IMPROVING RESIDENTS CONFIDENCE IN USING PSYCHOSOCIAL SKILLS

被引：28

作者：

SMITH, RC

METTLER, JA

STOFFELMAYR, BE

LYLES, JS

MARSHALL, AA

VANEGEREN, LF

OSBORN, GG

SHEBROE, V

机构：

[1] the Department of Medicine, Michigan State University, East Lansing, Michigan

[2] Department of Psychiatry, Michigan State University, East Lansing, Michigan

[3] Department of Communication, Michigan State University, East Lansing, Michigan

[4] Department of Family Practice, Michigan State University, East Lansing, Michigan

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1995年 / 10卷 / 06期

关键词：

PSYCHOSOCIAL TEACHING; RESIDENTS; CONFIDENCE; SELF-EFFICACY; BIOPSYCHOSOCIAL;

D O I：

10.1007/BF02599950

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

OBJECTIVE: To evaluate an intensive training program's effects on residents' confidence in their ability in, anticipation of positive outcomes from, and personal commitment to psychosocial behaviors, DESIGN: Controlled randomized study, SETTING: A university- and community-based primary care residency training program, PARTICIPANTS: 26 first-year residents in internal medicine and family practice, INTERVENTION: The residents were randomly assigned to a control group or to one-month intensive training centered on psychosocial skills needed in primary care, MEASUREMENTS: Questionnaires measuring knowledge of psychosocial medicine, and self-confidence in, anticipation of positive outcomes from, and personal commitment to five skill areas: psychological sensitivity, emotional sensitivity, management of somatization, and directive and nondirective facilitation of patient communication, RESULTS: The trained residents expressed higher self-confidence in all five areas of psychosocial skill (p < 0.03 for all tests), anticipated more positive outcomes for emotional sensitivity(p = 0.05), managing somatization (p = 0.03), and nondirectively facilitating patient communication (p = 0.02), and were more strongly committed to being emotionally sensitive (p = 0.055) and managing somatization (p = 0.056), compared with the untrained residents, The trained residents also evidenced more knowledge of psychosocial medicine than did the untrained residents (p < 0.001). CONCLUSIONS: Intensive psychosocial training improves residents' self-confidence in their ability regarding key psychosocial behaviors and increases their knowledge of psychosocial medicine, Training also increases anticipation of positive outcomes from and personal commitment to some, but not all, psychosocial skills.

引用

页码：315 / 320

页数：6

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