Self-Assessment Scores Improve After Simulation-Based Palliative Care Communication Skill Workshops

Crystal E. Brown, Anthony L. Back, Dee W. Ford, Erin K. Kross, Lois Downey, Sarah Shannon, J. Randall Curtis, Ruth A. Engelberg

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: We conducted a randomized trial of a simulation-based multisession workshop to improve palliative care communication skills (Codetalk). Standardized patient assessments demonstrated improved communication skills for trainees receiving the intervention; however, patient and family assessments failed to demonstrate improvement. This article reports findings from trainees’ self-assessments. Aim: To examine whether Codetalk resulted in improved self-assessed communication competence by trainees. Design: Trainees were recruited from the University of Washington and the Medical University of South Carolina. Internal medicine residents, medicine subspecialty fellows, nurse practitioner students, or community-based advanced practice nurses were randomized to Codetalk, a simulation-based workshop, or usual education. The outcome measure was self-assessed competence discussing palliative care needs with patients and was assessed at the start and end of the academic year. We used robust linear regression models to predict self-assessed competency, both as a latent construct and as individual indicators, including randomization status and baseline self-assessed competency. Results: We randomized 472 trainees to the intervention (n = 232) or usual education (n = 240). The intervention was associated with an improvement in trainee’s overall self-assessment of competence in communication skills (P <.001). The intervention was also associated with an improvement in trainee self-assessments of 3 of the 4 skill-specific indicators—expressing empathy, discussing spiritual issues, and eliciting goals of care. Conclusion: Simulation-based communication training was associated with improved self-assessed competency in overall and specific communication skills in this randomized trial. Further research is needed to fully understand the importance and limitations of self-assessed competence in relation to other outcomes of improved communication skill.

Original languageEnglish (US)
Pages (from-to)45-51
Number of pages7
JournalAmerican Journal of Hospice and Palliative Medicine
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Palliative Care
Communication
Education
Mental Competency
Linear Models
Patient Care Planning
Nurse Practitioners
Internal Medicine
Random Allocation
Self-Assessment
Nurses
Medicine
Outcome Assessment (Health Care)
Students
Research

Keywords

  • communication skills
  • end-of-life communication
  • palliative care
  • self-assessment
  • self-efficacy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Self-Assessment Scores Improve After Simulation-Based Palliative Care Communication Skill Workshops. / Brown, Crystal E.; Back, Anthony L.; Ford, Dee W.; Kross, Erin K.; Downey, Lois; Shannon, Sarah; Curtis, J. Randall; Engelberg, Ruth A.

In: American Journal of Hospice and Palliative Medicine, Vol. 35, No. 1, 01.01.2018, p. 45-51.

Research output: Contribution to journalArticle

Brown, CE, Back, AL, Ford, DW, Kross, EK, Downey, L, Shannon, S, Curtis, JR & Engelberg, RA 2018, 'Self-Assessment Scores Improve After Simulation-Based Palliative Care Communication Skill Workshops', American Journal of Hospice and Palliative Medicine, vol. 35, no. 1, pp. 45-51. https://doi.org/10.1177/1049909116681972
Brown, Crystal E. ; Back, Anthony L. ; Ford, Dee W. ; Kross, Erin K. ; Downey, Lois ; Shannon, Sarah ; Curtis, J. Randall ; Engelberg, Ruth A. / Self-Assessment Scores Improve After Simulation-Based Palliative Care Communication Skill Workshops. In: American Journal of Hospice and Palliative Medicine. 2018 ; Vol. 35, No. 1. pp. 45-51.
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