Malins Sam, Boutry Clement, Moghaddam Nima, Rathbone James, Gibbons Felicity, Mays Chloe, Brooks Daniel, Levene Joanna
University of Nottingham, School of Medicine, Nottingham, UK.
Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK.
Psychooncology. 2023 Oct;32(10):1539-1547. doi: 10.1002/pon.6200. Epub 2023 Aug 10.
Psychological support skills training has the potential to improve both the ability of cancer staff to help their patients, and staff wellbeing. However, few recent studies have assessed both these outcomes or incorporated current developments in psychological skills training, such as deliberate practice, which includes the use of iterative, corrective feedback to identify and improve individualised skill deficits. No studies have evaluated the contribution that psychological skills training could make to cancer care staff wellbeing and expertise in the wake of the COVID-19 pandemic. This study aimed to evaluate staff skill acquisition and work-related wellbeing following psychological support skills training that applied deliberate practice principles.
A 2-day training and monthly supervision was offered to 145 cancer care staff that focused on brief assessment and intervention skills for patients experiencing mental health problems after cancer diagnosis and treatment. Deliberate practice principles were used to focus training on skills practice and feedback, over technique description. Self-reported ability to perform key skills taught, staff mental wellbeing, work engagement, and burnout were assessed at baseline, 3-month and 8-month follow-up.
Significant improvements in skills, mental wellbeing, burnout and work engagement were reported at 8-month follow-up. Full engagement in both training sessions was predicted by poorer baseline mental wellbeing, more positive evaluation of initial training, supervision attendance, and shorter follow-up.
A 2-day psychological support skills training using deliberate practice principles may support improvement in staff skill, mental wellbeing, burnout and work engagement.
心理支持技能培训有潜力提高癌症医护人员帮助患者的能力以及他们自身的幸福感。然而，近期很少有研究同时评估这两个结果，也没有纳入心理技能培训的当前进展，比如刻意练习，这包括使用迭代式的、纠正性反馈来识别和改善个性化的技能缺陷。在新冠疫情之后，没有研究评估心理技能培训对癌症护理人员幸福感和专业技能的贡献。本研究旨在评估应用刻意练习原则的心理支持技能培训后员工技能的获得情况以及与工作相关的幸福感。
为145名癌症护理人员提供了为期2天的培训和每月一次的督导，重点是针对癌症诊断和治疗后出现心理健康问题的患者的简短评估和干预技能。刻意练习原则被用于将培训重点放在技能练习和反馈上，而不是技术描述。在基线、3个月和8个月随访时评估自我报告的执行所学关键技能的能力、员工心理健康、工作投入和倦怠情况。
在8个月随访时，报告显示在技能、心理健康、倦怠和工作投入方面有显著改善。基线心理健康较差、对初始培训评价更积极、参加督导以及随访时间较短可预测在两个培训课程中都能充分参与。
采用刻意练习原则进行的为期2天的心理支持技能培训可能有助于提高员工技能、心理健康、倦怠状况和工作投入。
