Gopaldas Justin Aryabhat, Narayanaswamy Nikhil, Chandregowda Narendra Prasad
Department of Critical Care Medicine, Manipal Hospitals, Bengaluru, Karnataka, India.
Department of Critical Care Medicine, Aster Whitefield Hospital, Bengaluru, Karnataka, India.
Indian J Crit Care Med. 2023 Aug;27(8):567-571. doi: 10.5005/jp-journals-10071-24495.
Medical training programs outline the necessity of communication skills but there is likely a dearth of teaching at the bedside in part due to prioritization of other skills over communication or due to lack of opportunity. In India, the majority of critical care units are open in nature, and communication lead is likely to be taken by the primary specialty rather than the critical care doctors themselves. In the majority of the cases, the root cause analysis shows a lack of clear communication as a barrier. The sicker the patient, the higher the chance for anxiety and miscommunication among healthcare professionals as well as the family. The current project aims to find the training levels in Indian critical care settings and draw conclusions to see if there are avenues to improve the process. This study was based on a web-based questionnaire that was sent out to 1,000 critical care doctors across India. Educational experience and learning of communication techniques/concepts were assessed using a modified educational experience and attitudes questionnaire. Baseline demographic data were obtained and results were tabulated across 193 complete responses, which consistently showed a disparity in perceived levels of competence across different mandatory aspects of communication. Further, we find that though communication is a trainable skill, the mode of training has been largely reactive and has remained so for the last 20 years hinting at poor training in communication. Our survey suggests an urgent need for improvement of the training processes to reduce the burden of ethical, clinical, and legal dilemmas in critical care.
Gopaldas JA, Narayanaswamy N, Chandregowda NP. Communication Skill Training Levels among Critical Care Doctors in India. Indian J Crit Care Med 2023;27(8):567-571.
医学培训项目概述了沟通技能的必要性，但床边教学可能不足，部分原因是其他技能比沟通更受重视，或者是缺乏机会。在印度，大多数重症监护病房是开放式的，沟通工作可能由主要专科医生而非重症监护医生本人负责。在大多数情况下，根本原因分析显示沟通不畅是一个障碍。患者病情越严重，医护人员以及患者家属出现焦虑和沟通失误的可能性就越高。当前项目旨在了解印度重症监护环境中的培训水平，并得出结论，看看是否有改进的途径。本研究基于一份网络问卷，该问卷发送给了印度各地的1000名重症监护医生。使用经过修改的教育经历和态度问卷评估教育经历以及沟通技巧/概念的学习情况。获取了基线人口统计学数据，并对193份完整回复的结果进行了制表，结果始终显示在沟通的不同强制方面，感知能力水平存在差异。此外，我们发现尽管沟通是一项可培训的技能，但培训模式在很大程度上是被动反应式的，并且在过去20年一直如此，这表明沟通培训效果不佳。我们的调查表明迫切需要改进培训流程，以减轻重症监护中伦理、临床和法律困境的负担。
戈帕尔达斯·贾亚、纳拉亚纳斯瓦米·N、钱德雷 Gowda·NP。印度重症监护医生的沟通技能培训水平。《印度重症监护医学杂志》2023年；27(8):567 - 571。
