Kaur Essie, Arezina Jane, Bryant Louise, Pollak Kathryn, Wallace Rebecca, Harrison Gill, Bender Atik Ruth, Sicklen Roxanne, Coates Jen, Hardicre Natasha, Lardner Teresa, Horwood Karen, Beety Hannah, Arnold Jon, Johnson Judith
University of Leeds, Leeds, UK.
Health Services Management Centre, University of Birmingham, Birmingham, UK.
Ultrasound. 2024 Sep 25:1742271X241277127. doi: 10.1177/1742271X241277127.
Sonographers are required to deliver unexpected news to expectant parents in real time during obstetric ultrasound scans. The complexity of these interactions requires sonographers to conduct the clinical task while communicating their findings and managing the expectant parent's response within the designated appointment time. Communication coaching for sonographers (CCS) is a tailored intervention that has previously been associated with improvements in confidence and news delivery practice. The current study explored the views and experiences of sonographers who completed CCS to evaluate and inform future delivery of this intervention.
Nine sonographers participated in semi-structured qualitative interviews after completing CCS. We analysed data using a Reflexive Thematic Analysis (RTA) approach.
Participants reported CCS to be valuable and informative. The key themes identified included (1) innovating the path: tailored and novel training for sonographers, (2) humanising care: honouring the self, service-users and relevant others in the delivery of compassion-focused care and (3) making space: considerations for successfully delivering coaching. Participants said the coaching provided practical suggestions and was experienced as a 'safe space' for reflective practice that helped to enhance their capacity to identify and respond to emotion in others. There were practical challenges to taking part in CCS and organisational factors could act as a barrier; managerial championing of the intervention was crucial to uptake and completion.
Participants viewed CCS positively. To implement CCS, there needs to be organisational coordination. Further controlled studies will be needed to establish the effectiveness of CCS.
在产科超声扫描过程中，超声检查医师需要实时向准父母传达意外消息。这些互动的复杂性要求超声检查医师在完成临床任务的同时，传达检查结果并在指定的预约时间内应对准父母的反应。针对超声检查医师的沟通培训（CCS）是一种量身定制的干预措施，此前已被证明与信心提升和消息传达实践的改善有关。本研究探讨了完成CCS的超声检查医师的观点和经验，以评估并为该干预措施的未来实施提供参考。
九名超声检查医师在完成CCS后参加了半结构化定性访谈。我们采用反思性主题分析（RTA）方法对数据进行了分析。
参与者认为CCS很有价值且信息丰富。确定的关键主题包括：（1）创新路径：为超声检查医师提供量身定制的新颖培训；（2）关怀人性化：在提供以同情为重点的护理时尊重自我、服务对象及相关他人；（3）创造空间：成功实施培训的考量因素。参与者表示，该培训提供了实用建议，并且是一个有助于反思实践的“安全空间”，有助于增强他们识别他人情绪并做出回应的能力。参与CCS存在实际挑战，组织因素可能成为障碍；管理层对该干预措施的支持对于其接受和完成至关重要。
参与者对CCS持积极看法。要实施CCS，需要进行组织协调。还需要进一步的对照研究来确定CCS的有效性。
