Transfer of communication skills training from workshop to workplace: the impact of clinical supervision.

2.50
Hdl Handle:
http://hdl.handle.net/10541/72434
Title:
Transfer of communication skills training from workshop to workplace: the impact of clinical supervision.
Authors:
Heaven, Cathy; Clegg, Jenny; Maguire, Peter
Abstract:
OBJECTIVE: Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process. METHODS: A randomised controlled trial was conducted involving 61 clinical nurse specialists. All attended a 3-day communication skills training workshop. Twenty-nine were then randomised to 4 weeks of clinical supervision, aimed at facilitating transfer of newly acquired skills into practice. Assessments, using real and simulated patients, were carried out before the course, immediately after the supervision period and 3 months later. Interviews were rated objectively using the Medical Interview Aural Rating Scale (MIARS) to assess nurses' ability to use key skills, respond to patient cues and identify patient concerns. RESULTS: Assessments with simulated patients showed that the training programme was extremely effective in changing competence in all three key areas. However, only those who experienced supervision showed any evidence of transfer. Improvements were found in the supervised groups' use of open questions, negotiation and psychological exploration. Whilst neither group facilitated more disclosure of cues or concerns, those in the experimental group responded more effectively to the cues disclosed, reduced their distancing behaviour and increasing their exploration of cues. CONCLUSIONS: The study has shown that whilst training enhances skills, without intervention, it may have little effect on clinical practice. The potential role of clinical supervision as one way of enhancing the clinical effectiveness of communication skills training programmes has been demonstrated. PRACTISE IMPLICATIONS: This study raises questions about the effectiveness of training programmes which do not incorporate a transfer element, and provides evidence to support the need for clinical supervision for clinical nurse specialist.
Affiliation:
Cancer Research UK Psychological Medicine Group, Manchester, UK. cathy.heaven@christie-tr.nwest.nhs.uk
Citation:
Transfer of communication skills training from workshop to workplace: the impact of clinical supervision. 2006, 60 (3):313-25 Patient Educ Couns
Journal:
Patient Education and Counseling
Issue Date:
Mar-2006
URI:
http://hdl.handle.net/10541/72434
DOI:
10.1016/j.pec.2005.08.008
PubMed ID:
16242900
Type:
Article
Language:
en
ISSN:
0738-3991
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorHeaven, Cathy-
dc.contributor.authorClegg, Jenny-
dc.contributor.authorMaguire, Peter-
dc.date.accessioned2009-07-03T11:37:06Z-
dc.date.available2009-07-03T11:37:06Z-
dc.date.issued2006-03-
dc.identifier.citationTransfer of communication skills training from workshop to workplace: the impact of clinical supervision. 2006, 60 (3):313-25 Patient Educ Counsen
dc.identifier.issn0738-3991-
dc.identifier.pmid16242900-
dc.identifier.doi10.1016/j.pec.2005.08.008-
dc.identifier.urihttp://hdl.handle.net/10541/72434-
dc.description.abstractOBJECTIVE: Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process. METHODS: A randomised controlled trial was conducted involving 61 clinical nurse specialists. All attended a 3-day communication skills training workshop. Twenty-nine were then randomised to 4 weeks of clinical supervision, aimed at facilitating transfer of newly acquired skills into practice. Assessments, using real and simulated patients, were carried out before the course, immediately after the supervision period and 3 months later. Interviews were rated objectively using the Medical Interview Aural Rating Scale (MIARS) to assess nurses' ability to use key skills, respond to patient cues and identify patient concerns. RESULTS: Assessments with simulated patients showed that the training programme was extremely effective in changing competence in all three key areas. However, only those who experienced supervision showed any evidence of transfer. Improvements were found in the supervised groups' use of open questions, negotiation and psychological exploration. Whilst neither group facilitated more disclosure of cues or concerns, those in the experimental group responded more effectively to the cues disclosed, reduced their distancing behaviour and increasing their exploration of cues. CONCLUSIONS: The study has shown that whilst training enhances skills, without intervention, it may have little effect on clinical practice. The potential role of clinical supervision as one way of enhancing the clinical effectiveness of communication skills training programmes has been demonstrated. PRACTISE IMPLICATIONS: This study raises questions about the effectiveness of training programmes which do not incorporate a transfer element, and provides evidence to support the need for clinical supervision for clinical nurse specialist.en
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAttitude of Health Personnel-
dc.subject.meshAttitude to Health-
dc.subject.meshClinical Competence-
dc.subject.meshCommunication-
dc.subject.meshCues-
dc.subject.meshEducation, Nursing, Continuing-
dc.subject.meshEmployee Performance Appraisal-
dc.subject.meshEngland-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNegotiating-
dc.subject.meshNurse Clinicians-
dc.subject.meshNurse-Patient Relations-
dc.subject.meshNursing Assessment-
dc.subject.meshNursing Education Research-
dc.subject.meshNursing, Supervisory-
dc.subject.meshPatient Simulation-
dc.subject.meshProgram Evaluation-
dc.subject.meshSelf Disclosure-
dc.subject.meshTransfer (Psychology)-
dc.subject.meshWorkplace-
dc.titleTransfer of communication skills training from workshop to workplace: the impact of clinical supervision.en
dc.typeArticleen
dc.contributor.departmentCancer Research UK Psychological Medicine Group, Manchester, UK. cathy.heaven@christie-tr.nwest.nhs.uken
dc.identifier.journalPatient Education and Counselingen
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