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健康沟通的基本技能、障碍、促进因素及培训需求:来自七个欧洲国家的医疗保健专业人员的看法

Essential Skills for Health Communication, Barriers, Facilitators and the Need for Training: Perceptions of Healthcare Professionals from Seven European Countries.

作者信息

Zota Dina, Diamantis Dimitrios V, Katsas Konstantinos, Karnaki Pania, Tsiampalis Thomas, Sakowski Piotr, Christophi Costas A, Ioannidou Eleni, Darias-Curvo Sara, Batury Victoria-Luise, Berth Hendrik, Zscheppang Anja, Linke Maike, Themistokleous Sotiris, Veloudaki Afroditi, Linos Athena

机构信息

PROLEPSIS Civil Law Non-Profit Organization of Preventive Environmental and Occupational Medicine, 15121 Athens, Greece.

Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

出版信息

Healthcare (Basel). 2023 Jul 18;11(14):2058. doi: 10.3390/healthcare11142058.

DOI:10.3390/healthcare11142058
PMID:37510499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10379454/
Abstract

Many healthcare professionals are unaware of the necessary skills and barriers hindering interpersonal health communication. This study aimed to evaluate the healthcare professional's perception regarding health communication training's necessity, barriers, facilitators and critical skills in health communication. Data from a cross-sectional online survey in the framework of the H-Com project were utilized. The study included 691 healthcare professionals (physicians, nurses, students and allied health professionals) from seven European countries. Only 57% of participants had participated in health communication training, while 88.1% of them indicated a willingness to be trained in health communication. Nurses were more likely (OR = 1.84; 95% CI 1.16, 2.91) to have received such training, compared to physicians. Most examined communication skills, barriers and facilitators of effective communication, and perceived outcomes of successful communication were considered crucial for most participants, although physicians overall seemed to be less concerned. Most agreed perceived outcomes were improved professional-patient relations, patient and professional satisfaction, physical and psychological health amelioration and patients' trust. Nurses evaluated the importance of these communication skills and communication barriers, facilitators and outcomes higher than physicians. Physicians may underestimate the importance of communication skills more than nurses. Health communication should become an integral part of training for all health professionals.

摘要

许多医疗保健专业人员并不了解人际健康沟通所需的技能以及阻碍因素。本研究旨在评估医疗保健专业人员对健康沟通培训的必要性、障碍、促进因素以及关键技能的看法。研究使用了在H-Com项目框架内进行的横断面在线调查数据。该研究纳入了来自七个欧洲国家的691名医疗保健专业人员(医生、护士、学生和专职医疗人员)。只有57%的参与者参加过健康沟通培训,而其中88.1%的人表示愿意接受健康沟通培训。与医生相比,护士接受此类培训的可能性更大(比值比=1.84;95%置信区间1.16,2.91)。尽管总体而言医生似乎不太关注,但大多数参与者认为,所考察的有效沟通技能、障碍和促进因素以及成功沟通的预期结果至关重要。大多数人认同的预期结果包括改善医患关系、提高患者和专业人员满意度、改善身心健康以及增强患者信任。护士对这些沟通技能、沟通障碍、促进因素和结果的重要性评价高于医生。医生可能比护士更低估沟通技能的重要性。健康沟通应成为所有医疗保健专业人员培训不可或缺的一部分。

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