Técnicas de comunicación en la formación básica de los estudiantes de fisioterapia
estudo e-Delphi
DOI:
https://doi.org/10.29352/mill0211e.27562Palabras clave:
comunicación en salud; técnica Delphi; estudiantes; fisioterapiartamientos aditivosResumen
Introducción: La gran importancia de la comunicación en materia de salud, como competencia vital en la prestación de cuidados y primordial en la educación sanitaria, determinó la pertinencia de su enseñanza, y las recomendaciones son introducirla en el aprendizaje de pregrado.
Objetivos: Identificar, a través del consenso de expertos, las habilidades de comunicación en salud que deben ser enseñadas a los estudiantes de fisioterapia en su formación básica (grado).
Métodos: Se aplicó un cuestionario online en un panel de expertos en comunicación en salud, siguiendo la técnica Delphi hasta alcanzar el consenso.
Resultados: Se identificaron 27 habilidades de comunicación en salud, de las cuales 25 tuvieron un consenso de ≥80% en el ranking del grado de importancia, así como las 10 más importantes para enseñar a los estudiantes de fisioterapia en cuanto a su formación básica (grado).
Conclusión: El estudio permitió especificar y enumerar las competencias comunicativas centrales en la formación de pregrado en fisioterapia, lo que puede servir, en el futuro, como propuesta para nuevos planes de estudio en esta área, así como para el desarrollo de una unidad curricular transversal a los cursos de grado de fisioterapia de la enseñanza superior en Portugal, buscando dotar a los futuros fisioterapeutas portugueses de las mismas competencias comunicativas en salud.
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Ajjawi, R., & Higgs, J. (2011). Core components of communication of clinical reasoning: A qualitative study with experienced australian physiotherapists. Advances in Health Sciences Education, 17(1), 107–119. https://doi.org/10.1007/s10459-011-9302-7
Andrade, C. G., Costa, S. F. G., & Lopes, M. E. L. (2013). Cuidados paliativos: A comunicação como estratégia de cuidado para o paciente em fase terminal. Ciência & Saúde Coletiva, 18(9), 2523–2530. https://doi.org/10.1590/S1413-81232013000900006 Associação Portuguesa de Fisioterapeutas, (Rev.). (2020, setembro 8). O perfil profissional do fisioterapeuta. Disponível em: APFisio_Perfil_Compet_Fisio_rev2020.pdf Bachmann, C., Abramovitch, H., Barbu, C. G., Cavaco, A. M., Elorza, R. D., Haak, R., Loureiro, E., Ratajska, A., Silverman, J., Winterburn, S., & Rosenbaum, M. (2013). A european consensus on learning objectives for a core communication curriculum in health care professions. Patient Education and Counseling, 93(1), 18–26. https://doi.org/10.1016/j.pec.2012.10.016 Barrett, D., & Heale, R. (2020). What are Delphi studies?. Evidence-Based Nursing, 23(3), 68–69. https://doi.org/10.1136/ebnurs-2020-103303
Bayliss, A. J., & Strunk, V. A. (2015). Measurement of empathy changes during a physical therapistʼs education and beyond. Journal of Physical Therapy Education, 29(2), 6–12. https://doi.org/10.1097/00001416-201529020-00003
Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402-407. Black, N., Murphy, M., Lamping, D., McKee, M., Sanderson, C., Askham, J., & Marteau, T. (1999). Consensus development methods: A review of best practice in creating clinical guidelines. Journal of Health Services Research & Policy, 4(4), 236–248. https://doi.org/10.1177/135581969900400410 Braga, J. (2014). The exercise stress test - Impact of communication strategies on patient's compliance and satisfaction. [Master's Degree Dissertation, Universidade do Porto]. Disponível em: FMUP - The exercise stress test - Impact of communication strategies on patient's compliance and satisfaction Brun-Cottan, N., McMillian, D., & Hastings, J., (2020). Defending the art of physical therapy: Expanding inquiry and crafting culture in support of therapeutic alliance. Physiotherapy Theory and Practice, 36(6), 669–678. https://doi.org/10.1080/09593985.2018.1492656 Cook, C., McCallum, C., Musolino, G. M., Reiman, M., & Covington, J. K. (2018). What traits are reflective of positive professional performance in physical therapy program graduates? A Delphi study. Journal of Allied Health, 47(2), 96–102. Davies, R., Ellerton, C., & Evans, C. (2017). Reaching consensus on measuring professional behaviour in physical therapy objective structured clinical examinations. Physiotherapy Canada. Physiotherapie Canada, 69(1), 65–72. https://doi.org/10.3138/ptc.2015-45E Diamond, I. R., Grant, R. C., Feldman, B. M., Pencharz, P. B., Ling, S. C., Moore, A. M., & Wales, P. W. (2014). Defining consensus: A systematic review recommends methodologic criteria for reporting of Delphi studies. Journal of Clinical Epidemiology, 67(4), 401–409. https://doi.org/10.1016/j.jclinepi.2013.12.002 Dong, T., LaRochelle, J. S., Durning, S. J., Saguil, A., Swygert, K., & Artino, A. R., Jr (2015). Longitudinal effects of medical students' communication skills on future performance. Military Medicine, 180(4 Suppl), 24–30. doi:10.7205/MILMED-D-14-00565
Donohoe, H., Stellefson, M., & Tennant, B. (2012) Advantages and limitations of the e-Delphi technique. American Journal of Health Education, 43(1), 38–46. http://dx.doi.org/10.1080/19325037.2012.10599216 Doorenbos, A. Z., Levy, W. C., Curtis, J. R., & Dougherty, C. M. (2016). An intervention to enhance Goals-of-Care communication between heart failure patients and heart failure providers. Journal of Pain and Symptom Management, 52(3), 353–360. https://doi.org/10.1016/j.jpainsymman.2016.03.018 Duffy, F. D., Gordon, G. H., Whelan, G., Cole-Kelly, K., Frankel, R., Buffone, N., Lofton, S., Wallace, M., Goode, L., Langdon, L., & Participants in the American Academy on Physician and Patient's Conference on Education and Evaluation of Competence in Communication and Interpersonal Skills (2004). Assessing competence in communication and interpersonal skills: The Kalamazoo II report. Academic Medicine : Journal of the Association of American Medical Colleges, 79(6), 495–507. https://doi.org/10.1097/00001888-200406000-00002 Eadie, T., Kapsner-Smith, M., Bolt, S., Sauder, C., Yorkston, K., & Baylor, C. (2018). Relationship between perceived social support and patient-reported communication outcomes across communication disorders: A systematic review. International Journal of Language & Communication Disorders, 53(6), 1059–1077. https://doi.org/10.1111/1460-6984.12417
Fink-Hafner, D., Dagen, T., Dousak, M., Novak, M., & Hafner-Fink, M. (2019). Delphi methods: Strengths and weaknesses. Metodoloski Zvezki Journal, 16(2), 1–19. Disponível em: https://bib.irb.hr/datoteka/1034629.Fink-Hafner_at_al_Delphi_Method_Strengths_and_Weaknesses.pdf Fisher, M., & Keil, F. C. (2016). The curse of expertise: When more knowledge leads to miscalibrated explanatory insight. Cognitive Science, 40(5), 1251–1269. https://doi.org/10.1111/cogs.12280 García de Leonardo, C., Ruiz-Moral, R., Caballero, F., Cavaco, A., Moore, P., Dupuy, L. P., Pithon-Cyrino, A., Cortés, M. T., Gorostegui, M., Loureiro, E., Fontcuberta, J. M., Casasbuenas Duarte, L., Kretzer, L., Arrighi, E., Jovell, A., & Participants in the Consensus Panel (2016). A latin american, portuguese and spanish consensus on a core communication curriculum for undergraduate medical education. BMC Medical Education, 16, 99. https://doi.org/10.1186/s12909-016-0610-8 Gordon, M., Baker, P., Catchpole, K., Darbyshire, D., & Schocken, D. (2015). Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: A modified Delphi study. Medical Teacher, 37(6), 572–577. https://doi.org/10.3109/0142159X.2014.959910
Grisham, T. (2009). The Delphi technique: A method for testing complex and multifaceted topics. International Journal of Managing Projects in Business, 2(1), 112-130. http://dx.doi.org/10.1108/17538370910930545 Hall, D. A., Smith, H., Heffernan, E., Fackrell, K., & Core Outcome Measures in Tinnitus International Delphi (COMiT’ID) Research Steering Group (2018). Recruiting and retaining participants in e-Delphi surveys for core outcome set development: Evaluating the COMiT'ID study. PloS One, 13(7), e0201378. https://doi.org/10.1371/journal.pone.0201378 Hasson, F., Keeney, S., & McKenna, H. (2000). Research guidelines for the Delphi survey technique. Journal of Advanced Nursing, 32(4), 1008–1015. https://doi.org/10.1046/j.1365-2648.2000.t01-1-01567.x Humphrey-Murto, S., Varpio, L., Gonsalves, C., & Wood, T. J. (2017). Using consensus group methods such as Delphi and Nominal Group in medical education research. Medical Teacher, 39(1), 14-19. https://doi.org/10.1080/0142159X.2017.1245856 Humphrey-Murto, S., Varpio, L., Wood, T. J., Gonsalves, C., Ufholz, L. A., Mascioli, K., Wang, C., & Foth, T. (2017). The use of the Delphi and other Consensus Group methods in medical education research: A review. Academic Medicine: Journal of the Association of American Medical Colleges, 92(10), 1491–1498. https://doi.org/10.1097/ACM.0000000000001812 Ingram D. (1997). Opinions of physical therapy education program directors on essential functions. Physical Therapy, 77(1), 37–45. https://doi.org/10.1093/ptj/77.1.37 Keeney, S., Hasson, F., & McKenna, H. (2011). The Delphi technique in nursing and health research. (eds S. Keeney, F. Hasson & H. McKenna). https://doi.org/10.1002/9781444392029
King, G., Currie, M., Doreen J. Bartlett, D.J., Strachan, D., Tucker, M.A., & Willoughby, C. (2008). The development of expertise in paediatric rehabilitation therapists: The roles of motivation, openness to experience and types of caseload experience. Australian Occupational Therapy Journal, 55, 108–122. https://doi.org/10.1111/j.1440-1630.2007.00681.x Lis, R., Sakata, V., & Lien, O. (2017). How to choose? Using the Delphi method to develop consensus triggers and indicators for disaster response. Disaster Medicine and Public Health Preparedness, 11(4), 467-472. https://doi.org/10.1017/dmp.2016.174
Loureiro, E., Cavaco, A.M. & Ferreira, M.A. (2015). Competências de comunicação clínica: Objetivos de ensino-aprendizagem para um currículo nuclear nas áreas da saúde. Revista Brasileira de Educação Médica, 39(4), 491-495. http://dx.doi.org/10.1590/1981-52712015v39n4e01732015
MacEachren, A. M., Pike, W., Yu, C., Brewer, I., Gahegan, M., Weaver, S. D., & Yarnal, B. (2006). Building a geocollaboratory: Supporting human–environment regional observatory (HERO) collaborative science activities. Computers, Environment and Urban Systems, 30(2), 201–225. https://doi.org/10.1016/j.compenvurbsys.2005.10.005 Manze, M. G., Orner, M. B., Glickman, M., Pbert, L., Berlowitz, D., & Kressin, N. R. (2015). Brief provider communication skills training fails to impact patient hypertension outcomes. Patient Education and Counseling, 98(2), 191–198. https://doi.org/10.1016/j.pec.2014.10.014
Marques, J. B. V., & Freitas, D. (2018). Método DELPHI: Caracterização e potencialidades na pesquisa em educação. Pro-Posições, 29(2), 389–415. https://dx.doi.org/10.1590/1980-6248-2015-0140 McMahon, S., Cusack, T., & O’Donoghue, G. (2014). Barriers and facilitators to providing undergraduate physiotherapy clinical education in the primary care setting: A three-round Delphi study. Physiotherapy, 100(1), 14–19. http://dx.doi.org/10.1016/j.physio.2013.04.006 McGinnis, P. Q., Wainwright, S. F., Hack, L. M., Nixon-Cave, K., & Michlovitz, S. (2010). Use of a Delphi panel to establish consensus for recommended uses of selected balance assessment approaches. Physiotherapy Theory and Practice, 26(6), 358–373. https://doi.org/10.3109/09593980903219050
McMillan, S. S., King, M., & Tully, M. P. (2016). How to use the nominal group and Delphi techniques. International Journal of Clinical Pharmacy, 38(3), 655–662. https://doi.org/10.1007/s11096-016-0257-x Miller, E., Brooks, D., & Mori, B. (2020). Using expert consensus to develop a tool to assess physical therapists' knowledge, skills, and judgement in performing airway suctioning. Physiotherapy Canada. Physiotherapie Canada, 72(2), 137–146. https://doi.org/10.3138/ptc-2018-0101 Morgado, P., Lemos, A. R., Almeida, S., Cerqueira, J. J., & Sousa, N. (2019). A structured remediation program for communication skills. International Journal of Medical Education, 10, 161–162. https://doi.org/10.5116/ijme.5d5a.72c3 Mori, B., Brooks, D., Norman, K. E., Herold, J., & Beaton, D. E. (2015). Development of the canadian physiotherapy assessment of clinical performance: A new tool to assess physiotherapy students' performance in clinical education. Physiotherapy Canada. Physiotherapie Canada, 67(3), 281–289. https://doi.org/10.3138/ptc.2014-29E
Mota Cardoso, R.(Coord.). (2012). Competências Clínicas de Comunicação. FMUP, Edições Afrontamento, Lda. Nair, R., Aggarwal, R., & Khanna, D. (2011). Methods of formal consensus in classification /diagnostic criteria and guideline development. Seminars in Arthritis and Rheumatism, 41(2), 95–105. https://doi.org/10.1016/j.semarthrit.2010.12.001
Nunes, L. (2010). Do perito e do conhecimento em enfermagem. Revista Percursos, 17, 3-9. Disponível em: Revista Percursos n17_Do perito e do conhecimento em enfermagem.pdf (rcaap.pt) Parry, R. H., & Brown, K. (2009). Teaching and learning communication skills in physiotherapy: What is done and how should it be done?. Physiotherapy, 95(4), 294–301. https://doi.org/10.1016/j.physio.2009.05.003 Persky, A. M., & Robinson, J. D. (2017). Moving from novice to expertise and its implications for instruction. American Journal of Pharmaceutical Education, 81(9), 6065. https://doi.org/10.5688/ajpe6065 Powell C. (2003). The Delphi technique: Myths and realities. Journal of Advanced Nursing, 41(4), 376–382. https://doi.org/10.1046/j.1365-2648.2003.02537.x Roberts, F., & Cooper, K. (2020). Development of a tool to assess core cardiorespiratory physiotherapy skills: A Delphi study. Physiotherapy Theory and Practice, 1–9. Advance online publication. https://doi.org/10.1080/09593985.2020.1827467 Romero-Collado A. (2020). Essential elements to elaborate a study with the (e)Delphi method. Elementos esenciales para elaborar un estudio con el método (e)Delphi. Enfermeria Intensiva, S1130-2399(20)30093-6. Advance online publication. https://doi.org/10.1016/j.enfi.2020.09.001
Salgado, A., Dores, A. R., Martins, H., Sousa, Z., Magalhães, A., Reis, A. (2018). 5º Congresso Nacional de Práticas Pedagógicas no Ensino Superior – Atas. In … (Org.). Desenvolvimento de competências de comunicação clínica no primeiro ano de fisioterapia (213–218). LIVRO-ATAS-CNAPPES-2018_FINAL.pdf Sequeira, C. (Coord.). (2016). Comunicação clínica e relação de ajuda. Lidel Edições Técnicas Tavakoly-Sany, S. B., Behzhad, F., Ferns, G., & Peyman, N. (2020). Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: A randomized controlled trial. BMC Health Services Research, 20(1), 60. https://doi.org/10.1186/s12913-020-4901-8 Taveira-Gomes, I., Mota Cardoso, R., & Figueiredo Braga, M. (2016). Communication skills in medical students - An exploratory study before and after clerkships. Porto Biomedical Journal, 1(5), 173–180. https://doi.org/10.1016/j.pbj.2016.08.002 Timmerberg, J. F., Dole, R., Silberman, N., Goffar, S. L., Mathur, D., Miller, A., Murray, L., Pelletier, D., Simpson, M. S., Stolfi, A., Thompson, A., & Utzman, R. (2019). Physical therapist student readiness for entrance in to the first full-time clinical experience: A Delphi study. Physical Therapy, 99(2), 131–146. https://doi.org/10.1093/ptj/pzy134 Tognetto, A., Michelazzo, M. B., Ricciardi, W., Federici, A., & Boccia, S. (2019). Core competencies in genetics for healthcare professionals: Results from a literature review and a Delphi method. BMC Medical Education, 19(1), 19. https://doi.org/10.1186/s12909-019-1456-7 Toronto, C. (2017). Considerations when conducting e-Delphi research: A case study. Nurse Researcher, 25(1), 10–15. https://doi.org/10.7748/nr.2017.e1498 Villiers, M. R., de Villiers, P. J., & Kent, A. P. (2005). The Delphi technique in health sciences education research. Medical Teacher, 27(7), 639–643. https://doi.org/10.1080/13611260500069947 Waggoner, J., Carline, J. D., & Durning, S. J. (2016). Is there a consensus on Consensus methodology? Descriptions and recommendations for future consensus research. Academic Medicine: Journal of the Association of American Medical Colleges, 91(5), 663–668. https://doi.org/10.1097/ACM.0000000000001092
World Confederation for Physical Therapy. (2011). WCPT guideline for physical therapist professional entry level education [em linha]. Disponível em: https://world.physio/sites/default/files/2020-07/G-2011-Entry-level-education.pdf
World Health Organization. (2014). WHO handbook for guideline development. Decision-making for guideline development at WHO (2nd ed., pp.201-214). World Health Organization. Disponível em: Chp16_May2016.pdf (who.int) Yousuf, M. I. (2007). Using experts opinions through Delphi technique. Practical Assessment Research and Evaluation, 12(4). https://doi.org/10.7275/rrph-t210
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