Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
Is it possible to improve residents breaking bad news skills? A randomised study assessing the efficacy of a communication skills training program
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DOI：
10.1038/sj.bjc.6605749
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发表时间：
2010-07-13
影响因子：
8.8
通讯作者：
Razavi, D.
中科院分区：
文献类型：
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作者：
Lienard, A.;Merckaert, I.;Razavi, D.
背景：本研究旨在评估一项为期40小时的培训计划的有效性，该培训计划旨在向住院医生传授所需的沟通技能，以打破坏消息。方法：住院医生被随机分配到培训计划或等待名单中。训练组在基线、训练后和等待名单组基线后8个月进行模拟患者突发坏消息(BBN)会诊录音。通过使用内容分析软件(LaComm)标记所用的沟通技巧和标记坏消息传递的各个阶段：传递前、传递和传递后，对成绩单进行了分析。结果：经过培训的住院医师(n=50)比未经培训的住院医师(n=48)更多地使用有效的沟通技巧：开放式问题更多(相对率(RR)=5.79；P
BACKGROUND: This study aims to assess the efficacy of a 40-h training programme designed to teach residents the communication skills needed to break the bad news.METHODS: Residents were randomly assigned to the training programme or to a waiting list. A simulated patient breaking bad news (BBN) consultation was audiotaped at baseline and after training in the training group and 8 months after baseline in the waiting-list group. Transcripts were analysed by tagging the used communication skills with a content analysis software (LaComm) and by tagging the phases of bad news delivery: pre-delivery, delivery and post-delivery. Training effects were tested with generalised estimating equation (GEE) and multivariate analysis of variance (MANOVA).RESULTS: The trained residents (n = 50) used effective communication skills more often than the untrained residents (n = 48): more open questions (relative rate (RR) = 5.79; P