Culturally Acceptable Emotional Expressions Perceived by Non-U.S. Physicians Undergoing U.S.-Based Serious Illness Communication Skills Training: A Cross-Sectional Study.
Culturally Acceptable Emotional Expressions Perceived by Non-U.S. Physicians Undergoing U.S.-Based Serious Illness Communication Skills Training: A Cross-Sectional Study.
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DOI：
10.1177/10499091221148151
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发表时间：
2023-10
影响因子：
1.9
通讯作者：
Ouchi, Kei
中科院分区：
文献类型：
--
作者：
Onishi, Eriko;Ishikawa, Hirono;Ito, Kaori;Nakagawa, Shunichi;Shiozawa, Youkie;Uemura, Takeshi;Yuasa, Misuzu;Ouchi, Kei
关键词：
对情绪作出反应是美国的一个重要特征-基于严重疾病的沟通技能培训，VitalTalk®，其中受过训练的演员描绘重病患者是一个组成部分。演员情感表达的文化适当性和感知效用仍有待美国以外的经验评估。确定临床医生感知的VitalTalk®演员情感表达的文化适当性和教育效用。从2021年1月至2022年4月，我们对日本参加日语虚拟VitalTalk®培训的医生进行了一项横断面研究，每次培训的重点分别是：应对情绪（#1）和讨论护理目标（#2）。我们研究了他们对VitalTalk®角色扮演中演员所描绘的主动和被动强烈情感表达的真实性和效用。来自日本各地的医生（N = 100，94%的应答率）自愿参加了两次研讨会，并完成了会后调查。88名参与者（88%）回答说，演员所描绘的积极和消极的强烈情绪提供了有用的学习经验。对于第一阶段，参与者发现主动强烈的情绪表达比被动强烈的情绪表达更具有临床真实性（在5分制的李克特量表中为4.21 vs 4.06，PP= 0.02）。对于第2阶段，未观察到此类差异（5分Likert量表的4.16 vs 4.08，P = 0.24）。即使在一个患者可能被动表达情感的文化中，演员的任何强烈和真实的情感表达都可以被视为促进学习。大多数参与者认为名称，理解，尊重，支持和探索“（REMSE）”声明和Reframe，Expect emotion，Map out patient goals Align with goals and Propose a plan“（REMAP）”框架在日本的常规临床实践中是有用的。
Responding to emotions is a key feature of U.S.-based serious illness communication skills training, VitalTalk®, of which trained actors portraying seriously ill patients is a component. The cultural appropriateness and perceived utility of the actors’ emotional expressions remain to be empirically evaluated outside of the U.S. To determine the cultural appropriateness and educational utility of VitalTalk® actors’ emotional expressions, as perceived by clinicians. From January 2021-April 2022, we conducted a cross-sectional study of physicians in Japan attending virtual VitalTalk® training in Japanese, each session focusing on: responding to emotions (#1) and discussing goals of care (#2), respectively. We examined their perceived authenticity and utility of the actively and passively intense emotional expressions portrayed by actors in VitalTalk® role-plays. Physicians (N = 100, 94% response rate) from across Japan voluntarily attended two-session workshops and completed post-session surveys. Eighty-eight participants (88%) responded that both actively and passively intense emotions portrayed by the actors provided useful learning experiences. For session #1, the participants found actively intense emotional expressions to be more clinically authentic, compared to passively intense ones (4.21 vs 4.06 out of a 5-point Likert scale, PP= .02). For session #2, no such difference was observed (4.16 vs 4.08 of a 5-point Likert scale, P = .24). Even in a culture where patients may express emotions passively, any intense and authentic emotional expressions by actors can be perceived as facilitating learning. Most participants perceived both the Name, Understand, Respect, Support, and Explore ‘(NURSE)’ statements and Reframe, Expect emotion, Map out patient goals Align with goals and Propose a plan ‘(REMAP)’ frameworks as useful in routine clinical practice in Japan.
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影响因子：
6.3
作者：
Back, Anthony L.;Fromme, Erik K.;Meier, Diane E.
通讯作者：
Meier, Diane E.
日语中虚拟VitalTalk讲习班的可行性：美国的教职员工能否实际上向日本的学习者教授沟通技巧？
DOI：
10.1177/10499091211044477
发表时间：
2022-07
期刊：
The American journal of hospice & palliative care
影响因子：
--
作者：
Ito K;Uemura T;Yuasa M;Onishi E;Shiozawa Y;Ishikawa H;Ouchi K;Nakagawa S
通讯作者：
Nakagawa S
影响因子：
254.7
作者：
Back, AL;Arnold, RM;Fryer-Edwards, K
通讯作者：
Fryer-Edwards, K
影响因子：
4.7
作者：
Onishi E;Nakagawa S;Uemura T;Shiozawa Y;Yuasa M;Ito K;Kobayashi Y;Ishikawa H;Ouchi K
通讯作者：
Ouchi K
影响因子：
158.5
作者：
White, D. B.;Angus, D. C.;Arnold, R. M.
通讯作者：
Arnold, R. M.