Swart Hester Alida, Archer Elize
Stellenbosch University.
MedEdPublish (2016). 2021 May 10;10:119. doi: 10.15694/mep.2021.000119.1. eCollection 2021.
This article was migrated. The article was marked as recommended. Background There is strong evidence that patient health outcomes are improved by effective clinician communication both with their patients and each other. Despite this, there is still a lack of training in and assessment of communication skills in postgraduate curricula in South Africa. When designing a communication skills training curriculum for registrars, their views and needs should be considered as they may impact the effectiveness of such an intervention. Objectives To explore registrars' understanding of what constitutes effective communication in the workplace and the value thereof. Furthermore, the registrars' communication skills training experiences and needs were determined. Methods This was an exploratory qualitative study conducted at a government hospital in Cape Town, South Africa. Registrars' perceptions were explored making use of one on one interviews that were transcribed, coded, and themed using an inductive, iterative approach. Results Ten registrars working in the Department of Obstetrics and Gynaecology were interviewed individually. Registrars highly value effective communication skills and are of the opinion that they can improve with training. The participants experienced challenges when communicating with colleagues, particularly with consultants. The registrars made recommendations for the improvement of communication skills training at postgraduate level. Conclusion Registrars expressed a need for formal training to facilitate effective communication with colleagues, especially with consultants. These results should be considered when developing a postgraduate curriculum for communication skills training. Enhancing the quality of registrar-consultant interactions may have a positive influence on both the standard of patient care and registrars' clinical learning environment.
本文已迁移。该文章被标记为推荐文章。背景 有充分证据表明，临床医生与患者及彼此之间进行有效的沟通可改善患者的健康结局。尽管如此，南非研究生课程中仍缺乏沟通技能的培训和评估。在为住院医生设计沟通技能培训课程时，应考虑他们的观点和需求，因为这可能会影响此类干预措施的有效性。目的 探讨住院医生对工作场所中有效沟通的构成及其价值的理解。此外还确定了住院医生的沟通技能培训经历和需求。方法 这是一项在南非开普敦一家政府医院进行的探索性定性研究。通过一对一访谈来探究住院医生的看法，并采用归纳、迭代方法对访谈内容进行转录、编码和主题分析。结果 对妇产科的10名住院医生进行了单独访谈。住院医生高度重视有效的沟通技能，并认为通过培训可以提高这些技能。参与者在与同事，尤其是与顾问沟通时遇到了挑战。住院医生对研究生阶段沟通技能培训的改进提出了建议。结论 住院医生表示需要接受正规培训，以促进与同事，特别是与顾问的有效沟通。在制定研究生沟通技能培训课程时应考虑这些结果。提高住院医生与顾问之间互动的质量可能会对患者护理标准和住院医生的临床学习环境产生积极影响。
