Upscaling communication skills training - lessons learned from international initiatives

被引:20
|
作者
Ammentorp, Jette [1 ,2 ,4 ]
Bigi, Sarah [3 ]
Silverman, Jonathan [4 ]
Sator, Marlene [5 ,6 ]
Gillen, Peter [7 ]
Ryan, Winifred [8 ]
Rosenbaum, Marcy [9 ]
Chiswell, Meg [4 ]
Doherty, Eva [7 ]
Martin, Peter [2 ,4 ]
机构
[1] Lillebaelt Hosp, Hlth Serv Res Unit, Vejle, Denmark
[2] Univ Southern Denmark, Inst Reg Hlth Res, Odense, Denmark
[3] Univ Cattolica Sacro Cuore, Dept Linguist Sci & Foreign Literatures, Milan, Italy
[4] Deakin Univ, Sch Med, Ctr Org Change Person Centred Healthcare, Geelong, Vic, Australia
[5] Austrian Publ Hlth Inst, Dept Hlth & Soc, Vienna, Austria
[6] Austrian Hlth Literacy Alliance, Vienna, Austria
[7] Royal Coll Surgeons Ireland, Dept Surg Affairs, Dublin, Ireland
[8] Natl Healthcare Commun Programme, Dublin, Ireland
[9] Univ Iowa, Carver Coll Med, Iowa City, IA 52242 USA
关键词
Communication skills training; Implementation; Calgary-Cambridge Guide; Patient-Centred Communication; RE-AIM Framework; SELF-EFFICACY; CARE; HEALTH; PHYSICIANS; INTERVENTIONS; FRAMEWORK; OUTCOMES; IMPACT;
D O I
10.1016/j.pec.2020.08.028
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To collect experiences and to identify the main facilitators and barriers for the implementation process of large scale communication training programs. Methods: Using a multiple case study design, data was collected from leaders of the individual programs in Australia, Ireland, Austria and Denmark. The RE-AIM framework was used to evaluate the components: Reach, Effectiveness, Adoption, Implementation, and Maintenance of the programs. Results: The programs, all based on the Calgary-Cambridge Guide, succeeded in reaching the intended target groups corresponding to between 446 and 3000 healthcare workers. New courses are planned and so far the outcome of the intervention has been investigated in two countries. The fact that implementation, including educating trainers, relies on a few individuals was identified as the main challenge. Conclusion: Large scale communication training programs based on the Calgary-Cambridge Guide can be implemented and adopted in multiple different healthcare settings across a national health system culture. The importance of standardized trainer education and adaption of the programs to clinical practice was highlighted. Practice Implications: In order to address the sustainability of the programs and to allow the intervention to scale up, it is important to prioritise and allocate resources at the political and organizational level. (C) 2020 The Author(s). Published by Elsevier B.V.
引用
收藏
页码:352 / 359
页数:8
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