Individualized coaching in health system-wide provider communication training

Pedersen, K.; Brennan, Theresa; Nance, Alexander D.; Rosenbaum, Marcy

doi:10.1016/j.pec.2021.06.023

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…Perhaps it was the aligned communication among members of the interdisciplinary team, the communication techniques performed during the three meetings, the training that informed those techniques or some combination. Regardless, this study adds to the literature supporting the concept that improving healthcare professionals’ communication skills results in improved satisfaction 20. It also demonstrates that the examined principles of care have the potential for other important long-term benefits on families of recently deceased patients.…”

Section: A Three-step Support Strategy For Relatives Of Patients Dyin...mentioning

confidence: 57%

“…Family-centred care, inclusive of EOL discussions, has been recommended as a standard for at least a decade, as multiple prior studies have shown benefits ranging from improved quality of communication to decreased burden of bereavement 16 18–20. The three-step intervention proposed by Kentish-Barnes and colleagues provides a system by which these principles may be implemented in a structured way.…”

Section: A Three-step Support Strategy For Relatives Of Patients Dyin...mentioning

confidence: 99%

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Quality and Safety in the Literature: November 2022

2022

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Section: A Three-step Support Strategy For Relatives Of Patients Dyin...mentioning

confidence: 57%

Section: A Three-step Support Strategy For Relatives Of Patients Dyin...mentioning

confidence: 99%

Quality and Safety in the Literature: November 2022

2022

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“…what is happening (e.g. Thomson et al 2013;Pedersen et al 2021). This is not to say clinicians are the sole sources of information; however, connecting people to other information sources may also be valuable.…”

Section: Discussionmentioning

confidence: 99%

Limited conversations about constrained futures: exploring clinicians’ conversations about life after stroke in inpatient settings

Bright,

Kayes,

Soundy

et al. 2024

Brain Impairment

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Background. After a stroke, people can find it challenging to look forward to the future. Hope, a critical resource for recovery, can be threatened and can be supported or diminished through interactions with clinicians. As such, understanding how conversations can support people embarking on life after a stroke is critical. Our study explored how clinicians talk about the future with patients and considered what factors shape how these conversations occur. Methods. This study drew on the Interpretive Description methodology, informed by principles of ethnographic inquiry. We conducted 300 hours of observations and 76 interviews with five people with stroke and 37 clinicians. Data were analysed using the reflexive thematic analysis. Results. We constructed three themes that reflect how clinicians talk about the future with people in inpatient stroke services: (1) constrained temporal horizons, (2) limited talk controlled by clinicians, and (3) opening some doors while closing others. Conclusions. Conversations about the future after stroke were constrained and limited: constrained to short-term futures and limited in what aspects of life after stroke were discussed. Creating conversational and relational spaces where people are supported to look to the future with a sense of possibility, hope, and potential is vital for assisting people to move forward in their lives after their stroke. Given its role in supporting people to move forward in their lives, communication must be seen as a core clinical skill and a clinical intervention in its own right.

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“…In contrast to recent intervention studies, we did not report changes only in the group of "extremely satisfied" patients (24). Instead, we report average scores that include all patients, which renders our results more relevant.…”

Section: Strengthsmentioning

confidence: 91%

“…Communication skills training in settings for patients with spinal cord injury/ disorder (SCI/D) was largely ineffective (13-15), but some elements such as explicitly structuring an encounter and structured delivery of information showed positive results. In addition, CST has been shown to be time-efficient while improving the patient's satisfaction with communication and trustworthiness of the professionals (16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Effect of an interprofessional small-group communication skills training incorporating critical incident approaches in an acute care and rehabilitation clinic specialized for spinal cord injury and disorder

Scheel‐Sailer¹,

Eich²,

Jelmoni³

et al. 2022

Front. Rehabilit. Sci.

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AimTo investigate the impact of site-specific inter-professional small-group communication skills training (CST) that incorporates critical incident approaches to learning on patient satisfaction with communication.SettingRehabilitation clinic specialized for spinal cord injury/disorder (SCI/D).MethodsRetrospective observational cohort study design using patient and health-professional self-report data. Data for patient satisfaction with communication were collected in 2014 (existing records) and each year from 2015 to 2021 (post-program; volunteers) using the MECON survey.ResultsFifteen basic (n = 161 participants), 16 refresher (n = 84), and five short (n = 17) CST seminars were conducted. Overall, 262 employees (105 physicians, 63 nurses, 36 physio- and occupational therapists, and 58 others) participated; 92 participants (response rate 37.6%) responded to feedback surveys. They rated the seminars positive concerning the alternation between theory, discussion, and practical exercise in 91.3%, and rated the length of the training ideal in 80.2%. Post-program patient satisfaction overall increased from 83.1% (confidence interval (CI) 2.6%) to 90% (CI 0.8%; R2 = 0.776; p= 0.004). It was higher in specific communication-related topics: “receiving information” (81.1%, CI 3.1–90.2%, CI 1.0%; p = 0.003), “being able to bring in concerns” (83%, CI 1.0–90.8%; R2 = 0.707; p = 0.009) and “being treated with respect” (89.4%, CI 2.6–94.4%, CI 0.8%; R2 = 0.708; p = 0.004).Practice implicationsInter-professional CST is feasible and well accepted by professionals from various professional groups. During seven years of continuous training, independent patient ratings of satisfaction with professional communication have improved significantly. Participants attest to the training's high credibility and usefulness in everyday life.

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Individualized coaching in health system-wide provider communication training

Cited by 8 publications

References 18 publications

Quality and Safety in the Literature: November 2022

Quality and Safety in the Literature: November 2022

Limited conversations about constrained futures: exploring clinicians’ conversations about life after stroke in inpatient settings

Effect of an interprofessional small-group communication skills training incorporating critical incident approaches in an acute care and rehabilitation clinic specialized for spinal cord injury and disorder

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