Cohen A, Doucède G, Clouqueur E, Debarge V, Behal H, Rubod C, Hanssens S
Département d'obstétrique, CHU de Lille, 59000 Lille, France.
Clinique Saint-George, 134, avenue des Arènes de Cimiez, 06000 Nice, France.
Gynecol Obstet Fertil Senol. 2021 Nov;49(11):823-829. doi: 10.1016/j.gofs.2021.04.010. Epub 2021 Apr 29.
Communication breakdown is one of the main causes of adverse events in clinical routine. The main objective of this study was to assess whether a short training course on medical communication based on the situation-background-assessment-recommendation (SBAR) tool improved the quality of communication in clinical practice.
Interventional study, conducted at the Jeanne de Flandre maternity unit (Lille University Hospital, France) between January 2017 and December 2019. The training sessions lasted 1 hour and consisted of a theoretical part, based on the SBAR tool, and of a practical part (video-stimulated recall and role-play case scenarios). The main outcome measure was the evaluation of the quality of the telephone calls made by a caregiver to the on-call doctor, using a questionnaire completed before (Q1) and remotely from training (Q2).
One hundred and twenty health professionals were trained (n=120). Following the trainings, there was an improvement in communication in the short term, whether in terms of relevance (64.9 vs. 52.6, P<0.001) or conciseness of the message (36.9 vs. 32.2, P<0.001), but also in terms of long-term in a real clinical situation (Q2: 3.9 vs. Q1: 3.0, P<0.001). Finally, 81% of participants were satisfied with the training.
Short training sessions on communication based on the SBAR tool appeared to improve participants' knowledge and skills in the short-term, but also in the longer term in a real clinical situation.
沟通障碍是临床日常不良事件的主要原因之一。本研究的主要目的是评估基于情况 - 背景 - 评估 - 建议(SBAR)工具的简短医学沟通培训课程是否能提高临床实践中的沟通质量。
于2017年1月至2019年12月在法国里尔大学医院让娜·德·佛兰德产科病房进行的干预性研究。培训课程持续1小时,包括基于SBAR工具的理论部分和实践部分(视频刺激回忆和角色扮演病例场景)。主要结局指标是使用培训前(Q1)和培训后远程填写的问卷对护理人员给值班医生打电话的沟通质量进行评估。
120名卫生专业人员接受了培训(n = 120)。培训后,短期内沟通在相关性(64.9对52.6,P < 0.001)或信息简洁性(36.9对32.2,P < 0.001)方面均有所改善,在实际临床情况中的长期沟通也有所改善(Q2:3.9对Q1:3.0,P < 0.001)。最后,81%的参与者对培训感到满意。
基于SBAR工具的简短沟通培训课程似乎能在短期内提高参与者的知识和技能,在实际临床情况中从长期来看也是如此。