估
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Effectiveness of interprofessional education by on-field training for medical students, with a pre-post design.采用前后测设计,对医学生进行现场培训的跨专业教育效果。
BMC Med Educ. 2015 Jul 29;15:121. doi: 10.1186/s12909-015-0409-z.
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Development and evaluation of the feasibility and effects on staff, patients, and families of a new tool, the Psychosocial Assessment and Communication Evaluation (PACE), to improve communication and palliative care in intensive care and during clinical uncertainty.制定和评估一种新工具(心理社会评估和沟通评估工具,PACE)的可行性,及其对员工、患者和家属的影响,旨在改善重症监护和临床不确定情况下的沟通和姑息治疗。
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Attitudes and anxiety levels of medical students towards the acquisition of competencies in communication skills.医学生对获得沟通技巧能力的态度和焦虑水平。
Patient Educ Couns. 2011 Dec;85(3):e272-7. doi: 10.1016/j.pec.2011.07.005. Epub 2011 Aug 2.
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