Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice.
Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice.
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DOI：
10.1080/02813432.2018.1459235
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发表时间：
2018-06
影响因子：
2.1
通讯作者：
Hvidt NC
中科院分区：
文献类型：
--
作者：
Hvidt EA;Ammentorp J;Søndergaard J;Timmermann C;Hansen DG;Hvidt NC
目的：我们的目的是描述一个针对全科医生（gp）的存在沟通课程计划的发展和评估。设计：采用英国医学研究理事会（MRC）复杂干预研究框架作为课程开发和评估的指南，并进一步用于构建本文。发展阶段包括：识别现有证据、描述课程的理论框架、设计干预措施和决定评估类型。在评估阶段，我们测量了参与课程前后的自我效能感。为了进一步探索变化的过程，我们对参与者进行了个别的、半结构化的电话采访。对象和环境：来自丹麦一个地区的20名执业全科医生和正在培训成为全科医生的住院医生（平均年龄49岁）。结果：发展阶段形成了为期一天的职业培训/继续医学教育（VT/CME）课程，主要内容包括知识积累、自我反思和沟通培训。20名全科医生参与了课程测试，19名全科医生回答了自我效能感问卷，15名全科医生接受了访谈。自我效能感平均得分显著提高。定性结果表明，课程后出现了积极的变化，如参与者的存在自我意识增强，患者需要存在沟通的意识增强，参与者对开展存在沟通能力的信心增强。癌症患者通常希望在临床护理中讨论存在性问题，但全科医生在日常实践中讨论存在性问题时缺乏信心。为了减少障碍和加强一般实践中的存在性沟通，我们开发了一个为期一天的课程计划。参加该课程的参与者对进行存在沟通的能力的信心有所增加。本研究为如何提高全科医生对存在沟通的信心增加了知识。结论：针对全科医生的为期一天的VT/CME课程，包括知识构建、自我反思和沟通培训的主要内容，表明参与者对自己与患者沟通存在问题和担忧的能力更有信心。
Objective: Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs). Design: The UK Medical Research Council’s (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation. In the evaluation phase we measured self-efficacy before and after course participation. To explore further processes of change we conducted individual, semi-structured telephone interviews with participants. Subjects and setting: Twenty practising GPs and residentials in training to become GPs from one Danish region (mean age 49). Results: The development phase resulted in a one-day vocational training/continuing medical education (VT/CME) course including the main elements of knowledge building, self-reflection and communication training. Twenty GPs participated in the testing of the course, nineteen GPs answered questionnaires measuring self-efficacy, and fifteen GPs were interviewed. The mean scores of self-efficacy increased significantly. The qualitative results pointed to positive post course changes such as an increase in the participants’ existential self-awareness, an increase in awareness of patients in need of existential communication, and an increase in the participants’ confidence in the ability to carry out existential communication. Patients with cancer often desire to discuss existential concerns as part of clinical care but general practitioners (GPs) lack confidence when discussing existential issues in daily practice. In order to lessen barriers and enhance existential communication in general practice, we developed a one-day course programme. Attending the course resulted in an increase in the participants’ confidence in the ability to carry out existential communication. This study adds knowledge to how confidence in existential communication can be increased among GPs. Conclusions: A one-day VT/CME course targeting GPs and including the main elements of knowledge building, self-reflection and communication training showed to make participants more confident about their ability to communicate with patients about existential issues and concerns.
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影响因子：
5.4
作者：
la Cour, Peter;Hvidt, Niels C.
通讯作者：
Hvidt, Niels C.
影响因子：
4.7
作者：
Henoch, Ingela;Danielson, Ella;Melin-Johansson, Christina
通讯作者：
Melin-Johansson, Christina
影响因子：
3.5
作者：
Ammentorp, Jette;Sabroe, Svend;Mainz, Jan
通讯作者：
Mainz, Jan
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance
影响因子：
5.9
作者：
Vermandere, Mieke;Choi, Yoo-Na;Aertgeerts, Bert
通讯作者：
Aertgeerts, Bert