Bragard, Isabelle

Delvaux, N.

Etienne, Anne-Marie

Libert, Y.

Liénard, A.

Marchal, S.

Merckaert, I.

Meunier, J.

Razavi, D.

Reynaert, Ch.

Slachmuylder, J.-L.

PLoS ONE

PubMed

Background and purposeCommunication with patients is a core clinical skill in medicine that can be acquired through communication skills training. Meanwhile, the importance of transfer of communication skills to the workplace has not been sufficiently studied. This study aims to assess the efficacy of a 40-hour training program designed to improve patients' satisfaction and residents' communication skills during their daily clinical rounds.MethodsResidents were randomly assigned to the training program or to a waiting list. Patients' satisfaction was assessed with a visual analog scale after each visit. Transfer of residents' communication skills was assessed in audiotaped actual inpatient visits during a half-day clinical round. Transcripted audiotapes were analyzed using content analysis software (LaComm). Training effects were tested with Mann-Whitney tests and generalized linear Poisson regression models.ResultsEighty-eight residents were included. First, patients interacting with trained residents reported a higher satisfaction with residents' communication (Median=92) compared to patients interacting with untrained residents (Median=88) (p=.046). Second, trained residents used more assessment utterances (Relative Risk (RR)=1.17; 95% Confidence intervals (95%CI)=1.02-1.34; p=.023). Third, transfer was also observed when residents' training attendance was considered: residents' use of assessment utterances (RR=1.01; 95%CI=1.01-1.02; p=.018) and supportive utterances (RR=0.99; 95%CI=0.98-1.00; p=.042) (respectively 1.15 (RR), 1.08-1.23 (95%CI), pConclusionThe training program improved patients' satisfaction and allowed the transfer of residents' communication skills learning to the workplace. Transfer was directly related to training attendance but remained limited. Future studies should therefore focus on the improvement of the efficacy of communication skills training in order to ensure a more important training effect size on transfer

Aurore Liénard

Isabelle Merckaert

Yves Libert

Isabelle Bragard

Nicole Delvaux

Anne-Marie Etienne

Serge Marchal

Julie Meunier

Christine Reynaert

Jean-Louis Slachmuylder

Darius Razavi

Directory of Open Access Journals

Transfer of communication skills to the workplace during clinical rounds: impact of a program for residents.

BACKGROUND AND PURPOSE: Communication with patients is a core clinical skill in medicine that can be acquired through communication skills training. Meanwhile, the importance of transfer of communication skills to the workplace has not been sufficiently studied. This study aims to assess the efficacy of a 40-hour training program designed to improve patients' satisfaction and residents' communication skills during their daily clinical rounds. METHODS: Residents were randomly assigned to the training program or to a waiting list. Patients' satisfaction was assessed with a visual analog scale after each visit. Transfer of residents' communication skills was assessed in audiotaped actual inpatient visits during a half-day clinical round. Transcripted audiotapes were analyzed using content analysis software (LaComm). Training effects were tested with Mann-Whitney tests and generalized linear Poisson regression models. RESULTS: Eighty-eight residents were included. First, patients interacting with trained residents reported a higher satisfaction with residents' communication (Median=92) compared to patients interacting with untrained residents (Median=88) (p=.046). Second, trained residents used more assessment utterances (Relative Risk (RR)=1.17; 95% Confidence intervals (95%CI)=1.02-1.34; p=.023). Third, transfer was also observed when residents' training attendance was considered: residents' use of assessment utterances (RR=1.01; 95%CI=1.01-1.02; p=.018) and supportive utterances (RR=0.99; 95%CI=0.98-1.00; p=.042) (respectively 1.15 (RR), 1.08-1.23 (95%CI), p<.001 for empathy and 0.95 (RR), 0.92-0.99 (95%CI), p=.012 for reassurance) was proportional to the number of hours of training attendance. CONCLUSION: The training program improved patients' satisfaction and allowed the transfer of residents' communication skills learning to the workplace. Transfer was directly related to training attendance but remained limited. Future studies should therefore focus on the improvement of the efficacy of communication skills training in order to ensure a more important training effect size on transfer.Journal ArticleResearch Support, Non-U.S. Gov'tSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Liénard, Aurore

Merckaert, Isabelle

Libert, Yves

Delvaux, Nicole

Marchal, Serge

Meunier, Julie

Reynaert, Christine

Slachmuylder, Jean-Louis

Razavi, Darius

DI-fusion

Crossref

Transfer of Communication Skills to the Workplace during Clinical Rounds: Impact of a Program for Residents

Open Repository and Bibliography - Liège

Transfer of Communication Skills to the Workplace during Clinical Rounds : Impact of a Program for Residents

Background and Purpose: Communication with patients is a core clinical skill in medicine that can be acquired through communication skills training. Meanwhile, the importance of transfer of communication skills to the workplace has not been sufficiently studied. This study aims to assess the efficacy of a 40-hour training program designed to improve patients' satisfaction and residents' communication skills during their daily clinical rounds.
Methods: Residents were randomly assigned to the training program or to a waiting list. Patients' satisfaction was assessed with a visual analog scale after each visit. Transfer of residents' communication skills was assessed in audiotaped actual inpatient visits during a half-day clinical round. Transcripted audiotapes were analyzed using content analysis software (LaComm). Training effects were tested with Mann-Whitney tests and generalized linear Poisson regression models.
Results: Eighty-eight residents were included. First, patients interacting with trained residents reported a higher satisfaction with residents' communication (Median = 92) compared to patients interacting with untrained residents (Median = 88) (p = .046). Second, trained residents used more assessment utterances (Relative Risk (RR) = 1.17; 95% Confidence intervals (95%CI) = 1.02-1.34; p = .023). Third, transfer was also observed when residents' training attendance was considered: residents' use of assessment utterances (RR = 1.01; 95%CI = 1.01-1.02; p = .018) and supportive utterances (RR = 0.99; 95% CI = 0.98-1.00; p = .042) (respectively 1.15 (RR), 1.08-1.23 (95% CI), p<.001 for empathy and 0.95 (RR), 0.92-0.99 (95% CI), p = .012 for reassurance) was proportional to the number of hours of training attendance.
Conclusion: The training program improved patients' satisfaction and allowed the transfer of residents' communication skills learning to the workplace. Transfer was directly related to training attendance but remained limited. Future studies should therefore focus on the improvement of the efficacy of communication skills training in order to ensure a more important training effect size on transfer

Lienard, Aurore

DIAL UCLouvain

Transfer of communication skills to the workplace during clinical rounds : impact of a program for residents

http://orbi.ulg.ac.be/bitstream/2268/95743/1/2010%20Li%c3%a9nard%20Merckaert%20Libert%20Bragard%20Delvaux%20Etienne%20et%20a.%2c%20%20PlosOne%2c.pdf

Transfer of Communication Skills to the Workplace during Clinical Rounds : Impact of a Program for Residents

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