Helping health professionals involved in cancer care acquire key interviewing skills--the impact of workshops.

2.50
Hdl Handle:
http://hdl.handle.net/10541/95959
Title:
Helping health professionals involved in cancer care acquire key interviewing skills--the impact of workshops.
Authors:
Maguire, Peter; Booth, K; Elliott, C; Jones, B
Abstract:
To assess the impact of workshops on key interviewing skills, 169 health professionals involved in cancer care interviewed a simulated patient immediately before and after the workshops and 6 months later. Each interview was audiotaped, transcribed and rated by trained raters using a newly developed rating system which permits an utterance by utterance analysis. The workshops led to significant increases in the use of three behaviours which promote patient disclosure of key concerns. Namely, open directive questions, questions with a psychological focus and clarification of psychological aspects. However, there was no increase in the use of educated guesses and empathic statements which promote disclosure of key problems and feelings. There were significant reductions in behaviours which inhibit disclosure including the use of questions with a physical focus, utterances clarifying physical aspects and the giving of advice prematurely. These significant gains were still evident 6 months later, but there had been some decline over time. There were also significant improvements in the ability of health professionals to elicit patients key problems. Before the workshop, 75 (44%) participants were able to identify at least 60% of their patients' main problems (a criterion of clinical competence) compared with 119 (70%) at 6-month follow-up, an increase in numbers of 59%. Before training, health professionals used as many behaviours which inhibit disclosure as those that promote it. This was unaffected by their professional discipline, prior training or age. It highlights the need for health professionals involved in cancer care to have training in these communication skills. We believe that more intensive group work in smaller groups which focuses on the feelings and attitudes of participants as well as their interviewing behaviour would lead to an increase in the use of educated guesses and empathy and better exploration of patients' feelings.
Affiliation:
CRC Psychological Medicine Group, Christie Hospital, Manchester, U.K.
Citation:
Helping health professionals involved in cancer care acquire key interviewing skills--the impact of workshops. 1996, 32A (9):1486-9 Eur. J. Cancer
Journal:
European Journal of Cancer
Issue Date:
Aug-1996
URI:
http://hdl.handle.net/10541/95959
DOI:
10.1016/0959-8049(96)00059-7
PubMed ID:
8911106
Type:
Article
Language:
en
ISSN:
0959-8049
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMaguire, Peteren
dc.contributor.authorBooth, Ken
dc.contributor.authorElliott, Cen
dc.contributor.authorJones, Ben
dc.date.accessioned2010-04-08T10:06:16Z-
dc.date.available2010-04-08T10:06:16Z-
dc.date.issued1996-08-
dc.identifier.citationHelping health professionals involved in cancer care acquire key interviewing skills--the impact of workshops. 1996, 32A (9):1486-9 Eur. J. Canceren
dc.identifier.issn0959-8049-
dc.identifier.pmid8911106-
dc.identifier.doi10.1016/0959-8049(96)00059-7-
dc.identifier.urihttp://hdl.handle.net/10541/95959-
dc.description.abstractTo assess the impact of workshops on key interviewing skills, 169 health professionals involved in cancer care interviewed a simulated patient immediately before and after the workshops and 6 months later. Each interview was audiotaped, transcribed and rated by trained raters using a newly developed rating system which permits an utterance by utterance analysis. The workshops led to significant increases in the use of three behaviours which promote patient disclosure of key concerns. Namely, open directive questions, questions with a psychological focus and clarification of psychological aspects. However, there was no increase in the use of educated guesses and empathic statements which promote disclosure of key problems and feelings. There were significant reductions in behaviours which inhibit disclosure including the use of questions with a physical focus, utterances clarifying physical aspects and the giving of advice prematurely. These significant gains were still evident 6 months later, but there had been some decline over time. There were also significant improvements in the ability of health professionals to elicit patients key problems. Before the workshop, 75 (44%) participants were able to identify at least 60% of their patients' main problems (a criterion of clinical competence) compared with 119 (70%) at 6-month follow-up, an increase in numbers of 59%. Before training, health professionals used as many behaviours which inhibit disclosure as those that promote it. This was unaffected by their professional discipline, prior training or age. It highlights the need for health professionals involved in cancer care to have training in these communication skills. We believe that more intensive group work in smaller groups which focuses on the feelings and attitudes of participants as well as their interviewing behaviour would lead to an increase in the use of educated guesses and empathy and better exploration of patients' feelings.en
dc.language.isoenen
dc.subject.meshClinical Competence-
dc.subject.meshCommunication-
dc.subject.meshHumans-
dc.subject.meshInterviews as Topic-
dc.subject.meshMedical History Taking-
dc.subject.meshMedical Oncology-
dc.subject.meshPatient Simulation-
dc.subject.meshProfessional-Patient Relations-
dc.titleHelping health professionals involved in cancer care acquire key interviewing skills--the impact of workshops.en
dc.typeArticleen
dc.contributor.departmentCRC Psychological Medicine Group, Christie Hospital, Manchester, U.K.en
dc.identifier.journalEuropean Journal of Canceren

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