The Belgian experience in communication skills training

2017 ◽  
Author(s):  
Isabelle Merckaert ◽  
Yves Libert ◽  
Darius Razavi
Keyword(s):  
Communication Skills ◽  
Healthcare Professionals ◽  
Teaching Method ◽  
Clinical Skills ◽  
Skills Training ◽  
Well Being ◽  
Communication Skills Training ◽  
Design Studies ◽  
Training Programmes ◽  
The Impact

Communication is recognized as one of healthcare professionals’ core clinical skills. Even though many endeavours have been undertaken to help professionals acquire these skills, many questions remain unanswered in terms of the transfer of learned skills to clinical practice, and in terms of the impact of this transfer on patients’ care and well-being. In the last two decades, communication skills training programmes, designed for healthcare professionals working in cancer care, have been the focus of several research endeavours of a research group based in Belgium. The efficacy of designed programmes has been tested in studies using a controlled design. Studies varied in the type of teaching method, the length of training, and the outcome measures considered. Four programmes will be detailed in this chapter in terms of rationale and results. The conclusion will build upon these experiences to develop recommendations and discuss where we may go from there.

The implementation of advanced communication skills training for senior healthcare professionals in Northern Ireland

2017 ◽  
Author(s):  
Anne Finn ◽  
Emma King ◽  
Susie Wilkinson
Keyword(s):  
Palliative Care ◽  
Northern Ireland ◽  
Communication Skills ◽  
Healthcare Professionals ◽  
Skills Training ◽  
Communication Skills Training ◽  
Complex Information ◽  
Cognitive Behavioural ◽  
Affective Components

This chapter describes the key challenges and rewards of the implementation and delivery of a programme of advanced communication skills training (ACST) for senior healthcare professionals working in cancer and palliative care in Northern Ireland (NI). It enables participants to reflect and critically appraise their own and others communication skills and to demonstrate the skills required to facilitate a structured patient-centred assessment/consultation using specific strategies to handle complex communication scenarios. Participants should also be able to tailor complex information to meet the needs of patients and carers. The course is based on an experiential, learner-centred approach, which is known to enhance effective person-centred communication and includes cognitive, behavioural, and affective components. A 2014 analysis of the programme recommends the two-day as opposed to the three-day model for ACST, as no disadvantages have been identified and this programme is better meeting the needs of the participants.

scholarly journals Communication skills training for the radiotherapy team to manage cancer patients’ emotional concerns: a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025420 ◽  
Author(s):  
Mara Myrthe van Beusekom ◽  
Josie Cameron ◽  
Carolyn Bedi ◽  
Elspeth Banks ◽  
Gerald Humphris
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Cancer Patients ◽  
Communication Skills ◽  
Skills Training ◽  
Well Being ◽  
Repeated Measurements ◽  
Communication Skills Training ◽  
Patient Anxiety ◽  
Positive Effect

ObjectivesMany cancer patients experience high levels of anxiety and concern during radiotherapy, often with long-lasting effects on their well-being. This systematic review aims to describe and determine the effectiveness of communication skills training (CST) for the radiotherapy team (RT) to improve conversations in this setting and to support patients with emotional concerns.DesignSystematic review.InterventionsCST for RT members.Data sourcesOn 17 April 2018, databases Medline, Embase, Scopus and PsycNET were searched.Eligibility criteria, Population, Intervention, Comparison, Outcome(PICO)Quantitative and/or qualitative articles were included that evaluate the effect of a CST for RT members (vs no CST) on communication behaviours and patients’ emotional concerns.Data extraction and synthesisArticles were appraised using the mixed-methods appraisal tool, and a narrative synthesis was performed.ResultsOf the nine included articles, five were randomised controlled trials, three were mixed-methods and one used repeated measurements. Four of the five different CST programmes managed to increase emotional communicative behaviour from the RT, and all studies measuring patient communicative behaviour found an improvement in at least one of the hypothesised outcomes. Two studies examining patient anxiety and concerns found a positive effect of the CST, although one found a negative effect; two other studies without a positive effect on mood made use of both empathic CST and tools.ConclusionsThere are promising indications that CST can be successfully introduced to improve emotional conversations between RT members and patients. With the right support, the RT can play an important role to help patients cope with their emotional concerns. Future work is necessary to confirm initial promising results and to ensure the learnt communication skills are sustained.

scholarly journals Communication skills in the training of psychiatrists: A systematic review of current approaches

2017 ◽  
Vol 51 (7) ◽  
pp. 675-692 ◽  
Author(s):  
Philippa Ditton-Phare ◽  
Carmel Loughland ◽  
Robbert Duvivier ◽  
Brian Kelly
Keyword(s):  
Clinical Practice ◽  
Patient Outcomes ◽  
Behaviour Change ◽  
Communication Skills ◽  
Randomised Controlled Trials ◽  
Skills Training ◽  
Controlled Trials ◽  
Communication Skills Training ◽  
Randomised Controlled ◽  
Training Programmes

Objectives: A range of communication skills training programmes have been developed targeting trainees in various medical specialties, predominantly in oncology but to a lesser extent in psychiatry. Effective communication is fundamental to the assessment and treatment of psychiatric conditions, but there has been less attention to this in clinical practice for psychiatrists in training. This review examines the outcomes of communication skills training interventions in psychiatric specialty training. Methods: The published English-language literature was examined using multiple online databases, grey literature and hand searches. The review was conducted and reported using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Studies examining the efficacy of communication skills training were included. Randomised controlled trials, pseudo-randomised studies and quasi-experimental studies, as well as observational analytical studies and qualitative studies that met criteria, were selected and critically appraised. No limits were applied for date of publication up until 16 July 2016. Results: Total search results yielded 2574 records. Of these, 12 studies were identified and reviewed. Two were randomised controlled trials and the remaining 10 were one-group pretest/posttest designs or posttest-only designs, including self-report evaluations of communication skills training and objective evaluations of trainee skills. There were no studies with outcomes related to behaviour change or patient outcomes. Two randomised controlled trials reported an improvement in clinician empathy and psychotherapeutic interviewing skills due to specific training protocols focused on those areas. Non-randomised studies showed varying levels of skills gains and self-reported trainee satisfaction ratings with programmes, with the intervention being some form of communication skills training. Conclusion: The heterogeneity of communication skills training is a barrier to evaluating the efficacy of different communication skills training programmes. Further validation studies examining specific models and frameworks would support a stronger evidence base for communication skills training in psychiatry. It remains a challenge to develop research to investigate behaviour change over time in clinical practice or to measure patient outcomes due to the effects of communication skills training.

The impact of clinical visits on communication skills training

2009 ◽  
Vol 77 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Sevgi Turan ◽  
Melih Elcin ◽  
Sarp Uner ◽  
Orhan Odabasi ◽  
Iskender Sayek ◽  
...  
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Communication Skills Training ◽  
The Impact

scholarly journals The effectiveness of communication-skills training interventions in end-of-life noncancer care in acute hospital-based services: A systematic review

2015 ◽  
Vol 14 (4) ◽  
pp. 433-444 ◽  
Author(s):  
Laura Lord ◽  
David Clark-Carter ◽  
Amy Grove
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Communication Skills ◽  
Self Efficacy ◽  
Skills Training ◽  
Communication Skills Training ◽  
Training Interventions ◽  
Staff Behavior ◽  
The Impact ◽  
End Of Life Communication

AbstractObjective:A systematic review was conducted in order to explore the effectiveness of communication-skills training interventions in end-of-life care with noncancer acute-based healthcare staff.Method:Articles were included if they (1) focused on communication-skills training in end-of-life/palliative care for noncancer acute-based staff and (2) reported an outcome related to behavior change with regard to communication. Sixteen online databases were searched, which resulted in 4,038 potential articles. Screening of titles left 393 articles that met the inclusion criteria. Abstracts (n = 346) and full-text articles (n = 47) were reviewed, leaving 10 papers that met the criteria for our review. All articles explored the effect of communication-skills training on aspects of staff behavior; one study measured the effect on self-efficacy, another explored the impact on knowledge and competence, and another measured comfort levels in discussing the end of life with patients/families. Seven studies measured a number of outcomes, including confidence, attitude, preparedness, stress, and communication skills.Results:Few studies have focused on end-of-life communication-skills training in noncancer acute-based services. Those that do have report positive effects on staff behavior with regard to communication about the end of life with patients and families. The studies varied in terms of the population studied and the health services involved, and they scored only moderately or weakly on quality. It is a challenge to draw a definite conclusion about the effectiveness of training interventions in end-of-life communication because of this. However, the findings from our review demonstrate the potential effectiveness of a range of training interventions with healthcare professionals on confidence, attitude, self-efficacy, and communication skills.Significance of results:Further research is needed to fully explore the effectiveness of existing training interventions in this population, and evidence using objective measures is particularly needed. Ideally, randomized controlled trials or studies using control groups and longer follow-ups are needed to test the effectiveness of interventions.

Responding to patient anger: Development and evaluation of an oncology communication skills training module

2011 ◽  
Vol 9 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Philip A. Bialer ◽  
David Kissane ◽  
Richard Brown ◽  
Tomer Levin ◽  
Carma Bylund
Keyword(s):  
Communication Skills ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
Skills Training ◽  
Course Satisfaction ◽  
Communication Skills Training ◽  
Review Of The Literature ◽  
Training Module ◽  
Physician Relationship

AbstractObjective:The purpose of this study was to develop a communication skills training (CST) module for oncology healthcare professionals on how to more effectively respond to patient anger. We also sought to evaluate the module in terms of participant self-efficacy and satisfaction.Method:The development of this module was based on a systematic review of the literature and followed the Comskil model previously used for other doctor–patient CST. Using an anonymous 5-point Likert scale, participants rated their pre-post self-efficacy in responding to patient anger as well as their satisfaction with the course. Data were analyzed using a paired sample t test.Results:During the academic years 2006–2009, 275 oncology healthcare professionals participated in a CST that focused on responding to patient anger. Participants' confidence in responding to patient anger increased significantly (p < 0.001) after attending the workshop. They also agreed or strongly agreed to five out of six items assessing course satisfaction 92–97% of the time.Significance of results:We have developed a CST module on how to respond to patient anger, which is both effective and useful. Training healthcare professionals to respond more effectively to patient anger may have a positive impact on the patient–physician relationship.

scholarly journals The Impact of Communication Skills Training on the Adjustment of Opiate Addicts

2016 ◽  
Vol 5 (4) ◽  
pp. 128
Author(s):  
Zeinab Sirous Jahedi ◽  
Ali Pouladi Reyshahri
Keyword(s):  
Communication Skills ◽  
Social Adjustment ◽  
Sampling Method ◽  
Emotional Adjustment ◽  
Skills Training ◽  
Cluster Sampling ◽  
Communication Skills Training ◽  
Statistical Population ◽  
Opiate Addicts ◽  
The Impact

The present research was aimed to study the impact of communication skills training on the adjustment of opiate addicts. The research was quasi experimental. Statistical population consisted of all addicts in Tehran in 2014-15. Single-stage cluster sampling method was used in the present research so that one of the rehabilitation camps in West of Tehran was selected. Afterwards, 30 addicts were chosen as a sample size using simple random sampling method and were randomly assigned to experimental and control groups. Data collection was carried out based on Bell Adjustment Questionnaire (1961). The reliability was investigated using Cronbach's alpha and the obtained value was equal to 0.84. Moreover, content validity was employed in order to measure the validity of the test which the questionnaire was approved by the relevant experts and scholars in this regard. Analysis of the obtained data was performed using SPSS software in two parts of descriptive and inferential (Covariance Analysis). Findings indicated that communication skills training leads to an increase in the level of adjustment of addicts in every five dimensions of social adjustment, family adjustment, emotional adjustment, physical adjustment and occupational adjustment.

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