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  4. 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

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

Frontiers in Rehabilitation Sciences, 2022 · DOI: 10.3389/fresc.2022.883138 · Published: July 28, 2022

Spinal Cord InjuryEducationRehabilitation

Simple Explanation

This study investigated the impact of communication skills training (CST) on patient satisfaction in a spinal cord injury rehabilitation setting. The training focused on improving communication between healthcare professionals and patients. The study found that patient satisfaction with communication improved after the implementation of the CST program. The CST program involved small-group training sessions for healthcare professionals. These sessions incorporated real-life scenarios and critical incident approaches to enhance communication skills. The training was well-received by professionals from various disciplines. The findings suggest that inter-professional CST is a feasible and effective way to improve patient satisfaction with communication in spinal cord injury rehabilitation. The program's success was attributed to its integration into the institution and the combination of training sessions and on-the-job feedback.

Study Duration
7 Years
Participants
262 employees (105 physicians, 63 nurses, 36 physio- and occupational therapists, and 58 others)
Evidence Level
Retrospective observational cohort study

Key Findings

  • 1
    Post-program patient satisfaction overall increased from 83.1% to 90%.
  • 2
    Patient satisfaction was higher in specific communication-related topics: “receiving information,” “being able to bring in concerns,” and “being treated with respect.”
  • 3
    Participants 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%.

Research Summary

This study evaluated the effectiveness of an inter-professional communication skills training (CST) program in a spinal cord injury rehabilitation clinic. The program aimed to improve patient satisfaction with communication by training healthcare professionals in small groups using critical incident approaches. The results showed a significant increase in patient satisfaction with communication after the implementation of the CST program. Healthcare professionals also rated the training positively, citing its balance of theory, discussion, and practical exercises. The study concludes that inter-professional CST is a feasible and effective strategy for enhancing patient satisfaction with communication in spinal cord injury rehabilitation. The program's success was attributed to factors such as institutional support, participant-centered training sessions, and on-the-job feedback.

Practical Implications

Improved Patient Satisfaction

Implementing inter-professional CST can lead to higher patient satisfaction with communication in rehabilitation settings.

Enhanced Communication Skills

Healthcare professionals can benefit from structured training programs that incorporate real-life scenarios and feedback.

Better Inter-professional Collaboration

CST can improve collaboration among different professional groups, leading to better patient outcomes.

Study Limitations

  • 1
    Low response rate to the feedback questionnaire may have introduced bias.
  • 2
    Lack of behavioral measures for improved communication competence.
  • 3
    The study lacked a structured situational analysis of communication skills and inter-professional communication culture.

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