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在美国肯塔基州农村马健康检查期间,使用罗特互动分析系统评估兽医专业学生临床沟通技巧:一项试点研究。

The use of the roter interaction analysis system in assessing veterinary student clinical communication skills during equine wellness examinations in rural Kentucky, USA: A pilot study.

作者信息

Pereira Mary Mauldin, Artemiou Elpida, De Pedro Pedro, Adams Cindy, Ritter Caroline

机构信息

Department of Clinical Sciences Ross University School of Veterinary Medicine Basseterre St. Kitts.

Department of Biomedical Sciences Ross University School of Veterinary Medicine Basseterre St. Kitts.

出版信息

Vet Rec Open. 2021 Nov 24;8(1):e23. doi: 10.1002/vro2.23. eCollection 2021 Dec.

Abstract

BACKGROUND

Effective clinical communication can aid veterinarians in building good client relationships, increase adherence to recommendations and, ultimately, improve patient health and welfare. However, available information on veterinary communication in the equine context is limited. The objective of this study was to describe the communication of veterinary students in the equine environment who had previous communication training. Additionally, we assessed the suitability of the Roter Interaction Analysis System (RIAS) for the analysis of audio-video recordings of equine wellness consultations.

METHODS

Twenty-seven equine wellness consultations performed by second-year Ross University School of Veterinary Medicine students were recorded in rural Kentucky, United States of America. Recordings were submitted to a professional coder who applied the RIAS to the equine context by expanding or adjusting code definitions.

RESULTS

A substantial amount of utterances (i.e. segments of speech) were allocated to core communication skills including building rapport (30%), facilitation and client activation (24%) and education and counselling (23%). There was a large variation in utterances used among consultations of the same veterinary student and students; they did not appear anxious or nervous.

CONCLUSIONS

Students made use of core communication skills, indicating that experiences from pre-clinical training could be transferred to equine practice. Furthermore, this study demonstrated that the RIAS could be considered for consecutive studies aiming to provide observational data on clinical communication in the equine context.

摘要

背景

有效的临床沟通有助于兽医建立良好的客户关系,提高对建议的依从性,并最终改善动物的健康和福利。然而,关于马医学领域兽医沟通的现有信息有限。本研究的目的是描述接受过沟通培训的兽医专业学生在马医学环境中的沟通情况。此外,我们评估了罗特互动分析系统(RIAS)在分析马健康咨询视频记录方面的适用性。

方法

在美国肯塔基州农村,记录了罗斯大学兽医学院二年级学生进行的27次马健康咨询。记录被提交给一名专业编码员,该编码员通过扩展或调整编码定义将RIAS应用于马医学领域。

结果

大量话语(即言语片段)被归类为核心沟通技能,包括建立融洽关系(30%)、促进和客户激活(24%)以及教育和咨询(23%)。同一兽医专业学生以及不同学生的咨询中使用的话语存在很大差异;他们看起来并不焦虑或紧张。

结论

学生们运用了核心沟通技能,这表明临床前培训的经验可以应用于马医学实践。此外,本研究表明,对于旨在提供马医学领域临床沟通观察数据的后续研究,可以考虑使用RIAS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7838/8612452/cc0fa5a9713d/VRO2-8-e23-g001.jpg

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