Eskola Liana, Silverman Ethan, Rogers Sarah, Zelenski Amy
Department of Medicine, Department of Veterans Affairs, William S. Middleton Memorial Hospital and Clinics, 2500 Overlook Terrace, Madison, WI 53705, USA.
Department of Medicine, Division of Hematology, Medical Oncology, and Palliative Care, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave., Madison, WI 53792, USA.
PEC Innov. 2024 Feb 16;4:100267. doi: 10.1016/j.pecinn.2024.100267. eCollection 2024 Dec.
Palliative care communication skills help tailor care to patients' goals. With a palliative care physician shortage, non-physicians must gain these serious illness communication skills. Historically, trainings have targeted physician-only groups; our goal was to train interprofessional teams.
Workshops were conducted to teach palliative care communication skills and interprofessional communication. Participants completed surveys which included questions from the Interpersonal Reactivity Index, the Ekman Faces tool, the Consultation and Relational Empathy measure, open-ended questions about empathy, and measures of effective interprofessional practice.
Participants felt the workshop improved their ability to listen ( < 0.001), understand patients' concerns (p < 0.001), and show compassion ( = 0.008). It increased the perceived value of peer observation (p < 0.001) and ability to reflect ( = 0.02) during complex conversations. Different types of professionals adopted different communication goals, though all affirmed the importance of active listening. Participants felt they improved their ability to work within an interprofessional team.
The course effectively trained 71 clinicians, the majority non-physicians, in serious illness communication and interprofessional team communication skills, and could be reproduced in similar settings.
We adapted an approach common to physician-only trainings to diverse interprofessional groups, added a team-based component using Applied Improvisation, and demonstrated its effectiveness.
姑息治疗沟通技巧有助于根据患者目标调整护理。由于姑息治疗医生短缺，非医生人员必须掌握这些严重疾病沟通技巧。从历史上看，培训仅针对医生群体；我们的目标是培训跨专业团队。
举办了讲习班，教授姑息治疗沟通技巧和跨专业沟通。参与者完成了调查，其中包括来自人际反应指数、艾克曼面部表情工具、咨询与关系同理心量表的问题、关于同理心的开放式问题以及有效的跨专业实践测量。
参与者认为该讲习班提高了他们倾听的能力（<0.001）、理解患者担忧的能力（p<0.001）以及表现出同情心的能力（=0.008）。它提高了在复杂对话中同伴观察的感知价值（p<0.001）和反思能力（=0.02）。不同类型的专业人员采用了不同的沟通目标，不过所有人都肯定了积极倾听的重要性。参与者觉得他们在跨专业团队中工作的能力有所提高。
该课程有效地培训了71名临床医生，其中大多数是非医生人员，使其掌握了严重疾病沟通和跨专业团队沟通技巧，并且可以在类似环境中复制。
我们将仅针对医生培训的常见方法应用于不同的跨专业群体，增加了一个使用应用即兴创作的团队组成部分，并证明了其有效性。
