Interprofessional Communication Skills Training for Serious Illness: Evaluation of a Small-Group, Simulated Patient Intervention
| Autor: | J. Randall Curtis, Alison M. Bays, Erin K. Kross, Laura C. Feemster, Richard W. Arnold, James A. Tulsky, Ruth A. Engelberg, Barbara J Edlund, Anthony L. Back, Kim M. O’Connor, Sarah E. Shannon, Stewart C. Alexander, Phyllis Christianson, Lois Downey, Lynn F. Reinke, Kelly Fryer-Edwards, Ardith Z. Doorenbos, Dee W. Ford |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Program evaluation Nurse practitioners media_common.quotation_subject education MEDLINE Empathy Experiential learning Simulated patient Education Nursing Professional-Family Relations Intervention (counseling) Internal Medicine business.product_line Humans Medicine Nurse Practitioners Education Nursing Graduate General Nursing media_common business.industry Internship and Residency Professional-Patient Relations Original Articles General Medicine Middle Aged Communication skills training Anesthesiology and Pain Medicine Education Medical Graduate Female Interdisciplinary Communication Clinical Competence business Program Evaluation |
| Zdroj: | Journal of Palliative Medicine. 17:159-166 |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2013.0318 |
| Popis: | Background: Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. Objective: The objective was to investigate the effect of an experiential communication skills building workshop (Codetalk), led by newly trained facilitators, on internal medicine trainees' and nurse practitioner students' ability to communicate bad news and express empathy. Design: Trainees participated in Codetalk; skill improvement was evaluated through pre- and post- standardized patient (SP) encounters. Setting and subjects: The subjects were internal medicine residents and nurse practitioner students at two universities. Intervention and measurements: The study was carried out in anywhere from five to eight half-day sessions over a month. The first and last sessions included audiotaped trainee SP encounters coded for effective communication behaviors. The primary outcome was change in communication scores from pre-intervention to post-intervention. We also measured trainee characteristics to identify predictors of performance and change in performance over time. Results: We enrolled 145 trainees who completed pre- and post-intervention SP interviews—with participation rates of 52% for physicians and 14% for nurse practitioners. Trainees' scores improved in 8 of 11 coded behaviors (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|