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The Relationship between the Timing of a Self-Efficacy Questionnaire, Duration of Training, and Levels of Self-Efficacy with Patient-Centered Interviewing Skills
Communication Studies Pub Date : 2020-09-18 , DOI: 10.1080/10510974.2020.1819841
Brandon M. Walling 1 , Sandi W. Smith 1 , Katelyn Grayson-Sneed 2 , Robert C. Smith 2
Affiliation  

ABSTRACT There are conflicting findings about the role that timing plays in the administration of self-efficacy questionnaires and the relationships between self-efficacy scores, training, and subsequent demonstration of skills. The current study examined self-efficacy in the context of a training program to educate residents in patient-centered communication skills. Previous research indicates that providers who use patient-centered skills have higher patient satisfaction ratings and their patients show improved physical and psychological health outcomes. 163 residents conducted patient-centered interviews with standardized patients. One group rated their self-efficacy before the interview (n = 85, 52%) and the other group rated it after the interview (n = 78, 48%). Researchers used a validated content analysis coding scheme to measure patient-centered skills in the interviews. There was no significant difference in self-efficacy scores obtained before or after the interview or in the relationship between self-efficacy and objectively coded patient-centered skills in either group. Self-efficacy also did not mediate the relationship between training in patient-centered skills and significantly improved performance of the skills. The findings suggest that timing of self-efficacy questionnaire does not influence subsequent self-efficacy ratings and that demonstrated PCI skills and perceived self-efficacy ratings increase significantly with training. Results imply that self-efficacy requires further study before it can be used as a surrogate for skills performance.

中文翻译:

自我效能感问卷时间、培训持续时间和自我效能感水平与以患者为中心的访谈技巧之间的关系

摘要 关于时间在自我效能问卷管理中的作用以及自我效能分数、培训和随后的技能展示之间的关系,存在相互矛盾的发现。当前的研究在培训计划的背景下检查了自我效能,以教育居民以患者为中心的沟通技巧。先前的研究表明,使用以患者为中心的技能的提供者具有更高的患者满意度,并且他们的患者表现出更好的身心健康结果。163名居民对标准化患者进行了以患者为中心的访谈。一组在面试前对他们的自我效能感进行评分(n = 85, 52%),另一组在面试后进行评分(n = 78, 48%)。研究人员使用经过验证的内容分析编码方案来衡量访谈中以患者为中心的技能。两组在访谈之前或之后获得的自我效能感分数或自我效能感与客观编码的以患者为中心的技能之间的关系没有显着差异。自我效能感也没有调节以患者为中心的技能培训与显着提高技能表现之间的关系。研究结果表明,自我效能问卷的时间安排不会影响随后的自我效能评级,并且证明 PCI 技能和感知自我效能评级随着培训显着增加。结果表明,自我效能需要进一步研究,然后才能用作技能表现的替代指标。两组在访谈之前或之后获得的自我效能感分数或自我效能感与客观编码的以患者为中心的技能之间的关系没有显着差异。自我效能感也没有调节以患者为中心的技能培训与显着提高技能表现之间的关系。研究结果表明,自我效能问卷的时间安排不会影响随后的自我效能评级,并且证明 PCI 技能和感知自我效能评级随着培训显着增加。结果表明,自我效能需要进一步研究,然后才能用作技能表现的替代指标。两组在访谈之前或之后获得的自我效能感分数或自我效能感与客观编码的以患者为中心的技能之间的关系没有显着差异。自我效能感也没有调节以患者为中心的技能培训与显着提高技能表现之间的关系。研究结果表明,自我效能问卷的时间安排不会影响随后的自我效能评级,并且证明 PCI 技能和感知自我效能评级随着培训显着增加。结果表明,自我效能需要进一步研究,然后才能用作技能表现的替代指标。
更新日期:2020-09-18
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