Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice
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| Title: | Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice |
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| Authors: | Assing Hvidt, Elisabeth, Ammentorp, Jette, Søndergaard, Jens, Timmermann, Connie, Hansen, Dorte Gilså, Hvidt, Niels Christian |
| Source: | Scand J Prim Health Care Scandinavian Journal of Primary Health Care, Vol 36, Iss 2, Pp 142-151 (2018) Assing Hvidt, E, Ammentorp, J, Søndergaard, J, Timmermann, C, Hansen, D G & Hvidt, N C 2018, ' Developing and evaluating a course programme to enhance existential communication with cancer patients in general practice ', Scandinavian Journal of Primary Health Care, vol. 36, no. 2, pp. 142-151 . https://doi.org/10.1080/02813432.2018.1459235 |
| Publisher Information: | Informa UK Limited, 2018. |
| Publication Year: | 2018 |
| Subject Terms: | Neoplasms/psychology, Adult, Male, Existentialism, Attitude of Health Personnel, Emotions, General Practice, continuing medical education, 7. Clean energy, spiritual, existential, 03 medical and health sciences, vocational training, Professional Competence, 0302 clinical medicine, general practitioners, General Practitioners, Neoplasms, Surveys and Questionnaires, cancer, Humans, Spirituality, Patient Care/psychology, Physician-Patient Relations, Communication, Internship and Residency, Middle Aged, 16. Peace & justice, General Practitioners/education, Self Efficacy, 3. Good health, 13. Climate action, Female, Patient Care, Public aspects of medicine, RA1-1270, religious, Research Article, Program Evaluation |
| Description: | Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs).The UK Medical Research Council's (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation. In the evaluation phase we measured self-efficacy before and after course participation. To explore further processes of change we conducted individual, semi-structured telephone interviews with participants.Twenty practising GPs and residentials in training to become GPs from one Danish region (mean age 49).The development phase resulted in a one-day vocational training/continuing medical education (VT/CME) course including the main elements of knowledge building, self-reflection and communication training. Twenty GPs participated in the testing of the course, nineteen GPs answered questionnaires measuring self-efficacy, and fifteen GPs were interviewed. The mean scores of self-efficacy increased significantly. The qualitative results pointed to positive post course changes such as an increase in the participants' existential self-awareness, an increase in awareness of patients in need of existential communication, and an increase in the participants' confidence in the ability to carry out existential communication.A one-day VT/CME course targeting GPs and including the main elements of knowledge building, self-reflection and communication training showed to make participants more confident about their ability to communicate with patients about existential issues and concerns. Key points Patients with cancer often desire to discuss existential concerns as part of clinical care but general practitioners (GPs) lack confidence when discussing existential issues in daily practice. In order to lessen barriers and enhance existential communication in general practice, we developed a one-day course programme. Attending the course resulted in an increase in the participants' confidence in the ability to carry out existential communication. This study adds knowledge to how confidence in existential communication can be increased among GPs. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1502-7724 0281-3432 |
| DOI: | 10.1080/02813432.2018.1459235 |
| Access URL: | https://www.tandfonline.com/doi/pdf/10.1080/02813432.2018.1459235?needAccess=true https://pubmed.ncbi.nlm.nih.gov/29623752 https://doaj.org/article/7d7be38798e440d0a7bf24ffe93b9494 https://portal.findresearcher.sdu.dk/da/publications/developing-and-evaluating-a-course-programme-to-enhance-existenti https://core.ac.uk/display/159411488 https://findresearcher.sdu.dk:8443/ws/files/141052197/Developing_and_evaluating_a_course_programme.pdf https://pubmed.ncbi.nlm.nih.gov/29623752/ https://europepmc.org/article/MED/29623752 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066852 https://findresearcher.sdu.dk:8443/ws/files/141052197/Developing_and_evaluating_a_course_programme.pdf |
| Rights: | CC BY NC |
| Accession Number: | edsair.doi.dedup.....0f79defe74ac227fcd7d895e9b890d10 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs).The UK Medical Research Council's (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation. In the evaluation phase we measured self-efficacy before and after course participation. To explore further processes of change we conducted individual, semi-structured telephone interviews with participants.Twenty practising GPs and residentials in training to become GPs from one Danish region (mean age 49).The development phase resulted in a one-day vocational training/continuing medical education (VT/CME) course including the main elements of knowledge building, self-reflection and communication training. Twenty GPs participated in the testing of the course, nineteen GPs answered questionnaires measuring self-efficacy, and fifteen GPs were interviewed. The mean scores of self-efficacy increased significantly. The qualitative results pointed to positive post course changes such as an increase in the participants' existential self-awareness, an increase in awareness of patients in need of existential communication, and an increase in the participants' confidence in the ability to carry out existential communication.A one-day VT/CME course targeting GPs and including the main elements of knowledge building, self-reflection and communication training showed to make participants more confident about their ability to communicate with patients about existential issues and concerns. Key points Patients with cancer often desire to discuss existential concerns as part of clinical care but general practitioners (GPs) lack confidence when discussing existential issues in daily practice. In order to lessen barriers and enhance existential communication in general practice, we developed a one-day course programme. Attending the course resulted in an increase in the participants' confidence in the ability to carry out existential communication. This study adds knowledge to how confidence in existential communication can be increased among GPs. |
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| ISSN: | 15027724 02813432 |
| DOI: | 10.1080/02813432.2018.1459235 |