Alzahrani Ahmad S, Alqahtani Abdullah, Abdulkader Sayed, Alluhabi Motaz A, Alqabbas Rashed
Mental Health Department, Neuroscience Center, King Abdullah Medical City, Makkah, Saudi Arabia.
Neuroscience Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Med Sci Educ. 2019 Jun 25;29(3):771-777. doi: 10.1007/s40670-019-00764-8. eCollection 2019 Sep.
Self-perception in clinical skills, including communication skills (CS), has been found to provide insights on strengths, weaknesses, and opportunities for skill improvement. The present study is aimed at exploring perceived CS among physicians working at a tertiary healthcare level.
Physicians working at a tertiary hospital based in Saudi Arabia were invited to complete a modified self-questionnaire that assesses CS. Descriptive and association studies were performed. Psychometric properties of the questionnaire were determined.
Out of the 101 participating physicians, 57.2% rated their CS in the range of very good and excellent, but only 30.7% rated themselves as overall excellent. The question item with the highest mean score (score range, 1 to 5) was related to encouraging patients to ask questions (4.2 ± 0.9), while the lowest was for the item that assessed information disclosure (3.8 ± 0.8). Males rated themselves higher than females in the item related to explaining things to patients ( < 0.05), whereas physicians with non-surgical specialties rated themselves better than those with surgical specialties in the item related to expressing interest in patients ( < 0.05).
Based on physicians' self-rated assessment, less than the third of tertiary care physicians considered themselves as maintaining an excellent level of CS. Future studies are encouraged to examine CS through a multisystem assessment and promote the need for CS training for physicians working at a tertiary care level.
临床技能的自我认知,包括沟通技能(CS),已被发现能为技能提升的优势、劣势和机会提供见解。本研究旨在探索在三级医疗保健机构工作的医生对沟通技能的认知情况。
邀请在沙特阿拉伯一家三级医院工作的医生完成一份经过修改的评估沟通技能的自我问卷。进行了描述性和相关性研究,并确定了问卷的心理测量特性。
在101名参与的医生中,57.2%将他们的沟通技能评为非常好或优秀,但只有30.7%认为自己整体表现优秀。平均得分最高(分数范围为1至5)的问题项与鼓励患者提问有关(4.2±0.9),而得分最低的是评估信息披露的项(3.8±0.8)。在向患者解释事情的项上,男性给自己的评分高于女性(P<0.05),而在对患者表达兴趣的项上,非外科专业的医生给自己的评分高于外科专业的医生(P<0.05)。
根据医生的自评,不到三分之一的三级医疗保健医生认为自己保持着优秀的沟通技能水平。鼓励未来的研究通过多系统评估来检查沟通技能,并促进对在三级医疗保健机构工作的医生进行沟通技能培训的必要性。