Assessing the need for communication training for specialists in poison information

Assessing the need for communication training for specialists in poison information
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DOI:
10.1080/15563650903037173
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发表时间:
2009-07-01
影响因子:
3.3
通讯作者:
Ellington, Lee
Ellington, Lee
中科院分区:
医学3区
文献类型:
--
作者:
Planalp, Sally;Crouch, Barbara;Ellington, Lee

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介绍。有效的沟通已被证明对医患沟通至关重要,对于中毒控制中心(PCC)的呼叫可能更为重要,因为缺乏视觉线索,需要快速准确的信息交换,以及可能出现的呼叫激增等次优条件。接听中毒控制电话的专业人员通常接受过广泛的毒理学培训,但很少接受过正式的沟通培训。方法。根据焦点小组和专家小组的意见,制定了一项工具,以评估对毒物信息专家进行沟通培训的感知需求。美国和加拿大各地的PCCs都收到了一份在线调查问卷的回复请求。结果。537名受访者70%是spi或毒物信息提供者(pip),主要接受过护理或药学教育,在美国和加拿大工作,平均受雇于他们目前的中心10年。spi认为沟通技巧对于确保PCC呼叫的积极结果极其重要,尽管他们报告说,他们自己的培训并不十分注重沟通,而且现有的沟通培训被认为只是适度有用。21个特定培训单元的有用性评级一直很高,特别是对新的spi,但对有经验的spi也是如此。在21项挑战中,董事们对有经验的指标培训的有效性评价高于对指标的评价。讨论。调查结果支持需要为spi提供沟通培训,并为确定发展培训单位的优先次序提供经验基础。
Introduction. Effective communication has been shown to be essential to physician-patient communication and may be even more critical for poison control center (PCC) calls because of the absence of visual cues, the need for quick and accurate information exchange, and possible suboptimal conditions such as call surges. Professionals who answer poison control calls typically receive extensive training in toxicology but very little formal training in communication. Methods. An instrument was developed to assess the perceived need for communication training for specialists in poison information (SPIs) with input from focus groups and a panel of experts. Requests to respond to an online questionnaire were made to PCCs throughout the United States and Canada. Results. The 537 respondents were 70% SPIs or poison information providers (PIPs), primarily educated in nursing or pharmacy, working across the United States and Canada, and employed by their current centers an average of 10 years. SPIs rated communication skills as extremely important to securing positive outcomes for PCC calls even though they reported that their own training was not strongly focused on communication and existing training in communication was perceived as only moderately useful. Ratings of the usefulness of 21 specific training units were consistently high, especially for new SPIs but also for experienced SPIs. Directors rated the usefulness of training for experienced SPIs higher for 5 of the 21 challenges compared to the ratings of SPIs. Discussion. Findings support the need for communication training for SPIs and provide an empirical basis for setting priorities in developing training units.