关键词: 临床沟通, 培训, 急诊科新员工, 问卷, 评价

Abstract: Objective To evaluate the application effect of Q-TRUST clinical communication training course in the training recruits of emergency department. Methods The experimental group was selected from new staff of the emergency department at Peking Union Medical College Hospital from October 2019 to September 2021.Totally 120 recruits from October 2017 to September 2019 were selected as the control group with 60 in each. The control group was adopted traditional centralized training, and the experimental group was adopted Q-TRUST clinical communication training. The basic information of the students in the two groups was collected, and the communication theory assessment was conducted after the training. The results of patient satisfaction and dispute complaints in the depart-ment within 2 years after the training were collected. The training effect evaluation of experimental group was obtained through questionnaire survey. Results There was no significant difference in age and education background between the two groups. The communication theory assessment score of the experimental group was 84.10±5.27, significantly higher than the control group (72.23±4.48)(P＜0.05). In the experimental group, the score of medical satisfaction after Q-TRUST training was 97.29±1.52, and the number of medical complaints was 15.In the control group. the score of medical satisfaction was 90.75±1.56 and 24 cases of medical complaints were obtained after traditional training. The experimental group was significantly better than the control group(P＜0.05). In the experimental group,the average score of the overall training effect of was 9.43±0.59, the degree of conformity with demand was 9.35±0.80.The results showed that the students in the experimental group were more satisfied with Q-TRUST training course and had high demand evaluation. How to quickly establish trust was 9.72±0.45; how to tell bad news 9.58±0.50; how to improve the efficiency of conversation 9.55±0.22; early identification of high-risk communication patients 9.47±0.87. In the feedback of experimental group, 100% of trainees believed that their communication skills was improved, 93.3% of dispute resolution ability was improved, 90% of communication efficiency and trust building were improved, 86.7% of identification for high-risk patients were improved and 83.3% of etiquette was improved. Conclusions Q-TRUST clinical communication training course can quickly improve the communication ability of new staff, enhance confidence, and better adapt to clinical works of emergency department.

Key words: clinical communication, training, emergency department new staff, questionnaires