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医疗机构中的复杂对话:来自临床医生-患者沟通技巧跨专业研讨会的经验。

Complex conversations in a healthcare setting: experiences from an interprofessional workshop on clinician-patient communication skills.

机构信息

Eastern Health, Arnold Street, Box Hill, Victoria, Australia.

Eastern Health Cancer Services, Eastern Health, Arnold Street, Box Hill, Victoria, Australia.

出版信息

BMC Med Educ. 2021 Jun 14;21(1):343. doi: 10.1186/s12909-021-02785-7.

Abstract

BACKGROUND

Communication is pivotal to the effective care and treatment of patients in our health care systems. Despite this understanding, clinicians are not sufficiently educated to confidently conduct complex discussions with patients. Communication skills workshops have been shown to be an effective educational format to improve clinician skills. However, despite the increasing interprofessional focus within modern medicine, there have been few studies looking at interprofessional communication workshops.

METHODS

A qualitative study was conducted to assess how an interprofessional communication skills workshop affected the communication skills of clinicians at a tertiary health service. Pre- and post-workshop surveys were undertaken by participants, followed by focus group interviews eight-weeks post workshop.

RESULTS

Clinicians were able to incorporate learnt communication skills into their daily practice. This was associated with an improvement in confidence of clinicians in having complex discussions, in addition to a reduction in the burden of having complex discussions. Participants responded positively to the interdisciplinary format, reporting benefits from the learning experience that translated into daily practice.

CONCLUSION

Clinicians' communication skills in conducting complex clinician-patient conversations can be improved by participation in interprofessional communication skills workshops. We identified that the interprofessional aspect of the workshops not only improved interprofessional understanding and relationships, but also developed increased self-awareness during complex discussions, and reduced the sense of burden felt by clinicians.

摘要

背景

在我们的医疗体系中,医患间的有效沟通是提供高质量医疗服务和治疗的关键。尽管这一点已经得到了广泛的认识,但临床医生在与患者进行复杂讨论方面的教育仍显不足。沟通技巧培训课程已被证明是提高临床医生技能的有效教育形式。然而,尽管现代医学越来越强调跨专业合作,但很少有研究关注跨专业沟通培训课程。

方法

本研究采用定性研究方法,评估了在一家三级医疗服务机构中,跨专业沟通技巧培训课程对临床医生沟通技巧的影响。参与者在培训前后进行了问卷调查,并在培训后八周进行了焦点小组访谈。

结果

临床医生能够将所学的沟通技巧融入日常实践中。这与他们在进行复杂讨论时的信心增强有关,此外,他们对进行复杂讨论的负担感也有所减轻。参与者对跨学科的培训形式反应积极,报告称从学习经历中受益,并将其转化为日常实践。

结论

通过参与跨专业沟通技巧培训课程,临床医生在进行复杂医患对话方面的沟通技巧可以得到提高。我们发现,培训课程的跨专业方面不仅提高了专业间的理解和关系,还在进行复杂讨论时提高了自我意识,减轻了临床医生的负担感。

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