卡尔加里-剑桥咨询模式是否是适合学生和新晋护理人员的沟通工具?定性研究

Claire Hastings
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摘要

简介卡尔加里-剑桥模式(C-CM)由 Kurtz 和 Silverman 于 1996 年开发,是一种针对医生的沟通工具。自其发布以来,已被各种医疗保健专业人士所采用;然而,此前尚未发现有研究对其在辅助医务人员实践中的使用情况进行评估。本研究旨在探讨学生和新获得资格的辅助医务人员(NQPs)在实践中应用 C-CM 的经验,并确定他们对 C-CM 作为院前环境中沟通工具的适用性的体验和看法:本理学硕士研究项目于 2021 年 4 月至 5 月进行,采用定性方法,对讨论辅助医务人员在实践中实施 C-CM 的书面反思和半结构式访谈记录进行主题分析。本研究采用方便配额抽样法,招募了 11 名参与者,包括三年级护理专业学生和新近获得国家资格证书的人员。本研究采用定性研究综合报告标准(COREQ)报告指南进行报告:共招募了 11 名参与者,其中 9 人同意进行反思性写作分析和访谈,2 人只同意进行写作分析。通过对写作样本的分析,可以对访谈计划进行演绎。参与者包括七名男性和四名女性。所有 11 名参与者(10 名英国人和 1 名印度人)的第一语言都是英语。年龄从 18 岁到 59 岁不等。职业状况为 46.2% 的三年级学生和 53.8% 的 NQPs。研究确定了四大主题:在实践中实施 C-CM 的障碍;C-CM 对辅助医疗实践的影响;C-CM 作为辅助医疗实践中的教学工具;C-CM 在辅助医疗实践中的适应性:与会者认为,C-CM 的实施改善了结构和共同决策;但是,他们欢迎对其进行调整,使其更加以辅助医务人员为重点。患者及其偏好的多样性可能会使其实施具有挑战性,经验丰富的救护人员提供的负面反馈也是与会者非常关注的问题。
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Is the Calgary-Cambridge Model of consultation a suitable communication tool for students and newly qualified paramedics? A qualitative study
Introduction: The Calgary-Cambridge Model (C-CM), developed by Kurtz and Silverman in 1996, is a communication tool developed for doctors. Since its publication, it has been adopted by various healthcare professionals; however, no previous research has been identified that evaluates its use in paramedic practice. This study aims to explore the experience of students and newly qualified paramedics (NQPs) applying the C-CM in practice, and establish their experiences and perceptions of its suitability as a communication tool in the pre-hospital environment.Methods: This MSc research project, conducted in April‐May 2021, applied qualitative methods with thematic analysis to written reflections and semi-structured interview transcripts discussing the implementation of C-CM in paramedic practice. A convenience-quota sample of 11 participants, consisting of third-year paramedic students and recent NQPs, were recruited. This research is reported using Consolidated Criteria for Reporting Qualitative Research (COREQ) reporting guidelines.Results: Eleven participants were recruited in total; nine consented to reflective writing analysis and interviews, two consented to writing analysis only. Analysis of the writing samples allowed for a deductive approach to the interview plan. Participants consisted of seven males and four females. All eleven participants (ten British and one Indian) spoke English as a first language. Ages ranged from 18 to 59 years. Career status was 46.2% third-year students and 53.8% NQPs. Four major themes were identified: barriers to implementation of the C-CM in practice; impact of C-CM on paramedic practice; C-CM as a teaching and learning tool in paramedic practice; and adaptation of C-CM for paramedic practice.Conclusions: Participants suggested that implementation of C-CM leads to improved structure and shared decision-making; however, adaptions to make it more paramedic-focused would be welcomed. The diversity of patients and their preferences can make its implementation challenging, and the negative feedback received from experienced ambulance staff was a significant concern to participants.
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