School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Bathurst, NSW, Australia.
Adv Health Sci Educ Theory Pract. 2022 Oct;27(4):1113-1138. doi: 10.1007/s10459-022-10134-6. Epub 2022 Jul 19.
The objective of this review is to examine the current literature related to interpersonal communication skill development within undergraduate paramedicine. Interpersonal communication is a vital paramedic skill, with evidence demonstrating it leads to improved patient outcomes and satisfaction and reduces medical errors. Interpersonal communication is a core capability set by paramedicine regulatory bodies, and it is the responsibility of accredited universities to ensure graduates are ready for industry and possess all required skills and attributes. In order to be included in this scoping review, all articles were required to meet a pre-determined 'population, concept, context' (PCC) framework. The population was undergraduate paramedic students within the context of their undergraduate paramedicine programs, and the concept was interpersonal communication education/teaching/training. In June 2021, a search was conducted using CINAHL, Medline, Emcare and ERIC. The articles had to be written in English and published between 2011 and 2021 and non-research sources were excluded. 176 articles were identified in this search and after screening for duplicates and relevancy, 15 articles were found to be eligible. The literature highlighted 4 key themes, including graduate perception of 'work readiness', and a variety of learning experiences including alternative work integrated learning (WIL), interactions with specific patient groups and professional learning experiences. The literature demonstrated that interpersonal communication skills are fostered through human interactions, WIL and simulation, within undergraduate paramedicine programs. Findings from the literature review indicate that practising communication through human interactions, afford an increase in confidence, awareness of ability and empathy, and an increased awareness of preconceived biases. Intraprofessional and interprofessional simulation teaching methods demonstrate the potential to build students confidence in communication and awareness of what is required to function well in a team.
本次综述的目的在于考察与本科阶段急救医学专业学生人际沟通技能培养相关的现有文献。人际沟通是急救医学专业人员的一项重要技能，有证据表明，它可改善患者结局和满意度，并减少医疗差错。人际沟通是急救医学监管机构设定的核心能力之一，确保毕业生为行业做好准备并具备所有必要技能和特质则是经认证的大学的责任。为了被纳入本次范围综述，所有文章都必须符合预先确定的“人群、概念、背景”（Population, Concept, Context，简称 PCC）框架。人群是本科阶段的急救医学专业学生，背景是他们的本科急救医学课程，概念则是人际沟通教育/教学/培训。2021 年 6 月，利用 CINAHL、Medline、Emcare 和 ERIC 进行了检索。文章必须用英文撰写，并在 2011 年至 2021 年期间发表，且不可使用非研究来源。此次检索共确定了 176 篇文章，在对重复和相关性进行筛选后，发现有 15 篇文章符合条件。文献突出了 4 个关键主题，包括毕业生对“工作准备”的看法，以及各种学习体验，包括替代工作综合学习（Work Integrated Learning，简称 WIL）、与特定患者群体的互动以及专业学习体验。文献表明，人际沟通技能是通过本科急救医学课程中的人际互动、WIL 和模拟来培养的。文献综述的结果表明，通过人际互动进行沟通实践可提高信心、能力意识和同理心，增强对固有偏见的认识。同专业间和跨专业间的模拟教学方法表明，它们有可能增强学生在沟通方面的信心，并使其认识到在团队中良好运作所需的条件。
