肿瘤学住院医师医患沟通教学研究:一种新的教学模式。

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of evaluation in clinical practice Pub Date : 2024-10-21 DOI:10.1111/jep.14217
Dong Yang, Xiaohong Ai, Manbo Cai, Qin Tong, Kai Mei, Qiao Yang, Pian Li, Zhimin Li, Junyan He, Yi Li
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引用次数: 0

摘要

背景:目前,针对肿瘤科住院医师的医患沟通尚无专门的教学方法。本研究将BOPPPS(桥接式教学、学习目标、前测、参与式学习、后测、总结)教学模式与SBAR(情景-背景-评估-建议)沟通模式相结合,尝试一种新的医患沟通教学与评估模式,旨在探索和改进肿瘤科住院医师医患沟通的教学方法:将 90 名住院医师随机分为两组:实验组(n=45)采用 BOPPPS 教学模式结合 SBAR 沟通模式进行培训,对照组(n=45)采用常规教学方法。评估指标包括医患沟通能力、教学满意度和患者满意度:结果:实验组的医患沟通能力评分明显优于对照组(p 结论:实验组的医患沟通能力评分明显优于对照组(p 结论:实验组的医患沟通能力评分明显优于对照组(p 结论):应用 BOPPPS 结合 SBAR 可以有效提高住院医师的医患沟通能力,提高教学满意度和患者满意度。这种新模式能有效提高住院医师医患沟通能力,值得在临床教学工作中积极推广。
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Research on doctor-patient communication teaching for oncology residents: a new teaching model.

Background: At present, there is no specific teaching method for doctor-patient communication for oncology residents. This study combined BOPPPS (bridge-in, learning objective, pretest, participatory learning, posttest, and summary) teaching model and SBAR (situation-background-assessment-recommendation) communication model to try a new teaching and assessment model of doctor-patient communication, aiming to explore and improve the teaching method of doctor-patient communication for oncology residents.

Methods: Ninety residents were randomly divided into two groups: the experimental group (n = 45) was trained with the BOPPPS teaching model combined with the SBAR communication model, the routine teaching method was adopted in the control group (n = 45). Indicators of assessment included doctor-patient communication skills, satisfaction with teaching, and patient satisfaction.

Results: The scores for doctor-patient communication ability were significantly better in experimental group than control group (p < 0.05). The degree of satisfaction degree (very satisfied + satisfied) of the experimental group were higher than control group (p < 0.05). The overall teaching satisfaction of the experimental group was 100.00%, the control group was 77.78%, p < 0.001. Patients' satisfaction with the residents in the experimental group (93.3%) was significantly higher than control group (80.0%), p = 0.043.

Conclusion: The application of the BOPPPS combined with the SBAR can effectively enhance residents' doctor-patient communication ability and improve teaching satisfaction and patient satisfaction. This new model can effectively improve resident physician‒patient communication ability, which is worth actively promoting in clinical teaching work.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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