Serious illness communication skills training for emergency physicians and advanced practice providers: a multi-method assessment of the reach and effectiveness of the intervention.

Autor: Adeyemi O; Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, 227 East 30thStreet, New York, NY, 10016, USA., Ginsburg AD; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA., Kaur R; CHI Saint Joseph Health, London, KY, USA., Cuthel AM; Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, 227 East 30thStreet, New York, NY, 10016, USA. Allison.Cuthel@nyulangone.org., Zhao N; Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, 227 East 30thStreet, New York, NY, 10016, USA.; Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA., Siman N; Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, 227 East 30thStreet, New York, NY, 10016, USA., Goldfeld KS; Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA., Emlet LL; Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA., DiMaggio C; Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.; Department of Surgery, NYU Grossman School of Medicine, New York, NY, USA., Yamarik RL; Veteran Affairs Long Beach Healthcare System, Long Beach, CA, USA., Bouillon-Minois JB; Emergency Department, CHU Clermont-Ferrand, Clermont-Ferrand, France., Chodosh J; Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.; Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA.; Veteran's Affair, New York Harbor Healthcare System, New York, NY, USA., Grudzen CR; Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jazyk: angličtina
Zdroj: BMC palliative care [BMC Palliat Care] 2024 Feb 21; Vol. 23 (1), pp. 48. Date of Electronic Publication: 2024 Feb 21.
DOI: 10.1186/s12904-024-01349-y
Abstrakt: Background: EM Talk is a communication skills training program designed to improve emergency providers' serious illness conversational skills. Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this study aims to assess the reach of EM Talk and its effectiveness.
Methods: EM Talk consisted of one 4-h training session during which professional actors used role-plays and active learning to train providers to deliver serious/bad news, express empathy, explore patients' goals, and formulate care plans. After the training, emergency providers filled out an optional post-intervention survey, which included course reflections. Using a multi-method analytical approach, we analyzed the reach of the intervention quantitatively and the effectiveness of the intervention qualitatively using conceptual content analysis of open-ended responses.
Results: A total of 879 out of 1,029 (85%) EM providers across 33 emergency departments completed the EM Talk training, with the training rate ranging from 63 to 100%. From the 326 reflections, we identified meaning units across the thematic domains of improved knowledge, attitude, and practice. The main subthemes across the three domains were the acquisition of Serious Illness (SI) communication skills, improved attitude toward engaging qualifying patients in SI conversations, and commitment to using these learned skills in clinical practice.
Conclusion: Our study showed the extensive reach and the effectiveness of the EM Talk training in improving SI conversation. EM Talk, therefore, can potentially improve emergency providers' knowledge, attitude, and practice of SI communication skills.
Trial Registration: Clinicaltrials.gov: NCT03424109; Registered on January 30, 2018.
(© 2024. The Author(s).)
Databáze: MEDLINE
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