[研究] Communication skill training 要素參考整理

彙整Communication skill training (CST)介入表格時，宜有統一的CST要素做為參考統整

預以此篇研究做為統一範本，彙整表格如下：

Elements of CST [1]	Area of focus
1.    Eliciting the patient’s agenda	Ÿ  Building relationships Ÿ  Use open-ended questions Ÿ  Arrange the interview sequence Ÿ  Allow patients to speak Ÿ  Active listening
2.    Understand the patient's perspective	Ÿ  Asking the patient about his or her understanding of the cause of the illness Ÿ  Understanding the patient’s beliefs Ÿ  Exploring the patient’s feelings Ÿ  Understanding of the patient’s values and resources. Ÿ  Explore the effects of the illness on personal activities and social responsibilities Ÿ  Accurately perceive patients’ expectations
3.    Expression empathy	Ÿ  Verbal and Nonverbal Methods Ÿ  Techniques: Naming, Understanding, Respecting, Supporting, and Exploring Ÿ  Example: respectful silence, touching a patient’s hand or knee, sighing, show concern, interest verbally, and through facial expressions.
4.    Breaking bad news	Ÿ  Assessing the patient’s prior knowledge and understanding of the illness, and the patient’s preference for an overview vs. detailed information Ÿ  Techniques: Setting, Perception, Invitation, Knowledge, Emotions, and Strategy
5.    Shared decision making (SDM)	Ÿ  The pros and cons of each option should be outlined, including benefits, risks (potential immediate and long-term adverse effects or complications), and costs (direct and indirect) Ÿ  Asking about the patient’s previous knowledge of the illness Ÿ  Providing small chunks of information and checking for understanding after each chunk (ask-tell-ask technique).

Reference: Hashim MJ: Patient-Centered Communication: Basic Skills. American family physician 2017, 95(1):29-34.

老師初步建議：
1. 表格需再進一步組織分類
2. 思考Elements是否合適，還是宜改成contents?