scholarly journals Training in communication skills for self-efficacy of health professionals: a systematic review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ádala Nayana de Sousa Mata ◽  
Kesley Pablo Morais de Azevedo ◽  
Liliane Pereira Braga ◽  
Gidyenne Christine Bandeira Silva de Medeiros ◽  
Victor Hugo de Oliveira Segundo ◽  
...  
Keyword(s):  
Communication Skills ◽  
Health Professionals ◽  
Self Efficacy ◽  
Experimental Studies ◽  
Skills Training ◽  
Risk Of Bias ◽  
Control Group ◽  
Communication Skills Training ◽  
Quasi Experimental

Abstract Background Communication skills are essential for health professionals to establish a positive relationship with their patients, improving their health and quality of life. In this perspective, communication skills training can be effective strategies to improve the care provided by professionals in patient care and the quality of health services. Objective To identify the best available evidence on training programs in communication skills to promote changes in attitude and behavior or self-efficacy of health professionals. Methods Systematic searches were performed in eight databases, evaluating Randomized Controlled Trials and quasi-experimental studies with a control group, focusing on training communication skills for health professionals, who assessed self-efficacy or behaviors related to these skills. The phases of study selection and data extraction were carried out by two independent researchers, and the conflicts were resolved by a third. The risk of bias was assessed using the Cochrane method. Results Eight studies were included in the review. Most programs lasted between 4½ h and 2 days, involved information about communication skills and the content was applied to the health professionals’ context. Several teaching strategies were used, such as lectures, videos and dramatizations and the evaluation was carried out using different instruments. Improvements in the performance and in the self-efficacy of communication skills were observed in the trained groups. The RCT had a low risk of bias and the quasi-experimental studies had a moderate risk. Conclusion Training in communication skills can improve the performance and self-efficacy of health professionals. Programs that approach the conceptual issues and promote the space for experiential learning could be effective in communication skills training for professionals. PROSPERO: CRD42019129384

scholarly journals A quasi-experimental study to improve health service quality: implementing communication and self-efficacy skills training to primary healthcare workers in two counties in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hossein Shahnazi ◽  
Marzieh Araban ◽  
Mahmood Karimy ◽  
Mansooreh Basiri ◽  
Ali Ghazvini ◽  
...  
Keyword(s):  
Communication Skills ◽  
Self Efficacy ◽  
Educational Program ◽  
Healthcare Workers ◽  
Intervention Group ◽  
Skills Training ◽  
Control Group ◽  
Control Groups ◽  
Quasi Experimental ◽  
And Control

Abstract Background Service satisfaction ratings from clients are a good indicator of service quality. The present study aimed to investigate the impact of communication skills and self-efficacy training for healthcare workers on clients’ satisfaction. Methods A quasi-experimental study was conducted in health centers of Saveh University of Medical Science in Iran. Primary Healthcare (PHC; N = 105) workers and service recipients (N = 364) were randomly assigned to intervention and control groups. The intervention group received four 90-min training sessions consisting of lecture, film screening, role-playing, and discussion group. Before and 3 months after the intervention, a multi-part questionnaire (including demographics, self-efficacy and communication skills in PHC workers; and satisfaction questionnaire in service recipients) was completed by participants in both intervention and control groups. Results PHC worker mean scores of self-efficacy and communication skills after the educational program were increased in the intervention group compared to the control group (p < 0.05). Also, mean satisfaction scores for service recipients of the intervention group (PHC workers) generally significantly increased compared to the control group (p < 0.001). Conclusions The educational program improved the self-efficacy, and communication skills in health workers and improved client satisfaction overall. Our results support the application of self-efficacy and communication skills training for other medical groups who wish to improve clients satisfaction as an important health services outcome.

scholarly journals Communication Skills Training for Physicians Improves Health Literacy and Medical Outcomes among Patients with Hypertension: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Seyedeh Belin Tavakoly Sany ◽  
Fatemeh Behzhad ◽  
Gordon Ferns ◽  
Nooshin Peyman
Keyword(s):  
Health Literacy ◽  
Communication Skills ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Skills Training ◽  
Control Group ◽  
Communication Skills Training ◽  
Uncontrolled Blood Pressure ◽  
Hypertensive Patients ◽  
Randomized Controlled

Abstract Background: Improving the training of physicians about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effectiveness of communication skills training for physicians on the hypertension outcomes and the health literacy skills, self-efficacy and medication adherence in patients with uncontrolled blood pressure (BP). Methods: A randomized, controlled trial method was conducted on 240 hypertensive patients and 35 physicians presenting to healthcare clinics in the Mashhad, Iran, from 2013 to 2014. Using stratified blocking with block sizes of 4 and 6, eligible patients with uncontrolled blood pressure were randomly allocated to the intervention and control groups. Physicians in the intervention group received educational training over 3 sessions of Focus –Group Discussion and 2 workshops. The control group received the routine care. The primary outcome was a reduction in systolic and diastolic BP from baseline to 6 months. The secondary outcome was promoting HL skills in hypertensive patients. Data were analyzed using the regression model and bivariate tests. Results: After the physician communication training, there was a significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group. Conclusion: The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient communication is an important modifiable element of medical communication that may influences health outcomes in hypertensive Iranian patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20160710028863N24. Registered April 4, 2018 [retrospectively registered].

Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

2014 ◽  
Vol 32 (20) ◽  
pp. 2166-2172 ◽  
Author(s):  
Maiko Fujimori ◽  
Yuki Shirai ◽  
Mariko Asai ◽  
Kaoru Kubota ◽  
Noriyuki Katsumata ◽  
...  
Keyword(s):  
Communication Skills ◽  
Patient Preferences ◽  
Controlled Trial ◽  
Intervention Group ◽  
Depression Scale ◽  
Skills Training ◽  
Control Group ◽  
Communication Skills Training ◽  
Communication Performance

Purpose The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. Participants and Methods Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. Results At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. Conclusion A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills.

scholarly journals The effect of communication skills training on the self-efficacy of nurses: a systematic review and meta-analysis study

2019 ◽  
Vol 8 (1) ◽  
pp. 144
Author(s):  
Mojtaba Fattahi Ardakani ◽  
Mohammad Ali Morowati Sharifabad ◽  
Mohammad Amin Bahrami ◽  
Amin Salehi Abargouei
Keyword(s):  
Systematic Review ◽  
Communication Skills ◽  
Self Efficacy ◽  
Meta Analysis ◽  
Skills Training ◽  
The Self ◽  
Communication Skills Training ◽  
Analysis Study

Can Communication Skills Training Alter Physicians’ Beliefs and Behavior in Clinics?

2002 ◽  
Vol 20 (3) ◽  
pp. 765-769 ◽  
Author(s):  
Valerie Jenkins ◽  
Lesley Fallowfield
Keyword(s):  
Communication Skills ◽  
Processing System ◽  
Skills Training ◽  
Self Report ◽  
Control Group ◽  
Communication Skills Training ◽  
Attitudes And Beliefs ◽  
Communication Behaviors ◽  
Open Questions ◽  
Affective Components

PURPOSE: To measure the psychosocial attitudes and beliefs of physicians working within oncology in the United Kingdom and to examine whether beliefs alter after communication skills training. Additionally, to investigate whether physicians’ attitudes are reflected in communication behaviors with patients during interviews. METHODS: Ninety-three physicians completed a 32-item Physician Psychosocial Belief (PPSB) questionnaire at baseline (T1) before randomization to attendance at a 3-day residential communication skills course (n = 48) or a control group (n = 45). Three months later (T2), both groups completed another PPSB and a self-assessment questionnaire recording perceived changes in communication with patients. At both time points, physicians’ consultations with two consenting patients were videotaped. Communication behaviors were measured using the Medical Interaction Processing System. RESULTS: Physicians who attended the course showed significantly improved attitudes and beliefs toward psychosocial issues compared with controls (P = .002). This improvement was reflected in the analysis of the videotaped recordings of their communication behaviors with patients. Expressions of empathy were more likely for the course group at T2 than the controls (P = .02), as were open questions (P = .001), appropriate responses to patient cues (P = .005), and psychosocial probing (P = .041). These objective findings were supported by physicians’ self report of changes in communication style during interviews with patients. CONCLUSION: Our results show that a communication skills training intervention using behavioral, cognitive, and affective components not only increases potentially beneficial and more effective interviewing styles but can also alter attitudes and beliefs, thus increasing the likelihood that such skills will be used in the clinical setting.

Discussing the transition to palliative care: Evaluation of a brief communication skills training program for oncology clinicians

2010 ◽  
Vol 8 (4) ◽  
pp. 441-447 ◽  
Author(s):  
Michelle N. Grainger ◽  
Sue Hegarty ◽  
Penelope Schofield ◽  
Vicki White ◽  
Michael Jefford
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Communication Skills ◽  
Health Professionals ◽  
Skills Training ◽  
Simulated Patients ◽  
Communication Skills Training ◽  
Anti Cancer ◽  
Practical Information ◽  
Care Evaluation

AbstractObjective:Discussing the transition from active anti-cancer treatment to palliative care can be difficult for cancer patients and oncology health professionals (OHP). We developed a brief communication skills workshop to assist OHP with these conversations, and examined satisfaction with the workshop and perceived confidence regarding these discussions.Method:Interactive workshops were conducted by trained facilitators and included cognitive, behavioral, and experiential components. The major component of the workshop involved role-plays with trained actors (simulated patients). Participants completed an evaluation questionnaire.Results:Sixty-two OHP participated in workshops. Overall, participants were highly satisfied with the workshop content and format. All participants felt the workshop provided relevant practical information, and >80% thought that participation benefited their work. Over 98% said that the workshop had increased confidence in their communication skills.Significance of results:Participants were very satisfied with the workshop, and thought that participation increased confidence in communicating about the transition to palliative care. Dissemination of this model of communication skills training seems warranted.

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.

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