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'Difficult Conversations': evaluation of multiprofessional training

Research output: Contribution to journalArticle

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'Difficult Conversations' : evaluation of multiprofessional training. / Brighton, Lisa Jane; Selman, Lucy Ellen; Gough, Nicholas; Nadicksbernd, J J; Bristowe, Katherine; Millington-Sanders, Catherine; Koffman, Jonathan.

In: BMJ Supportive and Palliative Care, Vol. 8, No. 1, 03.2018.

Research output: Contribution to journalArticle

Harvard

Brighton, LJ, Selman, LE, Gough, N, Nadicksbernd, JJ, Bristowe, K, Millington-Sanders, C & Koffman, J 2018, ''Difficult Conversations': evaluation of multiprofessional training', BMJ Supportive and Palliative Care, vol. 8, no. 1. https://doi.org/10.1136/bmjspcare-2017-001447, https://doi.org/10.1136/bmjspcare-2017-001447

APA

Brighton, L. J., Selman, L. E., Gough, N., Nadicksbernd, J. J., Bristowe, K., Millington-Sanders, C., & Koffman, J. (2018). 'Difficult Conversations': evaluation of multiprofessional training. BMJ Supportive and Palliative Care, 8(1). https://doi.org/10.1136/bmjspcare-2017-001447, https://doi.org/10.1136/bmjspcare-2017-001447

Vancouver

Brighton LJ, Selman LE, Gough N, Nadicksbernd JJ, Bristowe K, Millington-Sanders C et al. 'Difficult Conversations': evaluation of multiprofessional training. BMJ Supportive and Palliative Care. 2018 Mar;8(1). https://doi.org/10.1136/bmjspcare-2017-001447, https://doi.org/10.1136/bmjspcare-2017-001447

Author

Brighton, Lisa Jane ; Selman, Lucy Ellen ; Gough, Nicholas ; Nadicksbernd, J J ; Bristowe, Katherine ; Millington-Sanders, Catherine ; Koffman, Jonathan. / 'Difficult Conversations' : evaluation of multiprofessional training. In: BMJ Supportive and Palliative Care. 2018 ; Vol. 8, No. 1.

Bibtex Download

@article{cc2cff7a158e4b518ca74bf490a3359e,
title = "'Difficult Conversations': evaluation of multiprofessional training",
abstract = "OBJECTIVES: Evidence-based communication skills training for health and social care professionals is essential to improve the care of seriously ill patients and their families. We aimed to evaluate the self-reported impact of 'Difficult Conversations', a multidisciplinary half-day interactive workshop, and gain feedback to inform future development and evaluation.METHODS: Service evaluation using questionnaire data collected before and immediately after workshops from February 2015 to August 2016 regarding participant self-assessed confidence, knowledge and skills. Qualitative free-text comments provided feedback about the workshop and were subjected to content analysis.RESULTS: Of 886 workshop participants, 655 completed baseline questionnaires and 714 postworkshop questionnaires; 550 were matched pairs. Participants were qualified or trainee general practitioners (34%), community nurses and care coordinators (32%), social care professionals (7%), care home staff (6%), advanced practice/specialist nurses (5%), care workers (5%) and allied health professionals (3%). All groups demonstrated significant increases in mean self-assessed confidence (2.46, 95% CI 2.41 to 2.51; to 3.20, 95% CI 3.17 to 3.24; P<0.001), knowledge (2.22, 95% CI 2.17 to 2.27; to 3.18, 95% CI 3.14 to 3.22; P<0.001) and skills (2.37, 95% CI 2.32 to 2.42; to 3.09, 95% CI 3.05 to 3.12; P<0.001). Qualitative findings showed participants valued role play, the communication framework acronym and opportunities for discussion. They commended workshop facilitators' skills, the safe atmosphere and interprofessional learning. Suggested improvements included more prepared role play and greater coverage of the taught topics.CONCLUSIONS: 'Difficult Conversations' workshops were associated with improvements in participants' self-assessed confidence, knowledge, and skills. Our findings identify workshop characteristics that are acceptable to multidisciplinary trainees. Further testing is warranted to determine effectiveness and accurately identify workshop components leading to change.",
author = "Brighton, {Lisa Jane} and Selman, {Lucy Ellen} and Nicholas Gough and Nadicksbernd, {J J} and Katherine Bristowe and Catherine Millington-Sanders and Jonathan Koffman",
note = "{\textcopyright} Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.",
year = "2018",
month = mar,
doi = "10.1136/bmjspcare-2017-001447",
language = "English",
volume = "8",
journal = "BMJ Supportive and Palliative Care",
issn = "2045-435X",
publisher = "BMJ Publishing Group",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - 'Difficult Conversations'

T2 - evaluation of multiprofessional training

AU - Brighton, Lisa Jane

AU - Selman, Lucy Ellen

AU - Gough, Nicholas

AU - Nadicksbernd, J J

AU - Bristowe, Katherine

AU - Millington-Sanders, Catherine

AU - Koffman, Jonathan

N1 - © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2018/3

Y1 - 2018/3

N2 - OBJECTIVES: Evidence-based communication skills training for health and social care professionals is essential to improve the care of seriously ill patients and their families. We aimed to evaluate the self-reported impact of 'Difficult Conversations', a multidisciplinary half-day interactive workshop, and gain feedback to inform future development and evaluation.METHODS: Service evaluation using questionnaire data collected before and immediately after workshops from February 2015 to August 2016 regarding participant self-assessed confidence, knowledge and skills. Qualitative free-text comments provided feedback about the workshop and were subjected to content analysis.RESULTS: Of 886 workshop participants, 655 completed baseline questionnaires and 714 postworkshop questionnaires; 550 were matched pairs. Participants were qualified or trainee general practitioners (34%), community nurses and care coordinators (32%), social care professionals (7%), care home staff (6%), advanced practice/specialist nurses (5%), care workers (5%) and allied health professionals (3%). All groups demonstrated significant increases in mean self-assessed confidence (2.46, 95% CI 2.41 to 2.51; to 3.20, 95% CI 3.17 to 3.24; P<0.001), knowledge (2.22, 95% CI 2.17 to 2.27; to 3.18, 95% CI 3.14 to 3.22; P<0.001) and skills (2.37, 95% CI 2.32 to 2.42; to 3.09, 95% CI 3.05 to 3.12; P<0.001). Qualitative findings showed participants valued role play, the communication framework acronym and opportunities for discussion. They commended workshop facilitators' skills, the safe atmosphere and interprofessional learning. Suggested improvements included more prepared role play and greater coverage of the taught topics.CONCLUSIONS: 'Difficult Conversations' workshops were associated with improvements in participants' self-assessed confidence, knowledge, and skills. Our findings identify workshop characteristics that are acceptable to multidisciplinary trainees. Further testing is warranted to determine effectiveness and accurately identify workshop components leading to change.

AB - OBJECTIVES: Evidence-based communication skills training for health and social care professionals is essential to improve the care of seriously ill patients and their families. We aimed to evaluate the self-reported impact of 'Difficult Conversations', a multidisciplinary half-day interactive workshop, and gain feedback to inform future development and evaluation.METHODS: Service evaluation using questionnaire data collected before and immediately after workshops from February 2015 to August 2016 regarding participant self-assessed confidence, knowledge and skills. Qualitative free-text comments provided feedback about the workshop and were subjected to content analysis.RESULTS: Of 886 workshop participants, 655 completed baseline questionnaires and 714 postworkshop questionnaires; 550 were matched pairs. Participants were qualified or trainee general practitioners (34%), community nurses and care coordinators (32%), social care professionals (7%), care home staff (6%), advanced practice/specialist nurses (5%), care workers (5%) and allied health professionals (3%). All groups demonstrated significant increases in mean self-assessed confidence (2.46, 95% CI 2.41 to 2.51; to 3.20, 95% CI 3.17 to 3.24; P<0.001), knowledge (2.22, 95% CI 2.17 to 2.27; to 3.18, 95% CI 3.14 to 3.22; P<0.001) and skills (2.37, 95% CI 2.32 to 2.42; to 3.09, 95% CI 3.05 to 3.12; P<0.001). Qualitative findings showed participants valued role play, the communication framework acronym and opportunities for discussion. They commended workshop facilitators' skills, the safe atmosphere and interprofessional learning. Suggested improvements included more prepared role play and greater coverage of the taught topics.CONCLUSIONS: 'Difficult Conversations' workshops were associated with improvements in participants' self-assessed confidence, knowledge, and skills. Our findings identify workshop characteristics that are acceptable to multidisciplinary trainees. Further testing is warranted to determine effectiveness and accurately identify workshop components leading to change.

UR - http://www.scopus.com/inward/record.url?scp=85048450015&partnerID=8YFLogxK

U2 - 10.1136/bmjspcare-2017-001447

DO - 10.1136/bmjspcare-2017-001447

M3 - Article

C2 - 29118100

VL - 8

JO - BMJ Supportive and Palliative Care

JF - BMJ Supportive and Palliative Care

SN - 2045-435X

IS - 1

ER -

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