In-person and virtual adaptation of an interprofessional palliative care communications skills training course for pediatric oncology clinicians.

Autor:	Moody KM; MD Anderson Cancer Center., Andersen C; MD Anderson Cancer Center., Bradley J; University of Colorado Hospital., Draper L; Cardinal Glennon Children's Medical Center., Garrington T; University of Colorado Hospital., Gill J; MD Anderson Cancer Center., Harrison D; MD Anderson Cancer Center., Hayashi M; University of Colorado Hospital., Heaton A; MD Anderson Cancer Center., Holladay C; Indiana University., Lion A; Indiana University., Rajan A; MD Anderson Cancer Center., Rozo B; MD Anderson Cancer Center., Runco D; Indiana University., Salvador L; MD Anderson Cancer Center., Ferguson V; Saint Louis University., Arnold R; University of Pittsburgh.
Jazyk:	angličtina
Zdroj:	Research square [Res Sq] 2023 Aug 11. Date of Electronic Publication: 2023 Aug 11.
DOI:	10.21203/rs.3.rs-3228580/v1
Abstrakt:	Purpose: Effective, empathic communication is crucial for pediatric oncology clinicians when discussing palliative and end-of-life (PC/EOL) care with parents of children with cancer. Unfortunately, many parents report inadequate communication at these distressing times. This study evaluates the communication skills training (CST) clinicians received to deliver a PC/EOL communication intervention as part of a multi-site randomized-controlled trial (RCT). Methods: Clinicians from eight sites formed dyads (one physician and one nurse [RN] or advanced practice provider [APP]) and were trained over 3 days (in-person or virtually). Training was adapted from VitalTalk ™ and included didactic instruction, videos, visual aids, and dedicated time to practice with simulated patients. Study participants completed a confidential, post-training online evaluation survey. A self-reported quality assurance checklist was used to measure fidelity to the communication protocol when delivered to parents during the RCT. Results: Thirty clinicians completed training; 26 completed post-training surveys including twelve (46.1%) physicians, 8 (30.8%) RNs and 6 (23.1%) APPs. Most were female (65.4%); white (80.8%), not Latinx (88.5%); 40-50 years old (53.9%); and in practice over 10 years (65.4%). Nine (34.6%) trained in-person; the rest trained virtually. Ninety-two percent reported the course was valuable or very valuable for developing their PC/EOL communication skills and 96% reported learning something new. Dyads trained virtually had similar fidelity to those trained in-person (95% and 90% respectively) when delivering the PC/EOL communication intervention to parents. Conclusion: This PC/EOL CST was valuable for improving pediatric oncology clinicians' communication skills, successfully implemented in-person and virtually, and translated effectively into practice.
Databáze:	MEDLINE
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