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文章:

提升面向家庭系统的高级沟通技能:肿瘤学及其他医疗环境中家庭会议培训的范围综述

Improving Advanced Communication Skills Towards the Family System: A Scoping Review of Family Meeting Training in Oncology and Other Healthcare Settings

原文发布日期:24 September 2025

DOI: 10.3390/cancers17193115

类型: Article

开放获取: 是

 

英文摘要:

Background/Objectives:Family meetings (FMs) are clinical encounters in a structured space between the patient, family members, and care teams. Healthcare professionals (HPs) often lack formal training in conducting FMs. The scoping review aims to provide an overview of the available research evidence on FMs’ education for HPs.Methods: We searched MEDLINE, Embase, CINAHL, PsycINFO, and Scopus. The PCC (Population-Concept-Context) framework was used to define inclusion criteria: educational intervention on FMs aimed at HPs in all settings of care and students of medicine and nursing sciences treating adult patients with oncological and non-oncological diseases.Results:The search retrieved 1017 articles, of which 26 were eligible. The training had as its primary aims the development of communication skills and curriculum development/evaluation. For the most part, palliative care physicians served as trainers, while medical students and residents represented a major part of trainees, underscoring a focus on early-career learners. FM training is mainly provided in the American countries and intensive care settings. Role-play or simulation was the most common teaching method. Pre- and post-interventional designs were the most common, with few studies incorporating longitudinal follow-up to assess skill retention. Quantitative and qualitative methodologies were used to evaluate interventions.Conclusions:The training topics are related to advanced communication, but there is a lack of an interprofessional perspective and long-term assessment of the skills learned. It is necessary to consider different family types as subjects of communication.

 

摘要翻译: 

背景/目的:家庭会议是在患者、家属与医疗团队之间于结构化空间内进行的临床沟通。医疗专业人员通常缺乏主持家庭会议的正规培训。本范围综述旨在概述关于医疗专业人员家庭会议教育的现有研究证据。 方法:我们检索了MEDLINE、Embase、CINAHL、PsycINFO和Scopus数据库。采用PCC(人群-概念-背景)框架确定纳入标准:面向所有医疗环境中的医疗专业人员及医学与护理专业学生,针对肿瘤与非肿瘤成年患者开展的家庭会议教育干预。 结果:检索获得1017篇文献,其中26篇符合纳入标准。培训主要目标为沟通技能培养和课程开发/评估。多数情况下由姑息治疗医师担任培训师,医学生和住院医师构成受训主体,凸显对早期职业学习者的关注。家庭会议培训主要在美国地区及重症监护环境中开展。角色扮演或模拟教学是最常用的教学方法。干预前后对照设计最为普遍,仅少数研究采用纵向随访评估技能保持情况。研究采用定量与定性方法评估干预效果。 结论:培训内容侧重于高级沟通技能,但缺乏跨专业视角及对所学技能的长期评估。有必要将不同类型的家庭作为沟通对象纳入考量。

 

 

原文链接:

Improving Advanced Communication Skills Towards the Family System: A Scoping Review of Family Meeting Training in Oncology and Other Healthcare Settings

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