Scheel-Sailer Anke, Eich Stephanie, Jelmoni Luca, Lampart Patricia, Schwitter Michael, Sigrist-Nix Diana, Langewitz Wolf
Swiss Paraplegic Center, Rehabilitation, Nottwil, Switzerland.
Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Front Rehabil Sci. 2022 Jul 28;3:883138. doi: 10.3389/fresc.2022.883138. eCollection 2022.
To investigate the impact of site-specific inter-professional small-group communication skills training (CST) that incorporates critical incident approaches to learning on patient satisfaction with communication.
Rehabilitation clinic specialized for spinal cord injury/disorder (SCI/D).
Retrospective observational cohort study design using patient and health-professional self-report data. Data for patient satisfaction with communication were collected in 2014 (existing records) and each year from 2015 to 2021 (post-program; volunteers) using the MECON survey.
Fifteen basic ( = 161 participants), 16 refresher ( = 84), and five short ( = 17) CST seminars were conducted. Overall, 262 employees (105 physicians, 63 nurses, 36 physio- and occupational therapists, and 58 others) participated; 92 participants (response rate 37.6%) responded to feedback surveys. They rated the seminars positive concerning the alternation between theory, discussion, and practical exercise in 91.3%, and rated the length of the training ideal in 80.2%. Post-program patient satisfaction overall increased from 83.1% (confidence interval (CI) 2.6%) to 90% (CI 0.8%; R2 = 0.776; p= 0.004). It was higher in specific communication-related topics: "receiving information" (81.1%, CI 3.1-90.2%, CI 1.0%; = 0.003), "being able to bring in concerns" (83%, CI 1.0-90.8%; R2 = 0.707; = 0.009) and "being treated with respect" (89.4%, CI 2.6-94.4%, CI 0.8%; R2 = 0.708; = 0.004).
Inter-professional CST is feasible and well accepted by professionals from various professional groups. During seven years of continuous training, independent patient ratings of satisfaction with professional communication have improved significantly. Participants attest to the training's high credibility and usefulness in everyday life.
探讨采用关键事件学习法的特定场所跨专业小组沟通技能培训（CST）对患者沟通满意度的影响。
脊髓损伤/疾病（SCI/D）专科医院。
采用回顾性观察队列研究设计，使用患者和医疗专业人员的自我报告数据。2014年（现有记录）以及2015年至2021年每年（项目实施后；志愿者）使用MECON调查问卷收集患者沟通满意度数据。
举办了15场基础（n = 161名参与者）、16场复习（n = 84）和5场短期（n = 17）CST研讨会。总体而言，262名员工（105名医生、63名护士、36名物理治疗师和职业治疗师以及58名其他人员）参与；92名参与者（回复率37.6%）回复了反馈调查。他们对研讨会在理论、讨论和实践练习之间的交替给予了积极评价，占91.3%，对培训时长认为理想的占80.2%。项目实施后，患者总体满意度从83.1%（置信区间（CI）2.6%）提高到90%（CI 0.8%；R2 = 0.776；p = 0.004）。在与沟通相关的特定主题方面更高：“接收信息”（81.1%，CI 3.1 - 90.2%，CI 1.0%；p = 0.003），“能够提出担忧”（83%，CI 1.0 - 90.8%；R2 = 0.707；p = 0.009）以及“受到尊重”（89.4%，CI 2.6 - 94.4%，CI 0.8%；R2 = 0.708；p = 0.004）。
跨专业CST是可行的，并且受到来自不同专业群体的专业人员的广泛接受。在七年的持续培训中，患者对专业沟通满意度的独立评分有显著提高。参与者证明了该培训在日常生活中的高度可信度和实用性。
