Physicians’ Perceptions and Suggestions for the Adaptation of a US-Based Serious Illness Communication Training in a Non-US Culture: A Qualitative Study

Onishi, Eriko; Nakagawa, Shunichi; Uemura, Takeshi; Shiozawa, Youkie; Yuasa, Misuzu; Ito, Kaori; Kobayashi, Yuki; Ishikawa, Hirono; Ouchi, Kei

doi:10.1016/j.jpainsymman.2020.11.035

Cited by 14 publications

(19 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previously, our group created an in-person Vital Talk workshop in Japanese. 10 It was a 4-hour session in 1 day and covered a six-step protocol for breaking bad news (SPIKES; Setting, Perception, Invitation, Knowledge, and Summarize) 12 and skills for responding to patients' emotions (NURSE statements; Name, Understand, Respect, Support, and Explore). 13 For the virtual format, we developed a course which consisted of two 3-hour sessions with a 1-week interval (Figure 1).…”

Section: Adaptation From An In-person To a Virtual Formatmentioning

confidence: 99%

“…We held in-person VitalTalk workshops in Japanese in the past. 10 While it was well-received, it was resource-intensive because it required our faculty members in the US to travel to Japan as well as learners in various institutions to travel to a set location in Tokyo. The virtual format allowed us to eliminate the cost and time of travel for both faculty and learners as well as the need of setting up a venue.…”

Section: 38mentioning

confidence: 99%

“…We held in-person workshops and trained 24 physicians in Japan. 10 While in-person workshops were well received overall, one significant barrier was its resource-intensiveness because faculty members in the US have to travel to Japan.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Feasibility of Virtual VitalTalk Workshops in Japanese: Can Faculty Members in the US Effectively Teach Communication Skills Virtually to Learners in Japan?

Ito

Uemura

Yuasa

et al. 2021

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

Background: VitalTalk is an established training program for serious illness conversations in the US. Previously, this training course has been provided in-person in Japanese, but never virtually. Objectives: To evaluate the feasibility of a virtually administered VitalTalk workshop in Japanese. Setting/Subjects: We conducted a virtual workshop which consisted of 2 days (3 hours per day) of synchronous sessions and preceding asynchronous modules. Five VitalTalk faculty members in the US facilitated 4 workshops for 48 physicians from 33 institutions across Japan. Learners completed surveys before and after the workshop. Measurements: To evaluate the feasibility, learners were asked for their satisfaction with the workshop and the virtual format as primary outcomes and their self-assessed preparedness in serious illness communication as the secondary outcome. Each question employed a 5-point Likert scale. Results: All learners (n = 48, male 79%) participated in the survey. The mean score of the learners’ satisfaction was 4.69 or higher in all questions. The mean score of the virtual format’s satisfaction was 4.33 or higher in all questions. The mean score of self-reported preparedness on the 11 questions were between 2.30 and 3.34 before the workshop, all of which significantly increased to 3.08 through 3.96 after the workshop (p < 0.01 in all questions). Conclusion: Learners in Japan perceived the virtual format of our VitalTalk workshop as satisfactory, and their self-reported preparedness improved significantly after the workshop. VitalTalk faculty members in the US were able to provide virtual communication training to physicians in Japan.

show abstract

Section: Adaptation From An In-person To a Virtual Formatmentioning

confidence: 99%

Section: 38mentioning

confidence: 99%

See 1 more Smart Citation

The Feasibility of Virtual VitalTalk Workshops in Japanese: Can Faculty Members in the US Effectively Teach Communication Skills Virtually to Learners in Japan?

Ito

Uemura

Yuasa

et al. 2021

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…[10][11][12] To accomplish this, we started training Japanese physicians in the VitalTalk ® pedagogy, using Japanese-language instruction and with Japanese-centric cultural adaptations. 13 In our virtual workshop (2, three-hour sessions), all 48 participating physicians found our training to be highly educational and felt that it prepared them for serious illness conversations. 14 In our qualitative study, the participants suggested possible adaptations of the training to fit clinical practice in Japan.…”

Section: Introductionmentioning

confidence: 97%

Culturally Acceptable Emotional Expressions Perceived by Non-U.S. Physicians Undergoing U.S.-Based Serious Illness Communication Skills Training: A Cross-Sectional Study

Onishi

Ishikawa

Ito

et al. 2022

Am J Hosp Palliat Care

Self Cite

View full text Add to dashboard Cite

Context Responding to emotions is a key feature of U.S.-based serious illness communication skills training, VitalTalk®, of which trained actors portraying seriously ill patients is a component. The cultural appropriateness and perceived utility of the actors’ emotional expressions remain to be empirically evaluated outside of the U.S. Objectives To determine the cultural appropriateness and educational utility of VitalTalk® actors’ emotional expressions, as perceived by clinicians. Methods From January 2021-April 2022, we conducted a cross-sectional study of physicians in Japan attending virtual VitalTalk® training in Japanese, each session focusing on: responding to emotions (#1) and discussing goals of care (#2), respectively. We examined their perceived authenticity and utility of the actively and passively intense emotional expressions portrayed by actors in VitalTalk® role-plays. Results Physicians (N = 100, 94% response rate) from across Japan voluntarily attended two-session workshops and completed post-session surveys. Eighty-eight participants (88%) responded that both actively and passively intense emotions portrayed by the actors provided useful learning experiences. For session #1, the participants found actively intense emotional expressions to be more clinically authentic, compared to passively intense ones (4.21 vs 4.06 out of a 5-point Likert scale, P P= .02). For session #2, no such difference was observed (4.16 vs 4.08 of a 5-point Likert scale, P = .24). Conclusions Even in a culture where patients may express emotions passively, any intense and authentic emotional expressions by actors can be perceived as facilitating learning. Most participants perceived both the Name, Understand, Respect, Support, and Explore ‘(NURSE)' statements and Reframe, Expect emotion, Map out patient goals Align with goals and Propose a plan ‘(REMAP)' frameworks as useful in routine clinical practice in Japan.

show abstract

“…Vital Talk method was originally developed for communicating with cancer patients, but has been applied to a variety of fields and has even been developed for emergency physicians and critical care clinicians [ 44 , 45 ]. The authors developed Vital Talk in Japanese language and found that it improved learners' preparedness to communicate with critically ill patients [ 46 , 47 ].…”

Section: Introductionmentioning

confidence: 99%

Primary palliative care recommendations for critical care clinicians

et al. 2022

Self Cite

View full text Add to dashboard Cite

Palliative care is an interdisciplinary care to optimize physical, psychosocial, and spiritual symptoms of patients and their families whose quality of life is impaired by serious, life-limiting illness. In 2021, the importance of providing palliative care in the intensive care unit (ICU) is well recognized by various studies to alleviate physical symptoms due to invasive treatments, to set patient-centered goals of care, and to provide end-of-life care. This paper summarizes the evidence known to date on primary palliative care delivered in the ICU settings. We will then discuss the potential benefits and harms of primary palliative care so that critical care clinicians are better equipped to decide what services might best improve the palliative care needs in their ICUs.

show abstract

Physicians’ Perceptions and Suggestions for the Adaptation of a US-Based Serious Illness Communication Training in a Non-US Culture: A Qualitative Study

Cited by 14 publications

References 27 publications

The Feasibility of Virtual VitalTalk Workshops in Japanese: Can Faculty Members in the US Effectively Teach Communication Skills Virtually to Learners in Japan?

The Feasibility of Virtual VitalTalk Workshops in Japanese: Can Faculty Members in the US Effectively Teach Communication Skills Virtually to Learners in Japan?

Culturally Acceptable Emotional Expressions Perceived by Non-U.S. Physicians Undergoing U.S.-Based Serious Illness Communication Skills Training: A Cross-Sectional Study

Primary palliative care recommendations for critical care clinicians

Contact Info

Product

Resources

About