Arias-Alonso Lucía, Barragán-Brun Nieves, Elizondo-Alzola Usue, Boldu-Minguell Andrea, Rocha-Calderón Claudio Alfonso, Niño-de-Guzmán Ena, Santandreu Francisca María, Quesada-Carrasco Fermín, Ricci-Cabello Ignacio, Gorrotxategi-Gorrotxategi Pedro Jesús, de la Poza-Abad Mariam, Mas-Dalmau Gemma, Gibert-Agulló Anna, González-Lama Jesús, Alonso-Coello Pablo
Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Sant Roc Health Center, Institut Català de la Salut, Badalona, Barcelona, Spain.
BMC Prim Care. 2025 Aug 7;26(1):247. doi: 10.1186/s12875-025-02919-6.
Antibiotic overprescription is a complex global problem that contributes to antibacterial resistance. Enhancing professionals' communication skills is one of the most promising interventions for optimising antibiotic prescription in respiratory tract infections in children.
We developed a communication skills course for primary care paediatricians, paediatric nurses and community pharmacists. We conducted: 1) A scoping review, 2) brainstorming and selection of themes, 3) design of content, 4) user testing, through a survey and semi-structured interviews. A multidisciplinary advisory group gave feedback throughout the design and development process. We conducted a descriptive analysis of the survey results, and we used a predefined analytical framework for qualitative content.
The course comprised four modules with nineteen themes, which included communication theoretical content, clinical cases, complementary reading, videos, and a glossary. It also included a forum and webinars, after each module. Sixteen users completed several themes and a survey, and eight were interviewed. They rated a mean of 4 or higher (5-point scale), across most of the domains evaluated. The videos received the highest rating (4.81; SD = 0.39). Suggestions for improvement included incorporating a workshop, and featuring more representation of other professionals. The majority of professionals (93%) expressed interest in completing the course.
We developed a comprehensive, evidence-based online communication skills training course to optimise antibiotic prescribing in paediatric primary care. Integrating key communication strategies and insights from a scoping review, the course equips healthcare professionals with practical tools to enhance shared decision-making and antimicrobial stewardship.
Not applicable.
抗生素过度处方是一个复杂的全球性问题，会导致抗菌药物耐药性。提高专业人员的沟通技巧是优化儿童呼吸道感染抗生素处方最有前景的干预措施之一。
我们为基层儿科医生、儿科护士和社区药剂师开发了一门沟通技巧课程。我们进行了：1）范围审查，2）主题头脑风暴和选择，3）内容设计，4）通过调查和半结构化访谈进行用户测试。一个多学科咨询小组在整个设计和开发过程中提供反馈。我们对调查结果进行了描述性分析，并使用了预定义的定性内容分析框架。
该课程包括四个模块，共19个主题，包括沟通理论内容、临床案例、补充阅读、视频和词汇表。每个模块之后还包括一个论坛和网络研讨会。16名用户完成了几个主题并参与了一项调查，8人接受了访谈。在评估的大多数领域中，他们的平均评分在4分或更高（5分制）。视频获得了最高评分（4.81；标准差=0.39）。改进建议包括纳入一个工作坊，并增加其他专业人员的代表性。大多数专业人员（93%）表示有兴趣完成该课程。
我们开发了一门全面的、基于证据的在线沟通技巧培训课程，以优化儿科基层医疗中的抗生素处方。该课程整合了范围审查中的关键沟通策略和见解，为医疗保健专业人员提供了实用工具，以加强共同决策和抗菌药物管理。
不适用。
