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培训健康专业人员的沟通技巧以提高自我效能感:系统评价。

Training in communication skills for self-efficacy of health professionals: a systematic review.

机构信息

Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte, Av. Coronel Martiniano, 541, Centro, Caicó, RN, ZIP Code: 59300-000, Brazil.

Post-Graduate Program in Public Health, Health Science Center, Federal University of Rio Grande do Norte, Av. Sen. Salgado Filho, 1787 - Lagoa Nova, Natal, RN, ZIP Code: 59056-000, Brazil.

出版信息

Hum Resour Health. 2021 Mar 6;19(1):30. doi: 10.1186/s12960-021-00574-3.

Abstract

BACKGROUND

Communication skills are essential for health professionals to establish a positive relationship with their patients, improving their health and quality of life. In this perspective, communication skills training can be effective strategies to improve the care provided by professionals in patient care and the quality of health services.

OBJECTIVE

To identify the best available evidence on training programs in communication skills to promote changes in attitude and behavior or self-efficacy of health professionals.

METHODS

Systematic searches were performed in eight databases, evaluating Randomized Controlled Trials and quasi-experimental studies with a control group, focusing on training communication skills for health professionals, who assessed self-efficacy or behaviors related to these skills. The phases of study selection and data extraction were carried out by two independent researchers, and the conflicts were resolved by a third. The risk of bias was assessed using the Cochrane method.

RESULTS

Eight studies were included in the review. Most programs lasted between 4½ h and 2 days, involved information about communication skills and the content was applied to the health professionals' context. Several teaching strategies were used, such as lectures, videos and dramatizations and the evaluation was carried out using different instruments. Improvements in the performance and in the self-efficacy of communication skills were observed in the trained groups. The RCT had a low risk of bias and the quasi-experimental studies had a moderate risk.

CONCLUSION

Training in communication skills can improve the performance and self-efficacy of health professionals. Programs that approach the conceptual issues and promote the space for experiential learning could be effective in communication skills training for professionals.

PROSPERO

CRD42019129384.

摘要

背景

沟通技巧对于卫生专业人员与患者建立积极的关系至关重要,能够提高患者的健康水平和生活质量。从这个角度来看,沟通技巧培训可以成为改善专业人员提供患者护理和改善卫生服务质量的有效策略。

目的

确定有关沟通技巧培训方案的最佳现有证据,以促进卫生专业人员态度和行为或自我效能的改变。

方法

在八个数据库中进行了系统搜索,评估了针对卫生专业人员沟通技巧培训的随机对照试验和准实验研究,这些研究评估了自我效能或与这些技巧相关的行为。研究选择和数据提取的两个阶段由两名独立的研究人员进行,冲突由第三名解决。使用 Cochrane 方法评估偏倚风险。

结果

共纳入了 8 项研究。大多数方案持续 4 个半小时到 2 天,涉及沟通技巧信息,内容适用于卫生专业人员的背景。使用了多种教学策略,如讲座、视频和角色扮演,并且使用不同的工具进行评估。在接受培训的组中观察到沟通技巧表现和自我效能的提高。RCT 的偏倚风险较低,准实验研究的偏倚风险为中度。

结论

沟通技巧培训可以提高卫生专业人员的表现和自我效能。接近概念问题并促进体验式学习空间的方案可能对专业人员的沟通技巧培训有效。

PROSPERO

CRD42019129384。

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