Serious illness communication skills training for emergency physicians and advanced practice providers: a multi-method assessment of the reach and effectiveness of the intervention.
Education and training
Emergency medicine
Palliative care
Serious illness conversation
VitalTalk
Journal
BMC palliative care
ISSN: 1472-684X
Titre abrégé: BMC Palliat Care
Pays: England
ID NLM: 101088685
Informations de publication
Date de publication:
21 Feb 2024
21 Feb 2024
Historique:
received:
07
02
2023
accepted:
08
01
2024
medline:
21
2
2024
pubmed:
21
2
2024
entrez:
20
2
2024
Statut:
epublish
Résumé
EM Talk is a communication skills training program designed to improve emergency providers' serious illness conversational skills. Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this study aims to assess the reach of EM Talk and its effectiveness. EM Talk consisted of one 4-h training session during which professional actors used role-plays and active learning to train providers to deliver serious/bad news, express empathy, explore patients' goals, and formulate care plans. After the training, emergency providers filled out an optional post-intervention survey, which included course reflections. Using a multi-method analytical approach, we analyzed the reach of the intervention quantitatively and the effectiveness of the intervention qualitatively using conceptual content analysis of open-ended responses. A total of 879 out of 1,029 (85%) EM providers across 33 emergency departments completed the EM Talk training, with the training rate ranging from 63 to 100%. From the 326 reflections, we identified meaning units across the thematic domains of improved knowledge, attitude, and practice. The main subthemes across the three domains were the acquisition of Serious Illness (SI) communication skills, improved attitude toward engaging qualifying patients in SI conversations, and commitment to using these learned skills in clinical practice. Our study showed the extensive reach and the effectiveness of the EM Talk training in improving SI conversation. EM Talk, therefore, can potentially improve emergency providers' knowledge, attitude, and practice of SI communication skills. Clinicaltrials.gov: NCT03424109; Registered on January 30, 2018.
Sections du résumé
BACKGROUND
BACKGROUND
EM Talk is a communication skills training program designed to improve emergency providers' serious illness conversational skills. Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this study aims to assess the reach of EM Talk and its effectiveness.
METHODS
METHODS
EM Talk consisted of one 4-h training session during which professional actors used role-plays and active learning to train providers to deliver serious/bad news, express empathy, explore patients' goals, and formulate care plans. After the training, emergency providers filled out an optional post-intervention survey, which included course reflections. Using a multi-method analytical approach, we analyzed the reach of the intervention quantitatively and the effectiveness of the intervention qualitatively using conceptual content analysis of open-ended responses.
RESULTS
RESULTS
A total of 879 out of 1,029 (85%) EM providers across 33 emergency departments completed the EM Talk training, with the training rate ranging from 63 to 100%. From the 326 reflections, we identified meaning units across the thematic domains of improved knowledge, attitude, and practice. The main subthemes across the three domains were the acquisition of Serious Illness (SI) communication skills, improved attitude toward engaging qualifying patients in SI conversations, and commitment to using these learned skills in clinical practice.
CONCLUSION
CONCLUSIONS
Our study showed the extensive reach and the effectiveness of the EM Talk training in improving SI conversation. EM Talk, therefore, can potentially improve emergency providers' knowledge, attitude, and practice of SI communication skills.
TRIAL REGISTRATION
BACKGROUND
Clinicaltrials.gov: NCT03424109; Registered on January 30, 2018.
Identifiants
pubmed: 38378532
doi: 10.1186/s12904-024-01349-y
pii: 10.1186/s12904-024-01349-y
doi:
Banques de données
ClinicalTrials.gov
['NCT03424109']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
48Subventions
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NIH HHS
ID : UG3/ UH3 AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Organisme : NCCIH NIH HHS
ID : UH3AT009844
Pays : United States
Investigateurs
Lauren T Southerland
(LT)
Peg Gulker
(P)
Andrew Johnston
(A)
Arvind Venkat
(A)
David Chuirazzi
(D)
John O'Neill
(J)
Kelly Szabo
(K)
Rachel Urosek
(R)
Ashley Deutsch
(A)
Elizabeth Schoenfeld
(E)
Melissa Shaw
(M)
Tricia Guerino
(T)
Alayna Perko
(A)
Lauren Cameron- Comasco
(LC)
Michael Banish
(M)
Pamela Sloan
(P)
Robert Swor
(R)
Ronny Otero
(R)
Aaron Elliot
(A)
Kim Reiner
(K)
Nicole Hurd
(N)
Brittany Ballaron
(B)
Kei Ouchi
(K)
Natasha Egorova
(N)
Andrew Dundin
(A)
Niza Troncoso
(N)
Robin Powell
(R)
Barbara J Debbage
(BJ)
Deborah Johnson
(D)
John Powell
(J)
Julie Cooper
(J)
Doretha Graham-Brekke
(D)
Erin Zimny
(E)
Glenn Tokarski
(G)
Joseph Miller
(J)
Olive Sadia
(O)
Christopher Richardson
(C)
Jennifer Kroll
(J)
Jennifer Siller
(J)
Jessica Fleischer-Black
(J)
Karen Evelyn
(K)
Laura Stark
(L)
Lauren Gordon
(L)
Lynne Richardson
(L)
Michelle Lin
(M)
Audrey Tan
(A)
Alicia Sommer
(A)
Caitlin Loprinzi-Brauer
(C)
Heather Heaton
(H)
Laura Walker
(L)
MFernanda Bellolio
(M)
Molly Christenson
(M)
Donna Shelley
(D)
Audie Liametz
(A)
Barry Rosenthal
(B)
Ian Wittman
(I)
Kathy Peterson
(K)
Lila Hageman-Sheehan
(L)
Rajneesh Gulati
(R)
Robert Smeltz
(R)
Staci Mandola
(S)
Stephen Stark
(S)
Suchismita Datta
(S)
Susan Cohen
(S)
Tisha Thompson
(T)
Katharine Lawrence
(K)
Abraham A Brody
(AA)
Leora Horwitz
(L)
Nicholas Genes
(N)
Ashley Shreves
(A)
Deidre Bolden
(D)
Kelly Hutchinson
(K)
Maureen Gang
(M)
Rebecca Goett
(R)
Sangeeta Lamba
(S)
Eric Isaacs
(E)
Jennifer Harris
(J)
Karen Martinez
(K)
Matthew Shaw
(M)
Rebecca Murray
(R)
Rosemarie Fernandez
(R)
Shannon Bledsoe
(S)
Travis Wood
(T)
Matthew Ryan
(M)
Benjamin S Abella
(BS)
Elizabeth Long
(E)
Gabriela De Hoyos
(G)
Julie Uspal
(J)
M Bradley Falk
(MB)
Phillip Landis
(P)
Ahmed Elsayem
(A)
Cecilia Yniguez
(C)
Danielle Milling
(D)
Denise Langabeer
(D)
Sorayah Bourenane
(S)
Terri Cridge
(T)
Troy Madsen
(T)
Emilia Boutsioulis
(E)
Hannah Nofsinger
(H)
Karen Jubanyik
(K)
Theresa Cohen
(T)
Marie-Carmelle Elie
(MC)
Informations de copyright
© 2024. The Author(s).
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