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非美地区虚拟沟通技巧研讨会 VitalTalk 教育学持久积极影响。

Enduring Positive Impact of a Virtual Communication Skills Workshop of VitalTalk Pedagogy in a Non-U.S. Setting.

机构信息

Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Department of Emergency Medicine, Division of Acute Care Surgery, School of Medicine, Teikyo University, Itabashi-ku, Japan.

出版信息

Am J Hosp Palliat Care. 2024 Apr;41(4):424-430. doi: 10.1177/10499091231177863. Epub 2023 May 22.

Abstract

CONTEXT

While in-person workshops on serious illness communication skills using VitalTalk pedagogy have been shown to have a long-lasting impact, whether changing the format into virtual would maintain its enduring impact is unknown. Objectives. To examine long-term impacts of a virtual VitalTalk communication workshop.

METHODS

Physicians in Japan who participated in our virtual VitalTalk workshop were asked to complete a self-assessment survey at 3 time points: before, immediately after, and 2 months after the workshop. We examined self-reported preparedness in 11 communication skills on a 5-point Likert scale at 3 time points, as well as self-reported frequency of practice on 5 communication skills at the pre- and 2-month time points.

RESULTS

Between January 2021 and June 2022, 117 physicians from 73 institutions across Japan completed our workshop. Seventy-four participants returned the survey at all the 3 time points. Their skill preparedness significantly improved upon the completion of the workshop in all 11 skills (P < .001 for all items). The improvement remained at the same level at 2 months in 7 skills. In 4 of the 11 skills, there was further improvement at the 2-month point. The frequency of self-directed skill practice also increased significantly in the 2-month survey for all 5 skills.

CONCLUSION

A virtual workshop of VitalTalk pedagogy improved self-reported preparedness of communication skills, and the impact was long-lasting in a non-U.S. setting as it likely induced self-practice of skills. Our findings encourage the use of a virtual format in any geographical location considering its enduring impact and easy accessibility.

摘要

背景

虽然使用 VitalTalk 教学法的重病沟通技巧现场培训已被证明具有持久的影响,但将培训形式改为虚拟形式是否能保持其持久影响尚不清楚。目的:检验虚拟 VitalTalk 沟通培训的长期效果。

方法

参加我们的虚拟 VitalTalk 培训的日本医生被要求在 3 个时间点完成自我评估调查:培训前、培训后立即和培训后 2 个月。我们在 3 个时间点检查了 11 项沟通技巧的 5 分李克特量表自我报告的准备情况,以及 5 项沟通技巧在培训前和培训后 2 个月的自我报告练习频率。

结果

2021 年 1 月至 2022 年 6 月,来自日本 73 家机构的 117 名医生参加了我们的培训。74 名参与者在所有 3 个时间点都返回了调查。他们在所有 11 项技能中的技能准备情况在完成培训后都有显著提高(所有项目 P <.001)。在 7 项技能中,有 4 项技能在 2 个月时仍保持相同水平,在另外 4 项技能中,有 4 项技能在 2 个月时进一步提高。在所有 5 项技能中,自我导向技能练习的频率在 2 个月的调查中也显著增加。

结论

VitalTalk 教学法的虚拟培训提高了自我报告的沟通技能准备程度,而且在非美国环境中的影响是持久的,因为它可能会诱导技能的自我实践。我们的研究结果鼓励在任何地理位置使用虚拟形式,因为它具有持久的影响和易于访问性。

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