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首页> 外文期刊>Nurse education today >Enhancing communication with distressed patients, families and colleagues: The value of the Simple Skills Secrets model of communication for the nursing and healthcare workforce
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Enhancing communication with distressed patients, families and colleagues: The value of the Simple Skills Secrets model of communication for the nursing and healthcare workforce

机译：加强与患病患者，家人和同事的沟通：“简单技能秘密”沟通模式对护理和医疗人员的价值

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Background: Good communication skills in healthcare professionals are acknowledged as a core competency. The consequences of poor communication are well-recognised with far reaching costs including; reduced treatment compliance, higher psychological morbidity, incorrect or delayed diagnoses, and increased complaints. The Simple Skills Secrets is a visual, easily memorised, model of communication for healthcare staff to respond to the distress or unanswerable questions of patients, families and colleagues. Objectives: To explore the impact of the Simple Skills Secrets model of communication training on the general healthcare workforce. Design and Methods: An evaluation methodology encompassing a quantitative pre- and post-course testing of confidence and willingness to have conversations with distressed patients, carers and colleagues and qualitative semi-structured telephone interviews with participants 6-8. weeks post course. Participants: During the evaluation, 153 staff undertook the training of which 149 completed the pre- and post-training questionnaire. A purposive sampling approach was adopted for the follow up qualitative interviews and 14 agreed to participate. Results: There is a statistically significant improvement in both willingness and confidence for all categories; (overall confidence score, t(148) = - 15.607, p = <. 0.05 overall willingness score, t(148) = - 10.878, p = <. 0.05) with the greatest improvement in confidence in communicating with carers (pre-course mean 6.171 to post course mean 8.171). There is no statistical significant difference between the registered and support staff. Several themes were obtained from the qualitative data, including: a method of communicating differently, a structured approach, thinking differently and additional skills. The value of the model in clinical practice was reported. Conclusion: This model can be suggested as increasing the confidence of staff, in dealing with a myriad of situations which, if handled appropriately can lead to increased patient and carers' satisfaction. Empowering staff appears to have increased their willingness to undertake these conversations, which could lead to earlier intervention and minimise distress.
机译：背景：公认的医疗保健专业人员的良好沟通能力是一项核心能力。沟通不良的后果已得到公认，并付出了深远的代价，其中包括：降低了治疗依从性，较高的心理发病率，错误的诊断或延迟的诊断以及投诉增加。 “简单技能的秘密”是一种可视化，易于记忆的沟通模型，供医护人员响应患者，家人和同事的困扰或无法解决的问题。目标：探讨沟通培训的“简单技能秘密”模型对普通医疗保健人员的影响。设计与方法：一种评估方法，包括对课前和课后进行定量的信心和意愿测试，以与受苦患者，护理人员和同事进行对话，以及与参与者6-8进行定性的半结构化电话访谈。课程后数周。参加者：在评估过程中，有153名员工接受了培训，其中149人完成了培训前和培训后问卷。随访定性访谈采用了有目的的抽样方法，有14名同意参加。结果：所有类别的意愿和信心都有统计学上的显着提高; （总体置信度得分，t（148）=-15.607，p = <。0.05总意愿得分，t（148）=-10.878，p = <。0.05），与护理人员沟通的信心（课前）最大改善平均6.171，课程后平均8.171）。注册人员和支持人员之间没有统计学上的显着差异。从定性数据中获得了几个主题，包括：一种不同的交流方法，一种结构化的方法，不同的思维方式以及其他技能。报告了该模型在临床实践中的价值。结论：该模型可以建议增加工作人员的信心，以应对各种情况，如果处理得当，可以提高患者和护理人员的满意度。赋予员工权力似乎已经增加了进行这些对话的意愿，这可以导致更早地进行干预并最大程度地减少困扰。

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