The Impact of Resident Training on Communication with Families in the Intensive Care Unit. Resident and Family Outcomes

“…Another study that showed an improvement in relatives’ perception of the communication skills of participants following a simulation intervention only did so after the participants had attended multiple sessions 27. This highlights a potential benefit in repeat ‘dosing’ of simulation interventions and the limitations of what a single session can achieve 37–39.…”

Section: Discussionmentioning

confidence: 99%

Simulation-based education to improve communication skills: a systematic review and identification of current best practice

Blackmore

Kasfiki²,

Purva

2017

BMJ STEL

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BackgroundGood communication in healthcare between professionals and between professionals and patients is important in delivering high-quality care. Evidence of translation of technical skills taught through simulation into the clinical environment has been demonstrated, but the evidence for the impact of communication skills is less well known.ObjectivesTo identify and critically appraise the evidence for the impact of communication taught through simulation-based education (SBE) and use this evidence to suggest a model for future SBE interventions for communication skills.Study selectionMEDLINE, CINAHL, EMBASE and PsycINFO were searched for articles pertaining to communication skills taught through simulation. A content expert was consulted to suggest additional studies. 1754 studies were initially screened for eligibility, with 274 abstracts screened further. 147 full-text articles were further assessed for eligibility, with 79 of these excluded. The remaining 68 studies were reviewed and 18 studies were included in the qualitative synthesis as studies designed to show benefits beyond the simulation centre.FindingsThe 18 identified studies with an impact at a Kirkpatrick level of ≥3, are analysed; 4 looking specifically at communication between healthcare professionals and 14 looking at communication between health professionals and patients or relatives.ConclusionsThere is some evidence that the improvements in communication taught through simulation can be translated into benefits measurable beyond the simulation centre, but this evidence is limited due to the way that most of the studies are designed. We suggest a model for SBE aimed at teaching communication skills that is informed by the current evidence and takes into account the need to collect higher-level outcome data.

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“…Whether the CG-CAHPS questions are indeed the appropriate outcome measure for assessing the impact of house staff’s use of a step-by-step protocol for opening medical interviews is debatable (4,22). However, given the now ubiquitous nature of the CAHPS surveys in the United States, understanding how communication training may or may not impact CAHPS scores in house staff clinics and other teaching services will likely be important moving forward (2) with other measures for assessing the value of training initiatives and giving direct feedback to trainees on communication skills being collected in parallel (15 –18,20,23). …”

Section: Discussionmentioning

confidence: 99%

House Staff Communication Training and Patient Experience Scores

Oladeru

Hamadu

Cleary

et al. 2017

Journal of Patient Experience

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Objective:To assess whether communication training for house staff via role-playing exercises (1) is well received and (2) improves patient experience scores in house staff clinics.Methods:We conducted a pre–post study in which the house staff for 3 adult hospital departments participated in communication training led by trained faculty in small groups. Sessions centered on a published 5-step strategy for opening patient-centered interviews using department-specific role-playing exercises. House staff completed posttraining questionnaires. For 1 month prior to and 1 month following the training, patients in the house staff clinics completed surveys with Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) questions regarding physician communication, immediately following clinic visits. Preintervention and postintervention results for top-box scores were compared.Results:Forty-four of a possible 45 house staff (97.8%) participated, with 31 (70.5%) indicating that the role-playing exercise increased their perception of the 5-step strategy. No differences in patient responses to CG-CAHPS questions were seen when comparing 63 preintervention surveys to 77 postintervention surveys.Conclusion:Demonstrating an improvement in standard patient experience surveys in resident clinics may require ongoing communication coaching and investigation of the “hidden curriculum” of training.

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The Impact of Resident Training on Communication with Families in the Intensive Care Unit. Resident and Family Outcomes

Cited by 39 publications

References 28 publications

Effect of Palliative Care–Led Meetings for Families of Patients With Chronic Critical Illness

Effect of Palliative Care–Led Meetings for Families of Patients With Chronic Critical Illness

Simulation-based education to improve communication skills: a systematic review and identification of current best practice

House Staff Communication Training and Patient Experience Scores

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