Gleber J M
Department of Dental Hygiene at Thomas Jefferson University, College of Allied Health Sciences, Philadelphia, Pennsylvania, USA.
J Dent Hyg. 1995 Jan-Feb;69(1):19-30.
The educational preparation of most oral health professionals specifically has not addressed professional-patient interaction skills. The purpose of this pilot research project was to determine if the Carkhuff model of communication skills training would improve the interpersonal communication skills of junior dental hygiene students.
The pilot training program was designed to assess and improve interpersonal communication skills using an experimental pretest-posttest design. In Spring 1990, twenty-four baccalaureate dental hygiene students were randomly divided into experimental and control groups. The experimental group completed twenty (20) hours of interpersonal skills training based on Carkhuff's Human Resources Development Model. Video demonstrations, patient simulations, and role modeling were used to enhance learning and retention. Data were collected using three instruments: 1. "Acting" patient video interviews were evaluated by three independent raters to assess change in skilled behaviors. 2. A self-report instrument and a scenario/response option questionnaire were completed to examine change in knowledge of communication skills. 3. A self-report emotional empathy score determined the effects of training on the dimension of empathy. These instruments were administered pretraining, post-training, and one year later to assess differences in behavior, knowledge, and empathy due to the training and maturation. Data analysis included a two-way analysis of variance with repeated measures, frequency distributions, means, standard deviations, and Chronbach's coefficient alpha. A Mann Whitney U-test also was calculated to examine the differences in the distribution of the change scores over time.
Post-train results demonstrated significant differences in knowledge but not in behavior. One-year retention scores showed a significant improvement (p<.01) in both knowledge and behavior by the experimental group when compared to the control group. Empathic responsiveness was not related to the training since both groups progressed modestly but at different rates over the 15-month project.
It is important that dental hygiene practitioners have the requisite interpersonal skills to facilitate the partnership between each patient and client in attaining and maintaining optimal oral health. The results of this pilot study support the recommendation that interpersonal communication skills training become an integral part of the dental hygiene curriculum. However, further studies on this aspect of education should be completed in order to verify the results of this study and provide further support for changes in the education and socialization process of dental hygiene professionals.
大多数口腔卫生专业人员的教育培养并未专门涉及专业与患者的互动技能。这个试点研究项目的目的是确定卡尔胡夫沟通技能培训模式是否能提高牙科卫生专业低年级学生的人际沟通技能。
试点培训项目旨在采用实验性的前测-后测设计来评估和提高人际沟通技能。1990年春季,24名牙科卫生专业本科学生被随机分为实验组和对照组。实验组基于卡尔胡夫的人力资源开发模式完成了20小时的人际技能培训。通过视频演示、患者模拟和角色扮演来加强学习和记忆。使用三种工具收集数据:1. 由三名独立评分者对“扮演”患者的视频访谈进行评估,以评估技能行为的变化。2. 完成一份自我报告工具和一份情景/反应选项问卷,以检查沟通技能知识的变化。3. 一份自我报告的情感同理心得分确定培训对同理心维度的影响。这些工具在培训前、培训后和一年后进行施测,以评估由于培训和成熟导致的行为、知识和同理心方面的差异。数据分析包括重复测量的双向方差分析、频率分布、均值、标准差和克朗巴哈系数α。还计算了曼-惠特尼U检验,以检查随时间变化的得分分布差异。
培训后结果显示知识方面有显著差异,但行为方面没有。与对照组相比,实验组一年后的留存分数在知识和行为方面均有显著提高(p<.01)。同理心反应与培训无关,因为在15个月的项目中,两组均有适度进展,但速度不同。
牙科卫生从业者具备必要的人际技能对于促进每位患者和客户在实现和维持最佳口腔健康方面的合作关系非常重要。这项试点研究的结果支持将人际沟通技能培训纳入牙科卫生课程的建议。然而,应完成关于这一教育方面的进一步研究,以验证本研究的结果,并为牙科卫生专业人员的教育和社会化过程的变革提供进一步支持。