Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2022 Feb;58(2):243-247. doi: 10.1111/jpc.15688. Epub 2021 Aug 10.
Excellent communication is essential for health professionals working with children. Teddy Bear Hospital (TBH) is an innovative method of developing paediatric communication skills in health-care students. By exploring the child's perspective of medical students' communication at the TBH, we sought to better understand the role TBH plays in the development of the communication skills in medical students.
Semi-structured interviews were conducted with 31 children, aged 3-8 years old, who were attending a TBH run by third year medical students at the Royal Children's Hospital in Melbourne. These interviews were recorded and transcribed after which themes were generated by inductive content analysis using the programme NVivo 12.
Children used mostly positive language when describing interactions with teddy doctors. However, almost half of the children could not recall the medical students explaining why their teddy was sick or how their teddy would get better. Furthermore, many teddies returned from TBH with medical issues different to their initial presentation.
The communication described at TBH was overwhelmingly positive with children describing little difference between medical students and actual doctors. However, the mismatch in teddy medical issues before and after a visit to TBH along with the lack of understanding on teddy health management plans, suggests the need for further evidence-based training in communication skills for medical students to improve their ability to communicate with very young children.
优秀的沟通对于从事儿童工作的医疗专业人员至关重要。泰迪熊医院（Teddy Bear Hospital，TBH）是一种创新的方法，可以培养医学生的儿科沟通技巧。通过探索儿童对医学生在 TBH 中沟通的看法，我们试图更好地了解 TBH 在医学生沟通技巧发展中的作用。
对 31 名年龄在 3-8 岁之间的儿童进行了半结构化访谈，这些儿童正在墨尔本皇家儿童医院由三年级医学生管理的 TBH 就诊。这些访谈被记录下来并转录后，使用 NVivo 12 程序通过归纳内容分析生成主题。
孩子们在描述与泰迪医生的互动时大多使用了积极的语言。然而，近一半的孩子无法回忆起医学生解释他们的泰迪为什么生病或他们的泰迪如何康复。此外，许多泰迪从 TBH 回来时的医疗问题与他们最初的表现不同。
在 TBH 描述的沟通是压倒性的积极的，孩子们描述了医学生和真正的医生之间几乎没有什么区别。然而，泰迪在去 TBH 前后的医疗问题不匹配，以及对泰迪健康管理计划的理解不足，表明需要进一步进行基于证据的医学生沟通技巧培训，以提高他们与非常年幼的孩子沟通的能力。
