RealTalk evidence-based communication training resources: development of conversation analysis-based materials to support training in end-of-life-related health and social care conversations

Parry, R (通讯作者),Loughborough Univ, Ctr Res Commun & Culture, Sch Social Sci & Humanities, Loughborough LE11 3TU, Leics, England.
2022-8-23
Training to enhance healthcare practitioners' capabilities in engaging people in sensitive and end-of life-related conversations is in demand. However, evaluations have either not measured, or found very limited impact on actual practice and patient experience. Training effectiveness is improved when it is based on in-depth evidence, reflects the complexity of real-life interactions, and instils principles adaptable to everyday practice. A relatively new source of in-depth evidence and practice-relevant insights on healthcare interactions is conversation analytic research, a form of observational analysis of real-life interactions. However, conversation analytic research findings have largely been disseminated by and for scientists, rather than clinicians and trainers. We used conversation analytic evidence to develop resources for use by healthcare trainers. The aim was to increase training's evidence-base and authenticity. We further aimed to develop resources applicable to working with learners ranging from novices to advanced practitioners. Methods: Using an intervention development approach, we created online video-clips and supplementary written materials for professionals who deliver training, supervision, and support in healthcare communication for staff and students. The materials were reviewed by an advisory group comprising clinicians, lay consultees, educators, and researchers, and piloted by trainers in UK universities, NHS organisations and independent hospices. We refined materials based on their feedback. Results: The resulting 'RealTalk' resources focus on practices for communicating with patients and their companions about end-of-life and prognosis. Two core training modules were developed, each comprising several patient case studies featuring video-clips from real-life healthcare consultations. The clips featured practices that patients and experienced practitioners use in approaching end-of-life matters. The case studies also included evidence-based descriptions of observable practices and the principles underlying these, alongside transcripts and case synopses. Conclusions: RealTalk training resources aim to facilitate evidence-based, experiential and reflective learning, focusing on communication challenges, practices and principles for end-of-life-related interactions. The resources are designed for use by trainers for delivering all levels of training, from introductory to advanced, in both formal and informal training settings. Our development process may serve as a blueprint for the production of future evidence-based training resources based on conversation analytic research.
BMC MEDICAL EDUCATION
卷号:22|期号:1
收录类别:SCIE
语种
英语
来源机构
Loughborough University; University Hospitals of Leicester NHS Trust; University of Leicester; University of Leicester
资助信息
The preparatory stages of this work were supported by the University of Nottingham, including a small Research Development Fund grant from the Centre for Advanced Studies. Later stages of work were funded by The Health Foundation [Grant ID AIMS1273316, AIMS1273743/GIFTS 7210], an independent charity committed to bringing about better health and social care for people in the UK. RP's work, including preparation of this manuscript, has been supported by a National Institute for Health Research (NIHR) Career Development Fellowship award [Grant ID CDF-2014-07-046]. This report presents independent research partially funded by the NIHR. The views expressed are those of the authors and not necessarily those of the NHS, NIHR or the Department of Health and Social Care.
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
2
2013以来使用计数
2
EISSN
1472-6920
出版年
2022-8-23
DOI
10.1186/s12909-022-03641-y
学科领域
循证教育学
关键词
Communication training Intervention development Teaching Education Health occupations Video recording Conversation analysis Palliative care End-of-life care
资助机构
University of Nottingham Centre for Advanced Studies Health Foundation National Institute for Health Research (NIHR) Career Development Fellowship award(National Institute for Health Research (NIHR)) NIHR(National Institute for Health Research (NIHR))
WOS学科分类
Education & Educational Research Education, Scientific Disciplines