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参与式制定和评估针对肿瘤学家的沟通技巧培训计划——基于患者视角的培训内容和教学方法评价。

Participative development and evaluation of a communication skills-training program for oncologists-patient perspectives on training content and teaching methods.

机构信息

Department for Psychosomatic Medicine and Psychotherapy, Center for Health Communication and Health Services Research (CHSR), University Hospital Bonn, Bonn, Germany.

Center for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Germany.

出版信息

Support Care Cancer. 2022 Mar;30(3):1957-1966. doi: 10.1007/s00520-021-06610-1. Epub 2021 Oct 9.

Abstract

BACKGROUND

Using the 6-step approach to curriculum development for medical education, we developed a communication skills training (CST) curriculum for oncology and evaluated this curriculum from the perspective of cancer patients.

METHODS

We conducted a qualitative interview study with cancer patients, collecting data using semi-structured face-to-face or telephone interviews with a short standardized survey. We fully transcribed the audiotaped interviews and conducted the content analysis using MAXQDA 2020. We analyzed the quantitative sociodemographic data descriptively.

RESULTS

A total of 22 cancer patients participated, having a mean age of 60.6 (SD, 13.2) years and being predominantly female (55%). The patients believed that the CST curriculum addressed important aspects of patient-centered communication in cancer care. They emphasized the importance of physicians acquiring communication skills to establish a trusting relationship between doctor and patient, show empathy, inform patients, and involve them in treatment decisions. The patients had some doubts concerning the usefulness of strict protocols or checklists (e.g., they feared that protocol adherence might disturb the conversation flow).

DISCUSSION

Although it was a challenge for some participants to take the perspective of a trainer and comment on the CST content and teaching methods, the patients provided a valuable perspective that can help overcome blind spots in CST concepts.

摘要

背景

我们采用医学教育课程开发的 6 步方法,为肿瘤学开发了沟通技巧培训(CST)课程,并从癌症患者的角度评估了该课程。

方法

我们对癌症患者进行了定性访谈研究,使用半结构化的面对面或电话访谈收集数据,并附有简短的标准化调查。我们将录音采访完全转录,并使用 MAXQDA 2020 进行内容分析。我们对定量社会人口统计学数据进行了描述性分析。

结果

共有 22 名癌症患者参与,平均年龄为 60.6(SD,13.2)岁,主要为女性(55%)。患者认为 CST 课程涉及癌症护理中以患者为中心的沟通的重要方面。他们强调医生获得沟通技巧的重要性,以在医患之间建立信任关系、表现出同理心、告知患者并让他们参与治疗决策。一些患者对严格的协议或检查表的有用性表示怀疑(例如,他们担心遵守协议可能会干扰对话流程)。

讨论

尽管对一些参与者来说,从培训师的角度来评论 CST 内容和教学方法具有一定挑战性,但患者提供了宝贵的观点,可以帮助克服 CST 概念中的盲点。

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