Curtin School of Nursing, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
School of Nursing and Midwifery, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Psychooncology. 2021 Sep;30(9):1405-1419. doi: 10.1002/pon.5702. Epub 2021 Apr 28.
To determine the reported effect of online communication skills training (CST) on health professional (HP) communication skills and patient care outcomes in cancer and palliative care.
Primary research published in English between January 2003 and April 2019 was identified in bibliographic databases including Medline, Embase and Proquest (Prospero: CRD42018088681). An integrated mixed-method approach included studies describing a CST intervention and its effect, for cancer or palliative care HPs, delivered online or blended with an online component. Included studies' outcomes were categorised then findings were stratified by an evaluation framework and synthesised in an effect direction plot. Risk of bias was assessed using Joanna Briggs Institute's tools.
Nineteen included studies (five randomised controlled trials, 11 pre-post, two post-test and one qualitative study) evaluated a CST intervention (median duration = 3.75 h; range 0.66-96 h) involving 1116 HPs, 422 students and 732 patients. Most interventions taught communication skills for specific scenarios and approximately half were delivered solely online and did not involve role plays. Online CST improved HPs' self-assessed communication skills (three studies, 215 participants), confidence (four studies, 533 participants), and objective knowledge (five studies, 753 participants). While few studies evaluated patient outcomes, CST may benefit observed communication skills in care settings (two studies, 595 participants).
Online CST benefits oncology HPs' subjectively-reported communication skills and confidence, and objective knowledge. Translation to patient outcomes requires further investigation. The quality of research varied and few studies had a control group. We recommend improvements to study design, evaluation and implementation.
确定在线沟通技巧培训（CST）对癌症和姑息治疗中卫生专业人员（HP）沟通技巧和患者护理结果的报告效果。
在 Medline、Embase 和 Proquest（Prospéro：CRD42018088681）等书目数据库中，确定了 2003 年 1 月至 2019 年 4 月期间以英文发表的主要研究。采用综合混合方法，包括描述 CST 干预措施及其效果的研究，针对癌症或姑息治疗 HP，在线或混合在线进行。纳入研究的结果进行分类，然后根据评估框架对结果进行分层，并在效果方向图中进行综合。使用 Joanna Briggs 研究所的工具评估偏倚风险。
19 项纳入研究（5 项随机对照试验、11 项前后对照、2 项后测和 1 项定性研究）评估了 CST 干预措施（中位数持续时间为 3.75 小时；范围为 0.66-96 小时），涉及 1116 名 HP、422 名学生和 732 名患者。大多数干预措施都教授了特定场景下的沟通技巧，大约一半是完全在线进行的，不涉及角色扮演。在线 CST 提高了 HP 的自我评估沟通技巧（3 项研究，215 名参与者）、信心（4 项研究，533 名参与者）和客观知识（5 项研究，753 名参与者）。虽然很少有研究评估患者结局，但 CST 可能有益于观察到的护理环境中的沟通技巧（2 项研究，595 名参与者）。
在线 CST 有益于肿瘤学 HP 主观报告的沟通技巧和信心以及客观知识。向患者结局的转化需要进一步研究。研究质量参差不齐，很少有研究有对照组。我们建议改进研究设计、评估和实施。
